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International Survey: Management of Periviable Infants (22–23 Weeks)
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Basic InformationDelivery Room ManagementRespiratory Management (NICU)Circulation ManagementNeurological ManagementFeeding & GI ManagementOther PracticesFinal Question
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Q1_CountryQ2_InstitutionQ3_Resuscitation_22wQ3_Resuscitation_23wQ4_Cord_managementQ5_Initial_FiO2Q6_Initial_resp_strategyQ7_Initial_vent_modeQ8_Switch_modeQ8_WhenQ9_Switch_toQ10_SurfactantQ11_Echo_freqQ12_Echo_operatorQ13_BP_managementQ14_SedationQ15_First_line_sedativeQ16_CUS_freqQ17_CUS_operatorQ18_ProbioticsQ18_StartQ19_EnemaQ19_StartQ20_IndomethacinQ21_HumidityQ22_Priotized_areaQ23_Key_factorQ24_Practice_type
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CountryInstitutionDo you actively resuscitate infants at 22 weeksDo you actively resuscitate infants at 23 weeksUmbilical cord management for 22–23 weeksInitial FiO2Initial respiratory strategyInitial ventilation modeDo you switch ventilation mode after stabilization?Yes → When?If yes, which ventilation mode do you switch to?Surfactant administrationUse of echocardiography in the first 72 hoursWho performs echocardiography in the first 72 hours?First-line blood pressure managementDo you routinely use sedation in the acute phase?If yes, first-line sedativeFrequency of cranial ultrasound in the first 72 hoursWho performs cranial ultrasound in the first 72 hours?Do you use probiotics?If yes: when do you start?Do you use glycerin enemas routinely?If yes: when do you start?Use of prophylactic indomethacinIncubator humidity in the first 3 daysPlease select the top 3 research priorities for improving outcomes in infants born at 22–23 weeks. (Select 3)What is the most important factor for improving outcomes in infants born at 22–23 weeks?Do you think your current practice is
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ExampleJapanSaitama Medical Center, Saitama Medical UniversityYesYesCut cord milking(please specify):60%(please specify):Immediate intubationSIMV / CMV(please specify):YesDay 4HFOV(please specify):In the delivery room≥2 times/dayNeonatologist(please specify):Case-by-case(please specify):YesPhenobarbital(please specify):≥2/dayNeonatologist(please specify):YesDay 1YesDay 4Yes>90%Cord management in the delivery room, Initial FiO₂ in the delivery room, Sedation for IVH preventionStabilising during the first 72 hoursExperience-based
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1(please specify):(please specify):(please specify):(please specify):(please specify):(please specify):(please specify):(please specify):​
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2(please specify):(please specify):(please specify):(please specify):(please specify):(please specify):(please specify):(please specify):​
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10(please specify):(please specify):(please specify):(please specify):(please specify):(please specify):(please specify):(please specify):​
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YesEarly cord clamping21%Immediate intubationSIMV / CMVYesSIMV / CMVIn the delivery room≥2 times/dayNeonatologistDopamine / DobutamineYesFentanyl≥2/dayNeonatologistYesYesYes<80%Cord management in the delivery roomEvidence-based
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No Delayed cord clamping30%CPAP trial firstHFOVNoHFOVIn the NICUOnce/dayPediatric cardiologistSteroidsNoMorphineOnce/dayPediatric neurologistNoNoNo80–90%Initial FiO₂ in the delivery roomExperience-based
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Case-by-caseIntact cord milking60%Case-by-caseHFJVHFJVNot routinelyOnly if neededUltrasound technologistVolume loadingPhenobarbitalOnly if indicatedUltrasound technologist>90%Initial respiratory strategy in the delivery roomMixed
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Cut cord milking100%Other (please specify)Other (please specify)Other (please specify)CombinationMidazolamOther (please specify)Initial ventilation mode in the NICU
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Other (please specify)Other (please specify)Case-by-caseOther (please specify)Surfactant administration strategy
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Other (please specify)Hemodynamic management using POCUS
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Pharmacologic blood pressure management
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Sedation for IVH prevention
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Cranial ultrasound monitoring for IVH prevention
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Probiotics
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Routine glycerin enemas
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Prophylactic indomethacin
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Incubator humidity management
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Other (please specify)
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