1. Elective extubation during skin‐to‐skin care in preterm newborns is safe and well‐tolerated.
- Author
-
Morey‐Olivé, M., Romaní‐Franquesa, N., Echeverría‐Gallart, M., Céspedes‐Dominguez, M. C., Camba‐Longueira, F., and Montaner‐Ramon, A.
- Subjects
- *
BIRTH weight , *CRITICAL care medicine , *GESTATIONAL age , *HEART beat , *EXTUBATION - Abstract
Aim Methods Results Conclusion To evaluate the safety and tolerance of elective extubations in preterm newborns (PNB) during skin‐to‐skin care (SSC) compared to those performed in an incubator.Retrospective observational study including 142 extubations in 93 PNB with gestational age (GA) <32 weeks and/or birth weight (BW) <1500 g performed during the first 2 months of life. Safety, tolerance and extubation success at 72 h were assessed.The median GA was 25.4 weeks in the SSC group versus 26.6 weeks in the incubator group (p = 0.002). The median BW was 700 grams and 880 grams, respectively (p = 0.001). In total, 60 extubations (42.3%) were performed during SSC in 42 PNB and 82 in incubator in 69 PNB. No incidents related to extubation during SSC were recorded. The extubation success rate was 80% in SSC versus 79.3% in incubator (p = 0.915). Most failures occurred between 3 and 24 h after extubation. There were no observed differences in heart rate or FiO2 variations between the groups, nor in the need to escalate respiratory support at 24 h after extubation (SSC 15% vs. incubator 12.2%, p = 0.628).Extubation during SSC is a feasible, safe and well‐tolerated practice, while allowing PNB to experience the benefits from SSC. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF