{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T15:10:13Z","timestamp":1777907413112,"version":"3.51.4"},"reference-count":33,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2022,3,4]],"date-time":"2022-03-04T00:00:00Z","timestamp":1646352000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Trop Doct"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:p>The aim of our study was to evaluate the impact of the T-piece resuscitator in the delivery room management of pre-term neonates in a resource-limited setting. We compared the incidence rates of delivery room intubation, surfactant replacement therapy, pulmonary air leak syndrome, and pre-term very low birth weight infant mortality, before and after T-piece use. Bi-monthly neonatal resuscitation training sessions were conducted for healthcare providers during the study period. We emphasized hands-on experience with the T-piece resuscitator and delivery room early respiratory care practices during the post-intervention epoch. Our pre- and post-intervention data recorded statistically significant decline in delivery room intubations, a 32% decrease in surfactant replacement therapy, and a 57% decrease in air leaks in pre-term neonates. However, the use of T-piece resuscitator did not have a statistically significant effect on pre-term very low birth weight infant mortality.<\/jats:p>","DOI":"10.1177\/00494755221076942","type":"journal-article","created":{"date-parts":[[2022,3,4]],"date-time":"2022-03-04T08:16:20Z","timestamp":1646381780000},"page":"262-269","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Evaluation of T-piece resuscitator in the delivery room management of pre-term neonates with respiratory distress syndrome in resource-limited settings: A pre-post intervention study"],"prefix":"10.1177","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2939-5731","authenticated-orcid":false,"given":"Chetan","family":"Khare","sequence":"first","affiliation":[{"name":"Department of Neonatology, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India"},{"name":"Department of Neonatology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bethou","family":"Adhisivam","sequence":"additional","affiliation":[{"name":"Department of Neonatology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Avantika","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, Nagpur, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dheeraj","family":"Vaishnav","sequence":"additional","affiliation":[{"name":"Department of Neonatology, Geetanjali Institute of Medical Sciences, Udaipur, Rajasthan, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ballambattu","family":"Vishnu Bhat","sequence":"additional","affiliation":[{"name":"Department of Neonatology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India"},{"name":"Department of Paediatrics, Aarupadai Veedu Medical College, Puducherry, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,3,4]]},"reference":[{"key":"bibr1-00494755221076942","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2007.10.041"},{"key":"bibr2-00494755221076942","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.25011"},{"key":"bibr3-00494755221076942","first-page":"CD004953","volume":"3","author":"Bruschettini M","year":"2020","journal-title":"Cochrane Database Syst Rev"},{"key":"bibr4-00494755221076942","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2021.02.014"},{"key":"bibr5-00494755221076942","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2020-038505E"},{"key":"bibr6-00494755221076942","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2013-3442"},{"key":"bibr7-00494755221076942","author":"Subramaniam P","journal-title":"Cochrane Database Syst Rev"},{"key":"bibr8-00494755221076942","first-page":"CD002271","volume":"10","author":"Ho JJ","year":"2020","journal-title":"Cochrane Database Syst Rev"},{"key":"bibr9-00494755221076942","first-page":"e2021050174","author":"Trevisanuto D","journal-title":"Pediatrics"},{"key":"bibr10-00494755221076942","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2014.02.035"},{"key":"bibr11-00494755221076942","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2010.12.003"},{"key":"bibr12-00494755221076942","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2016-312360"},{"key":"bibr13-00494755221076942","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2015.01.021"},{"key":"bibr14-00494755221076942","doi-asserted-by":"publisher","DOI":"10.1542\/9781610020275"},{"key":"bibr15-00494755221076942","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2017-313864"},{"key":"bibr16-00494755221076942","doi-asserted-by":"publisher","DOI":"10.1203\/PDR.0b013e31819da21b"},{"key":"bibr17-00494755221076942","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2009.10.008"},{"key":"bibr18-00494755221076942","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2012.09.036"},{"key":"bibr19-00494755221076942","doi-asserted-by":"publisher","DOI":"10.1111\/jpc.13522"},{"key":"bibr20-00494755221076942","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2014.04.024"},{"key":"bibr21-00494755221076942","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2015.07.045"},{"key":"bibr22-00494755221076942","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2015.10244"},{"key":"bibr23-00494755221076942","doi-asserted-by":"publisher","DOI":"10.1186\/s12887-019-1518-3"},{"key":"bibr24-00494755221076942","doi-asserted-by":"publisher","DOI":"10.1155\/2019\/5984305"},{"key":"bibr25-00494755221076942","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2019.09.026"},{"key":"bibr26-00494755221076942","doi-asserted-by":"publisher","DOI":"10.1159\/000326628"},{"key":"bibr27-00494755221076942","doi-asserted-by":"publisher","DOI":"10.1038\/s41372-019-0472-0"},{"key":"bibr28-00494755221076942","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2019-0756"},{"key":"bibr29-00494755221076942","doi-asserted-by":"publisher","DOI":"10.1038\/jp.2016.29"},{"key":"bibr30-00494755221076942","author":"Joshi A","journal-title":"J Matern Fetal Neonatal Med"},{"key":"bibr31-00494755221076942","doi-asserted-by":"publisher","DOI":"10.1080\/14767058.2018.1438398"},{"key":"bibr32-00494755221076942","doi-asserted-by":"publisher","DOI":"10.1007\/s12098-021-03710-y"},{"key":"bibr33-00494755221076942","doi-asserted-by":"publisher","DOI":"10.1038\/s41372-019-0471-1"}],"container-title":["Tropical Doctor"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00494755221076942","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00494755221076942","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00494755221076942","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T13:34:17Z","timestamp":1777642457000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00494755221076942"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3,4]]},"references-count":33,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2022,4]]}},"alternative-id":["10.1177\/00494755221076942"],"URL":"https:\/\/doi.org\/10.1177\/00494755221076942","relation":{},"ISSN":["0049-4755","1758-1133"],"issn-type":[{"value":"0049-4755","type":"print"},{"value":"1758-1133","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,3,4]]}}}