1. Learning objectives

â–º How management of RD causes ROP?

â–º How to prevent ROP?

2. Management of RD causing ROP

â–º Birth
      ♦ Unmonitored oxygen in the labor room

â–º Transport
      ♦ Hypothermia, hypoxia and hyperoxia

â–º NICU
      ♦ Unmonitored use of oxygen
      ♦ Hypoxia and hyperoxia
      ♦ Suboptimal use of CPAP and surfactant

3. Prevention of ROP 01

â–º Birth
      ♦ Resuscitation with blended oxygen at birth
      ♦ Monitoring for saturations with pulse oximeter
      ♦ Follow minute specific oxygen saturation targets

â–º Transport
      ♦ Skin to skin contact
      ♦ Warmth, feeds or fluids
      ♦ Pulse oximeter to maintain SpO₂ targets 90-95%

4. Prevention of ROP 02

â–º NICU
      ♦ Monitor all on oxygen with pulse oximeters
      ♦ Always use SpO₂ targets 90 to 95%
      ♦ Careful use of hood oxygen (port holes)

â–º Optimize use of CPAP and surfactant
      ♦ Reduced ventilation
      ♦ Reduced infections
      ♦ Reduced hypoxia and hyperoxia
      ♦ Reduced duration of oxygen therapy
      ♦ Reduced ROP

5. Key Messages

â–º Management of respiratory distress reduces ROP

â–º Use of pulse oximeter for infants on oxygen

â–º Careful use of hood oxygen