Clinical efficacy of t piece resuscitator versus selfinflating bag for resuscitation in preterm neonates requiring positive pressure ventilation at birth: a randomized controlled trial

A systematic review conducted by Roehr et al (2021) 5 on comparison of effectiveness of T piece vs SIB in neonatal care. in pediatric journal by Roehr and Davis had a scoping review that compared the effectiveness of T-piece resuscitator (TPR) and self-inflating bag (SIB) in neonatal care. Analyzing four key studies with 2889 neonates, the review found no significant difference in overall survival or air leak incidence between TPR and SIB groups. However, TPR showed potential benefits in preterm infants, including lower delivery room intubation rates, reduced bronchopulmonary dysplasia, and higher survival rates. While randomized controlled trials didn’t demonstrate statistically significant superiority of TPR, the consistent trend favoring TPR, especially in preterm infants, suggests potential clinical benefits. The review highlights the need for further research to confirm these findings and explore the advantages of TPR in specific neonatal populations.