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Sustained lung inflation at birth: what do we know, and what do we need to know?
Karen E McCall1, Peter G Davis2, Louise S Owen2
1Newborn Research, Murdoch Children's Research Institute, Melbourne, Australia School of Medicine and Medical Science, University College Dublin, Dublin, Ireland.
Abstract:
A sustained inflation has been advocated as a potential method of augmenting lung aeration at birth. Clinical trials have suggested that a sustained inflation may lead to a reduced need for intubation and ventilation in the first few days of life, without cardiovascular compromise or increased lung injury. Despite this, a sustained inflation is not currently a standard of practice, mainly due to a lack of clarity regarding the optimal delivery method. Animal trials have sought to refine delivery techniques. This review will outline current recommendations regarding a sustained inflation, discuss potential strategies for its optimal delivery and suggest priorities for future research.
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