TY - JOUR AU - Panchangam, Chaitanya; Rodriguez, Catherine; Dyke II, Peter C.; Ohler, Adrienne; Vachharajani, Akshaya TI - A Survey of Academic Neonatologists on Neonatal Electrical Cardioversion and Defibrillation SN - 0735-1631 SN - 1098-8785 PY - 2021 JO - Am J Perinatol JF - American Journal of Perinatology LA - EN VL - 40 IS - 13 SP - 1425 EP - 1430 DA - 2021/09/29 ET - 2021/08/26 KW - neonatal defibrillation KW - neonatal cardioversion KW - neonatology survey AB - Objective This study aimed to assess neonatologists' experience and comfort with neonatal electrical cardioversion or defibrillation (EC-D).Study Design Electronic surveys were distributed to academic neonatologists affiliated with 12 Midwest academic hospitals. Neonatologists were asked about their residency training; years since completing residency; current certification/competency training in the Basic Life Support (BLS), Pediatric Advanced Life Support (PALS), Advanced Cardiovascular Life Support (ACLS), and Neonatal Resuscitation Program (NRP); experiences with EC-D; availability of a pediatric cardiologist; and their comfort levels with such procedures. Standard statistical tests evaluated comfort with EC-D.Results Seventy-two out of 180 neonatologists responded to the survey (response rate = 40%). Of them, 98.6% (71), 54.2% (39), and 37.5% (27) maintained current NRP, BLS, and PALS trainings, respectively. Also, 73.6% (n = 53) reported having performed neonatal EC-D. Of those, 50.9% (n = 27) indicated feeling slightly to very uncomfortable performing EC-D. We report a lack of BLS certification being associated with a lack of comfort (odds ratio [OR]: 0.269, 95% confidence interval [CI]: [0.071, 0.936]), and a positive association between a pediatric cardiologist being present and being uncomfortable (OR: 3.722, 95% CI: [1.069, 14.059]). Those reporting greater volume and more recent experience with EC-D report more comfort.Conclusion Of neonatologists who performed EC-D, half of them reported being uncomfortable. BLS certification and experience are positively associated with comfort in performing EC-D. Simulations to increase training in EC-D should be offered regularly to academic neonatologists.Key Points PB - Thieme Medical Publishers, Inc. DO - 10.1055/a-1614-8538 UR - http://www.thieme-connect.de/products/ejournals/abstract/10.1055/a-1614-8538 ER -