Flow disruptions during delivery room intubation of neonates with congenital diaphragmatic hernia
Authors' conclusion
FDs occur frequently during DR intubation of neonates with CDH, and high impact FDs are associated with longer time to initiate invasive ventilation.
Study context
- Population
- Neonates with congenital diaphragmatic hernia (CDH) undergoing delivery room intubation
- Participants
- 29 video-recorded resuscitations
- Outcome
- Time to invasive ventilation
Methodological detailssingle-centre, video-recorded, 11/2021 to 4/2023
- Single-centre
- Video-recorded
- 11/2021 to 4/2023
Main finding
As reported in the abstract
FD rate before ventilation (mean ±SD)
7.1 FDs/minute
±3.2
Ventilation delay per one FD/minute increase in high impact flow disruptions (FDs)
19.0 s
95% CI 4.6–33.4
Observational data: associations, not effects.
Secondary outcomes
Time to pulse oximetry signal
- Rate of high impact FDs associated with delay in pulse oximetry acquisition
Time to SpO2 ≥85 %
- Rate of medium impact FDs associated with delay in SpO2 ≥85 %
Original publication
Flow disruptions during delivery room intubation of neonates with congenital diaphragmatic hernia. Resuscitation. Published 4 September 2025. doi:10. 1016/ j. resuscitation. 2025. 110802
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