SELECTED PUBLICATIONS
Neonatal Intubation
Heidi M Herrick
In this analysis of 3,145 neonatal intubation encounters, there were important differences in the characteristics and outcomes between intubations that occurred in the delivery room versus neonatal intensive care unit setting.

Neonatology
Neonatal intubation: delivery room vs NICU
Taylor Sawyer
Difficult intubations are common in the NICU and are associated with adverse event and severe oxygen desaturation. Difficult intubations occur more commonly in small preterm infants. The occurrence of a difficult intubation in other neonates is hard to predict due to the lack of sensitivity of bedside screening tests

Arch Dis Child Fetal Neonatal Ed
Difficult intubation prediction for neonatal intubation
Resuscitation Interventions & Outcomes
Elizabeth Foglia
In this meta-analysis, sustained inflation was associated with similar risks of in-hospital mortality compared with standard therapy. Sustained inflation was associated with increased risk of mortality in the first 2 days compared with standard therapy, and there were no differences in the risk of any other secondary outcomes.

JAMA Pediatrics
Sustained inflation versus standard resuscitation of preterm infants: A systematic review and meta-analysis.
Haresh Kirpalani
In this randomized clinical trial involving 426 infants that was stopped early due to suggestion of harm in the sustained inflation group, there was no significant difference in the rate of bronchopulmonary dysplasia or death at 36 weeks’ postmenstrual age for infants treated with sustained inflation vs standard resuscitation (63.7% vs 59.2%).

JAMA
Effect of Sustained Inflations vs Intermittent Positive Pressure Ventilation on Bronchopulmonary Dysplasia or Death Among Extremely Preterm Infants
Elizabeth Foglia
This inaugural report of over 1,000 delivery room cardiopulmonary resuscitation events in the multi-site American Heart Association Get with the Guidelines-Resuscitation Registry contributes to defining gestational-age specific survival outcomes.

Resuscitation
Survival after delivery room resuscitation: A national registry study.
Elizabeth Foglia
In this article, we review the current evidence for interventions applied during neonatal transition (delivery room and first postnatal hours of life) to prevent BPD in extremely preterm infants: continuous positive airway pressure (CPAP), sustained lung inflation, supplemental oxygen use during neonatal resuscitation, and surfactant therapy including less-invasive surfactant administration

Journal of Perinatology
Delivery room interventions to prevent bronchopulmonary dysplasia in extremely preterm infants
Elizabeth Foglia
In this pilot trial, we demonstrated that intubation and ventilation prior to umbilical cord clamping is safe and feasible among infants with congenital diaphragmatic hernia and may result in short-term physiologic benefit

Arch Dis Child Fetal Neonatal Ed
Initiating resuscitation before umbilical cord clamping in infants with congenital diaphragmatic hernia: a pilot feasibility trial
Elizabeth Foglia
Effective ventilation is the cornerstone of neonatal resuscitation. In this article, we review the physiology of cardiopulmonary transition at birth, with particular attention to factors the caregiver should consider when providing ventilation.

Seminars in Fetal and Neonatal Medicine
Effective ventilation: The most critical intervention for successful delivery room resuscitation.
Monitoring
Trixie Katz
Wearable eye-tracking technology is feasible to identify gaze fixation on the respiratory function monitor (RFM) display and is well accepted by providers. Neonatal providers look at exhaled tidal volume more than any other RFM parameter.

Arch Dis Child Fetal Neonatal Ed
Visual attention on a respiratory function monitor during simulated neonatal resuscitation: an eye-tracking study
Christopher Bonafide
Smartphone-integrated consumer baby monitors that measure vital signs are popular among parents but are not regulated by the FDA. This study measured the accuracy of pulse oximetry-based consumer baby monitors using an FDA-cleared oximeter as a reference.

JAMA
Accuracy of Pulse Oximetry-Based Home Baby Monitors
Kesi Yang
We studied the impact of "MROPSA" corrective steps on heart rate and tidal volumes during delivery room PPV for preterm infants. Ventilation corrective steps improved tidal volume delivery in some cases but worsened exhaled tidal volumes in others. Mask leak and airway obstruction were induced by some ventilation corrective maneuvers

Archives Disease Childhood Fetal Neonatal Edition
Corrective steps to enhance ventilation in the delivery room
Laura Sillers
PEA may be observed during resuscitation of critically ill newborns, as described in this report. Incor- poration of discrepant physical examination findings and nonpulsatile pulse oximetry waveforms with electronic heart rate monitoring may improve providers’ ability to rapidly recognize PEA.

Neonatology
Pulseless Electrical Activity Complicating Neonatal Resuscitation.
Elizabeth Foglia
We compared pulse oximetry measurement bias between infants with hypoxemia with either dark skin or light skin with Masimo Radical 7 and Nellcor Oximax. There was no significant difference in systematic bias based on skin pigment for either oximeter

Journal of Pediatrics
The Effect of Skin Pigmentation on the Accuracy of Pulse Oximetry in Infants with Hypoxemia
Danielle D. Weinberg
We used eye tracking glasses to assess where team leaders focus their visual attention during neonatal resuscitation. We found systematic differences in eye tracking patterns between neonatologists and neonatal fellows

Resuscitation
Visual attention patterns of team leaders during delivery room resuscitation
Claire Fishman
We assessed the accuracy of real-time delivery room resuscitation documentation. Real-time documentation correctly reflects interventions performed during delivery room resuscitation but is less accurate for early vital sign
assessments.

Arch Dis Child Fetal Neonatal Ed
Accuracy of real-time delivery room resuscitation documentation
Other
Marieke den Boer
This qualitative study of providers’ perceptions of deferred consent for DR studies suggests that a deferred consent approach is acceptable but implementation of this approach can be improved

Arch Dis Child Fetal Neonatal Ed
Deferred consent for delivery room studies: the providers’ perspective
Elizabeth Foglia
We sought to understand the views of international neonatal resuscitation scientists regarding optimal methods of obtaining informed consent for delivery room research

Arch Dis Child Fetal Neonatal Ed
Obtaining informed consent for delivery room research: the investigators’ perspective