Respiratory Outcomes of Infants under 1 year with SARS-CoV-2 Infection
Respiratory Support Modalities & Aerosol-Generating Procedures
Of primary importance in caring for neonates with suspected or confirmed SARS-CoV-2 is that healthcare workers should have access to and utilize adequate personal protection equipment (PPE) including:
- long-sleeved gown
- single-use gloves
- eye protection
- N95 mask or the equivalent
Evidence-based care should begin in the delivery room with minimal personal and use of proper PPE. When manual bag mask ventilation is required, some NICUs have begun to utilize bacterial/viral filters, although as the authors discuss adequate studies have yet to be conducted. Additionally, using these filters in neonates < 1000g is potentially dangerous as they create 10-40 mL of dead space raising risk for iatrogenic hypercapnia and subsequent intraventricular hemorrhage.
The article goes on to address the topics of suctioning, CPAP, NIPPV, Mechanical Ventilation, and more! In the flood of COVID-19 information, this article provides a comprehensive review of the evidence regarding neonatal COVID-19.
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