Martinez Tugba Alarcon, Remmer Elissa, Mardakis Stephanie, Leone Marisa, Boyer Johanne, Lv Shasha, Beltempo Marc, Sant'Anna Guilherme, Shalish Wissam
Neonatologist, Division of Neonatology, Department of Pediatrics, Montreal Children's Hospital, McGill University Health Center, Montreal, QC, Canada.
Nursing Educator, Division of Neonatology, Department of Pediatrics, Montreal Children's Hospital, McGill University Health Center, Montreal, QC, Canada.
J Perinatol. 2025 Apr 12. doi: 10.1038/s41372-025-02291-4.
To describe barriers and strategies amongst healthcare professionals (HCP) for optimal non-invasive respiratory support (NRS) provision in extremely preterm infants.
A cross-sectional web-based anonymized 19-question survey was sent to HCPs across Canadian tertiary care NICUs. The survey inquired about perspectives on NRS devices and management strategies, respiratory event monitoring, NRS failure, and possible solutions.
391 responses from 61 physicians, 173 nurses, and 147 respiratory therapists were analyzed. HCP perspectives varied regarding appropriateness of different NRS settings and interfaces, documentation of cardiorespiratory events, and prevention of NRS failure. Obtaining effective NRS was deemed challenging by 48% of HCPs. NRS training was deemed adequate by 89% of respiratory therapists and 78% of physicians, but only 56% of nurses.
Substantial interprofessional variations exist in perceived benefits of various aspects of NRS. Better evidence on NRS modalities/settings, together with development of interdisciplinary guidelines and enhanced training, might reduce variability.
描述医疗保健专业人员（HCP）在为极早产儿提供最佳无创呼吸支持（NRS）方面的障碍和策略。
向加拿大三级护理新生儿重症监护病房的HCP发送了一份基于网络的19个问题的横断面匿名调查问卷。该调查询问了对NRS设备和管理策略、呼吸事件监测、NRS失败及可能解决方案的看法。
分析了来自61名医生、173名护士和147名呼吸治疗师的391份回复。HCP对不同NRS设置和接口的适用性、心肺事件的记录以及NRS失败的预防的看法各不相同。48%的HCP认为获得有效的NRS具有挑战性。89%的呼吸治疗师和78%的医生认为NRS培训足够，但只有56%的护士这样认为。
在NRS各方面的感知益处方面存在很大的专业间差异。关于NRS模式/设置的更好证据，以及跨学科指南的制定和强化培训，可能会减少变异性。
