1. Learning objectives

► How management of RD causes ROP?

► How to prevent ROP?

2. Management of RD causing ROP

► Birth
      ♦ Unmonitored oxygen in the labor room

► Transport
      ♦ Hypothermia, hypoxia and hyperoxia

► NICU
      ♦ Unmonitored use of oxygen
      ♦ Hypoxia and hyperoxia
      ♦ Suboptimal use of CPAP and surfactant

3. Prevention of ROP 01

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

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

4. Prevention of ROP 02

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

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

5. Key Messages

► Management of respiratory distress reduces ROP

► Use of pulse oximeter for infants on oxygen

► Careful use of hood oxygen