Division of Neonatology, Department of Pediatrics, University of Pennsylvania School of Medicine, Philadelphia PA USA.
Section of Neonatal-Perinatal Medicine, Department of Pediatrics, The University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA; College of Medicine, University of Oklahoma, Oklahoma City, OK, USA.
Semin Perinatol. 2022 Oct;46(6):151623. doi: 10.1016/j.semperi.2022.151623. Epub 2022 May 21.
To review the current state of the art of positive pressure ventilation (PPV) during resuscitation FINDINGS: The frequency of PPV during delivery room resuscitation varies across settings and gestational age subgroups. Goal targets and parameters for delivery room PPV remain undefined. The T-piece resuscitator provides the most consistent pressures during PPV and may improve clinical outcomes. The laryngeal mask may be an important alternative interface for PPV, but more data are needed to identify the optimal role of the supraglottic airway during PPV. No objective monitors of PPV have conclusively demonstrated improved outcomes to date.
More information, including real-world data from population-based studies, is needed to provide data-driven guidelines for positive pressure ventilation during neonatal transition after birth.
回顾复苏过程中正压通气（PPV）的最新技术状况。
分娩室复苏过程中 PPV 的频率因设置和胎龄亚组而异。分娩室 PPV 的目标靶标和参数仍未定义。T 型复苏器在 PPV 过程中提供最一致的压力，并且可能改善临床结局。喉罩可能是 PPV 的重要替代接口，但需要更多的数据来确定在 PPV 期间声门上气道的最佳作用。到目前为止，还没有客观的 PPV 监测器能够明确证明改善了结局。
需要更多的信息，包括来自基于人群的研究的真实世界数据，以便为出生后新生儿过渡期间的正压通气提供基于数据的指南。
