Department of Pediatrics, King Abdulaziz Medical City-Jeddah, Ministry of National Guard Health Affairs (MNGHA), Jeddah, Saudi Arabia.
College of Medicine-Jeddah, King Saud Bin Abdul Aziz University for Health Sciences (KSAU-HS), Jeddah, Saudi Arabia.
J Neonatal Perinatal Med. 2024;17(5):653-660. doi: 10.3233/NPM-240054.
To assess the current practice in using volume-targeted ventilation among neonatologists working at the Neonatal Intensive Care Units (NICU) of Saudi Arabia.
The questionnaire was provided electronically to 153 practicing Neonatologists working in 39 NICUs. The survey's results were received and statistically analyzed.
One hundred nineteen (119) responses were received with, a 78% response rate. Volume Targeted Ventilation (VTV) was used routinely by 67.2%, whereas 21.8% still use only pressure control (PC)/pressure limited (PL) mode. During the acute phase of ventilation support, Assist Control was the most popular synchronized mode, whereas Synchronized Intermittent Mandatory Ventilation (SIMV) with pressure support (PS) or PSV were the two most common modes during the weaning phase, 31.8%, and 31% respectively. The majority of the neonatologists used a tidal volume of 4 ml/kg as the lowest and 6 ml/kg as the highest. The major reasons for not implementing VTV were the limited availability of ventilator devices that have an option of VTV, followed by lack of experience.
VTV is the predominant ventilation practice approach among neonatologists working in the KSA. Limited availability and lack of experience in using are the main challenges. Efforts to equip NICUs with the most advanced ventilation technology, enhance practitioners' experience and sufficient training in its use are warranted.
评估在沙特阿拉伯新生儿重症监护病房（NICU）工作的新生儿科医生目前使用容量目标通气的情况。
向 39 家 NICU 的 153 名在职新生儿科医生提供电子问卷。收到并统计分析了调查结果。
共收到 119 份（119 份）回复，回复率为 78%。67.2%的人常规使用容量目标通气（VTV），而 21.8%的人仍仅使用压力控制（PC）/压力限制（PL）模式。在通气支持的急性阶段，辅助控制是最受欢迎的同步模式，而在撤机阶段，同步间歇强制通气（SIMV）加压力支持（PS）或 PSV 是最常见的两种模式，分别为 31.8%和 31%。大多数新生儿科医生使用 4ml/kg 的潮气量作为最低值，6ml/kg 作为最高值。不实施 VTV 的主要原因是具有 VTV 选项的通气设备有限，其次是缺乏经验。
VTV 是沙特阿拉伯新生儿科医生使用的主要通气方法。可用性有限和缺乏使用经验是主要挑战。有必要努力为 NICU 配备最先进的通气技术，增强从业人员的经验，并进行充分的使用培训。
