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Does sustained inflation compared with standard intermittent positive pressure ventilation for resuscitating extremely preterm infants at birth reduces the risk of bronchopulmonary dysplasia (BPD) or death at 36 weeks’ postmenstrual age?1
Design: Randomised clinical trial in 18 neonatal intensive care units of nine countries.
Inclusion criteria: Preterm infants between 23 weeks 0 days’ and 26 weeks 6 days’ gestational age who required positive pressure ventilation at birth because of ineffective respiratory effort or a heart rate <100 beats/min.
Exclusion criteria: Non-viable infants and infants with major anomalies.
Interventions: Sustained inflation: two sustained inflations each lasting for 15 s provided by either a face mask or a nasopharyngeal airway. The first inflation peak pressure was 20 cm H2O, and the second inflation peak pressure was 25 cm H2O.
Comparison: Standard resuscitation: intermittent positive pressure ventilation and positive end-expiatory pressure as per neonatal resuscitation programme guidelines.
Outcomes: Primary outcome: composite of death or survival …
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