Noninvasive Support Does It Really Decrease Bronchopulmonary Dysplasia?

被引:10
|
作者
Wright, Clyde J. [1 ]
Polin, Richard A. [2 ]
机构
[1] Univ Colorado, Sch Med, Childrens Hosp Colorado, Sect Neonatol,Dept Pediat,Perinatal Res Ctr, Mail Stop F441,13243 East 23rd Ave, Aurora, CO 80045 USA
[2] Morgan Stanley Childrens Hosp, Dept Pediat, 3959 Broadway, New York, NY 10032 USA
关键词
CPAP (continuous positive airway pressure); nCPAP (nasal CPAP); BPD (bronchopulmonary dysplasia); Ventilatory-induced lung injury; SLI (sustained lung inflation); INSURE; (INtubate; SURfactant; Extubate); Mechanical ventilation; High frequency ventilation; POSITIVE AIRWAY PRESSURE; BIRTH-WEIGHT INFANTS; RESPIRATORY-DISTRESS-SYNDROME; HYALINE-MEMBRANE DISEASE; RANDOMIZED CONTROLLED-TRIAL; STABLE MICROBUBBLE TEST; CHRONIC LUNG-DISEASE; 30 WEEKS GESTATION; BREATHING PRETERM INFANTS; NASAL CPAP;
D O I
10.1016/j.clp.2016.07.012
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Noninvasive support of preterm infants with respiratory distress is an evidenced-based strategy to decrease the incidence of bronchopulmonary dysplasia. Continuous positive airway pressure (CPAP) is the only noninvasive strategy with sufficient evidence to support its use in acute respiratory distress syndrome. It is unclear if one method for delivering CPAP is superior to another. Future research will focus on strategies (eg, sustained lung inflation, and administration of surfactant using a thin plastic catheter) that increase the likelihood of success with CPAP, especially in infants with a gestational age of less than 26 weeks.
引用
收藏
页码:783 / +
页数:17
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