Some research shows that limiting early intubation and mechanical ventilation in extremely premature babies can reduce their chances of suffering illness and death. Ludivine Templin, from the University Hospital La Conception in Marseille, led a team of researchers looking into the effectiveness of a new protocol which included:
- Delayed umbilical-cord clamping
- Optimized non-continuous positive airway pressure (nCPAP)
- High peak end expiratory pressure (PEEP) levels
- Less invasive surfactant administration
40 babies were treated with the pre-existing treatment and 52 with the new protocol. The new protocol led to lower rates of intubation in the delivery room and less likelihood of mechanical ventilation by day three but the two groups did not differ in terms of death rates or illness.
You can read the abstract of this article here.