Abstract
Objective of the study: to study the current situation regarding the introduction of modern methods of respiratory therapy in neonatal practice in the Russian Federation, on the basis of the results of the questionnaire, and to assess the dynamics of changes from 2013 to 2021. Materials and methods of research: the article analyzes the results of the survey of neonatologists and anesthesiologistsresuscitators from 163 settlements in 81 regions of the Russian Federation on various issues of providing respiratory care to newborns for the period from January 18, 2021 to May 7, 2021. The questionnaire included 82 question. Results: 489 Russian specialists took part in the survey. More than 90% of respondents were trained in respiratory therapy, most of whom worked in level 2 medical organizations (191 doctors) and level 3a perinatal centers (192 doctors). The main changes in respiratory therapy over the past 9 years have been mainly work in the delivery room: the proportion of doctors (from 9,4% to 54,7%) increased statistically significantly (p<0,001) (from 9,4% to 54,7%) who, according to indications, used CPAP as a starting method of respiratory therapy in premature infants at birth, oxygen mixers were used statistically significantly (p<0,001) (from 44,2% to 62,5%), statistically significant (p<0.001) increased the proportion of doctors (from 46,3% to 92, 1%) who performed the first administration of surfactant in the delivery room, introduced new respiratory strategies, 57% of doctors refused from «prolonged lung inflation» in the delivery room. Conclusion: a survey of specialists from almost all regions of the Russian Federation made it possible to obtain a clear picture of the problem of respiratory care for newborn children. The material obtained objectively demonstrated the evolution in the development and implementation of the most modern neonatal respiratory strategies in the Russian Federation over the past decade.
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