Related Experiment Video
Updated: Jul 9, 2025

Laryngeal Mask Airway LMA Placement in a Neonatal Patient Simulator Using a Non-Inflatable Supraglottic Airway SGA
Published on: July 14, 2023
Neonatal Respiratory Support Utilization in Low- and Middle-Income Countries: A Registry-Based Observational Study
Nora Switchenko1, Vivek Shukla1, Musaku Mwenechanya2
1Department of Pediatrics, University of Alabama at Birmingham, Birmingham, Alabama, USA.
In low-resource settings, more term newborns received respiratory support than preterm infants. However, a higher proportion of preterm infants received respiratory support, despite being at lower risk.
Area of Science:
- Neonatal care
- Global health
- Respiratory support
Background:
- Hypoxemia in newborns necessitates respiratory support.
- Disparities in respiratory support delivery between term and preterm infants in low-resource settings are unknown.
- This study investigates respiratory support patterns in a large, multi-country birth cohort.
Purpose of the Study:
- To determine if term or preterm infants received more respiratory support in low- and middle-income countries.
- To compare the frequency and modes of respiratory support between term and preterm neonates.
- To analyze variations in respiratory support delivery across different geographic sites.
Main Methods:
- Observational study using prospectively collected data from the Maternal and Newborn Health Registry.
- Inclusion criteria: live-born infants (22-44 weeks gestation, ≥400g birth weight) from 2015-2018.
- Analysis of respiratory support (oxygen, CPAP, mechanical ventilation) frequency and trends using robust Poisson regression.
Main Results:
- A total of 205,977 infants were analyzed: 177,728 term (86.3%) and 28,249 preterm (13.7%).
- More term infants (n=5,108) received respiratory support than preterm infants (n=3,287).
- The proportion of preterm infants receiving respiratory support (11.6%) was significantly higher than term infants (2.9%, p<0.001).
Conclusions:
- Respiratory support was utilized more frequently in term infants than preterm infants.
- Despite lower risk, term infants received more respiratory support, indicating potential disparities in care.
- Significant variation in respiratory support provision was observed across study sites.
More Related Videos
06:15Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus
Published on: March 6, 2019
04:21A Minimally Invasive Method for Intratracheal Instillation of Drugs in Neonatal Rodents to Treat Lung Disease
Published on: August 4, 2021
Related Concept Videos
Assessment of Ventilation I: Respiratory Rate
A Ventilation assessment is critical for monitoring a patient's health status. Respiration, one of the most accessible vital signs, provides insights into the function of numerous body systems and can indicate serious health issues, such as brainstem injuries from head trauma.
Critical Guidelines for Assessing Ventilation:
Respiratory Assessment: Purpose and Indications
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
Acute Respiratory Failure-II
The underlying physiological abnormalities that contribute to hypoxemic respiratory failure include:
Acute Respiratory Failure-III
Acute Respiratory Failure-I
Definition: It is defined by specific criteria based on blood gas measurements. Hypoxemia happens when the partial pressure of oxygen (PaO2) falls below 60 mmHg. At the same time,...
Acute Respiratory Failure-V
Ensure that patients are monitored continuously for their response to therapy, including changes in...