TY - JOUR T1 - T-piece Resuscitator versus Self-Inflating Bag for Preterm Resuscitation – an Institutional Experience JF - Respiratory Care DO - 10.4187/respcare.02109 SP - respcare.02109 AU - Archana Jayaram AU - Adam Sima AU - Gail Barker AU - Leroy R Thacker Y1 - 2012/12/04 UR - http://rc.rcjournal.com/content/early/2012/12/04/respcare.02109.abstract N2 - Background. : Positive pressure ventilation (PPV) is provided by manual ventilation devices such as self-inflating bags (SIB), flow inflating bags and T-piece resuscitators. The objective of this study is to compare the effect of type of manual ventilation device on overall response to resuscitation among preterm neonates born < 35 weeks gestation. Methods. Retrospective data were collected in 2 time periods. Primary outcome was overall response to resuscitation as measured by Apgar score. Secondary outcomes were incidence of airleaks, need for chest compressions/epinephrine, need for intubation and surfactant use. Results. 294 resuscitations requiring PPV were identified. 135 neonates had SIB used and 159 neonates had T-piece used to provide PPV. There was no significant difference in 1 and 5 minute Apgar scores between devices (P=0.770, P=0.105 respectively) nor were there significant differences in secondary outcomes. The rate of rise of Apgar scores was higher by 0.47 for the T-piece compared to the SIB (95%CI=0.08, 0.87, P=0.019) Conclusion. Although some manikin studies favor the T piece device in providing reliable and consistent pressures, our experience did not indicate significant differences in effectiveness of resuscitation between the T piece and SIB in preterm resuscitations. ER -