Nasal Intermittent Mandatory Ventilation Versus Nasal Continuous Positive Airway Pressure Before and After Invasive Ventilatory Support

被引:18
|
作者
Ekhaguere, Osayame [1 ]
Patel, Shama [1 ]
Kirpalani, Haresh [2 ]
机构
[1] Indiana Univ, Riley Hosp Children Indiana Univ Hlth, Dept Pediat, Sect Neonatal Perinatal Med, 1030 West Michigan St,C4600, Indianapolis, IN 46202 USA
[2] Childrens Hosp Philadelphia, Div Neonatol, Dept Pediat, 3401 Civ Ctr Blvd, Philadelphia, PA 19104 USA
关键词
Noninvasive respiratory support; Continuous positive airway pressure; Noninvasive intermittent positive pressure ventilation; Respiratory failure; Premature infants; Intubation; Heated humidified high-flow nasal cannula; RESPIRATORY-DISTRESS-SYNDROME; HIGH-FREQUENCY VENTILATION; RANDOMIZED CONTROLLED-TRIAL; BIRTH-WEIGHT INFANTS; PRETERM INFANTS; NONINVASIVE VENTILATION; PREMATURE-INFANTS; FLOW DRIVER; SUCCESSFUL EXTUBATION; LUNG-VOLUME;
D O I
10.1016/j.clp.2019.05.004
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Continuous positive airway pressure (CPAP), noninvasive intermittent positive pressure ventilation (NIPPY), and heated humidified high-flow nasal cannula (HHFNC) are modes of noninvasive respiratory support used in neonatal practice. These modes of noninvasive respiratory support may obviate mechanical ventilation, prevent extubation failure, and reduce the risk of developing bronchopulmonary dysplasia. Although the physiologic bases of CPAP and HHFNC are well delineated, and their modes and practical application consistent, those of NIPPV are unproven and varied. Available evidence suggests that NIPPV is superior to CPAP as a primary and postextubation respiratory support in preterm infants.
引用
收藏
页码:517 / +
页数:22
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