Resuscitation Opportunities for Fellows of Very Low Birth Weight Infants in the Vermont Oxford Network

Pediatrics
Megan M GrayJeffrey Horbar

Abstract

Neonatal-perinatal medicine (NPM) fellowship programs must provide adequate delivery room (DR) experience to ensure that physicians can independently provide neonatal resuscitation to very low birth weight (VLBW) infants. The availability of learning opportunities is unknown. The number of VLBW (≤1500 g) and extremely low birth weight (ELBW) (<1000 g) deliveries, uses of continuous positive airway pressure, intubation, chest compressions, and epinephrine over 3 years at accredited civilian NPM fellowship program delivery hospitals were determined from the Vermont Oxford Network from 2012 to 2017. Using Poisson distributions, we estimated the expected probabilities of fellows experiencing a given number of cases over 3 years at each program. Of the 94 NPM fellowships, 86 programs with 115 delivery hospitals and 62 699 VLBW deliveries (28 703 ELBW) were included. During a 3-year fellowship, the mean number of deliveries per fellow ranged from 14 to 214 (median: 60) for VLBWs and 7 to 107 (median: 27) for ELBWs. One-half of fellows were expected to see ≤23 ELBW deliveries and 52 VLBW deliveries, 24 instances of continuous positive airway pressure, 23 intubations, 2 instances of chest compressions, and 1 treatment with epinephrine....Continue Reading

References

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Citations

Dec 1, 2020·Monatsschrift Kinderheilkunde : Organ der Deutschen Gesellschaft für Kinderheilkunde·R Kerbl
Jan 28, 2022·Journal of Perinatology : Official Journal of the California Perinatal Association·Maria Gillam-KrakauerElizabeth M Bonachea

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