Cochrane · systematic review · CD009102

Nasal interfaces for neonatal resuscitation

Ni Chathasaigh, CM, Davis, PG, O'Donnell, CPF, et al. · Cochrane Database of Systematic Reviews · 2023 · Cochrane Library

NeonatalAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 4 · 57.1%Low 3 · 42.9%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Nasal interfaces (single nasal prong, binasal prongs (long or short), or nasal masks) versus face mask for neonatal resuscitation

Population: term and preterm infants resuscitated at birth, using positive pressure ventilation
7 questions
OutcomeEffectEvidenceStatus / GRADE
Death before discharge
Nasal interfaces (single nasal prong, binasal prongs (long or short), or nasal masks) vs face mask
RR 0.72 [0.47, 1.13]3 studies · 1124 participantsLow
Intubation and mechanical ventilation in the DR
Nasal interfaces (single nasal prong, binasal prongs (long or short), or nasal masks) vs face mask
RR 0.68 [0.54, 0.85]5 studies · 1406 participantsVery low
Intubation and mechanical ventilationwithin 24 hours of birth
Nasal interfaces (single nasal prong, binasal prongs (long or short), or nasal masks) vs face mask
RR 0.97 [0.85, 1.09]3 studies · 749 participantsVery low
Intubation and mechanical ventilation outside the DR during hospitalisation
Nasal interfaces (single nasal prong, binasal prongs (long or short), or nasal masks) vs face mask
RR 1.15 [0.93, 1.42]1 study · 144 participantsVery low
Air leaks
Nasal interfaces (single nasal prong, binasal prongs (long or short), or nasal masks) vs face mask
RR 1.09 [0.57, 2.07]2 studies · 507 participantsLow
The need for supplemental oxygen at 36 weeks' corrected gestational age
Nasal interfaces (single nasal prong, binasal prongs (long or short), or nasal masks) vs face mask
RR 1.06 [0.8, 1.4]2 studies · 507 participantsLow
Cranial ultrasound abnormalities (IVH grade ≥ 3 or cystic periventricular leukomalacia)
Nasal interfaces (single nasal prong, binasal prongs (long or short), or nasal masks) vs face mask
RR 0.94 [0.55, 1.61]3 studies · 749 participantsVery low