Science
NRP Research Grant & Young Investigator Award Program
Research Priorities Established by the American Academy of Pediatrics (AAP) Neonatal Resuscitation Program (2008)
Top Initiative
What are the optimal methods of evaluating the cognitive, technical and behavioral skills necessary for successful resuscitation of the newborn?
Basic and Clinical Research
Topic: Chest compressions in the newborn
Questions of interest
- Does providing chest compressions with PPV improve outcome compared with PPV alone?
- What is the optimal ratio of chest compressions to PPV breaths in neonatal resuscitation?
- When (i.e., at what HR) should chest compressions be initiated?
- Should chest compressions be interrupted to give ventilations?
Topic: Use of oxygen
Questions of interest:
- What are the long-term outcomes after resuscitation with 100% O2 vs a lower FiO2 (e.g., 21%, 40%)? Data both clinical and animal studies are of interest.
- In infants <32 weeks GA, what is the optimum range of SaO2s in the first 30 minutes after delivery?
Topic: Use of ventilation devices
Question of interest
- What devices are most effective and least damaging to the lungs of neonates who require assisted ventilation during resuscitation? Compare the efficacy and side effects of the self inflating bag, the flow inflating bag and the T-piece resuscitator.
Education
Topic: Optimization of NRP education
Questions of interest:
- What is the best method for teaching specific NRP skills?
- Do live or on-line refresher sessions improve retention of NRP skills?
- If providers who perform neonatal resuscitation are trained in the NRP, are survival rates and post-resuscitation outcomes improved?
- Does use of simulation and debriefing techniques for teaching/ reviewing NRP skills improve teamwork? Competency in resuscitation?
- How often should providers who perform resuscitation infrequently be given refresher courses in both cognitive and procedural skills?
