Neonatal resuscitation is a high acuity, low occurrence event. Limited high-quality evidence informs neonatal resuscitation treatment recommendations. Our group seeks to identify the best methods to monitor and perform neonatal resuscitation, with the ultimate goal of optimizing clinical outcomes for high-risk infants.
We studied of 3,521 infants who received CPR in the NICU or PICU in the AHA GWTG-Resuscitation registry. Factors most strongly independently associated with death after CPR were vasoactive agent before CPR, initial pulseless condition or development of pulselessness, and NICU location compared with PICU.
CPR outcomes in NICU and PICU
In this multi-center study of 92 fellows from 8 hospitals participating in the NEAR4NEOS registry, we assessed the impact of ongoing training on intubation competence and defined procedural learning curves for neonatal intubation.
Neonatal Intubation Competence for Neonatal Fellows
We defined SpO2 trajectories after birth and delivery room respiratory interventions for 200 infants with three distinct phenotypes of cyanotic congenital heart disease. These results inform delivery room management of these high-risk populations.
Journal of Perinatology
Transitional oxygen physiology for cyanotic congenital heart disease
Dr. Foglia is an Assistant Professor of Pediatrics at the University of Pennsylvania Perelman School of Medicine and an academic neonatologist at the Children’s Hospital of Philadelphia and the Hospital of the University of Pennsylvania.
Dr. Foglia’s research aims to characterize the epidemiology of neonatal resuscitation, to improve monitoring and clinical performance during resuscitation, and to identify interventions to prevent mortality and long-term disability in high-risk infants.