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Positive end-expiratory pressure levels during resuscitation of preterm infants at birth (POLAR): study protocol for a randomised controlled trial - PubMed

3 days ago
  • #PEEP
  • #neonatal resuscitation
  • #preterm infants
  • The POLAR trial is an international multicentre randomised controlled trial evaluating a dynamic PEEP strategy during resuscitation of extremely preterm infants at birth.
  • It compares a dynamic PEEP starting at 8 cmH2O, titrated to response up to 12 cmH2O, against a static PEEP of 5-6 cmH2O.
  • The primary outcome is death or bronchopulmonary dysplasia at 36 weeks' postmenstrual age.
  • Secondary outcomes include short-term respiratory morbidity and potential harms in the first 10 days after birth.
  • The trial plans to recruit 906 extremely preterm infants to assess the impact on neonatal care.