Journal of tropical pediatrics · 2018
To Compare the Efficacy of Heated Humidified High-Flow Nasal Cannula and Continuous Positive Airway Pressure in Post-Extubation Period in VLBW Infants.
СтатьяНаблюдательное исследованиеНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Garg Bhawan Deep, Bajaj Naveen, Sharma Deepak
Аннотация
OBJECTIVE: The objective of this study was to compare efficacy of continuous positive airway pressure (CPAP) and heated humidified high-flow nasal cannula (HHHFNC) as noninvasive respiratory support in post-extubation period in very low birth weight (VLBW) infants.
METHOD: This retrospective study enrolled 136 neonates, ≤32 weeks gestation and ≤1500 grams birth weight, requiring noninvasive respiratory support during post-extubation period.
RESULTS: There was no significant difference in post-extubation failure in HHHFNC group when compared with CPAP group (p > 0.05) but post-extubation complication was significantly higher in CPAP group (p < 0.05) including nasal septal trauma and pneumothorax.
CONCLUSIONS: In neonates ≤32 weeks of gestational age, HHHFNC showed similar efficacy, and better safety profile than nasal-CPAP when used during post-extubation period for respiratory support.
METHOD: This retrospective study enrolled 136 neonates, ≤32 weeks gestation and ≤1500 grams birth weight, requiring noninvasive respiratory support during post-extubation period.
RESULTS: There was no significant difference in post-extubation failure in HHHFNC group when compared with CPAP group (p > 0.05) but post-extubation complication was significantly higher in CPAP group (p < 0.05) including nasal septal trauma and pneumothorax.
CONCLUSIONS: In neonates ≤32 weeks of gestational age, HHHFNC showed similar efficacy, and better safety profile than nasal-CPAP when used during post-extubation period for respiratory support.
Предметные рубрики MeSH
Airway ExtubationCannulaContinuous Positive Airway PressureFemaleGestational AgeHot TemperatureHumansHumidityInfantInfant, NewbornInfant, PrematureInfant, Very Low Birth WeightIntensive Care Units, NeonatalNoninvasive VentilationOxygen Inhalation TherapyProspective StudiesRespiratory Distress Syndrome, NewbornRetrospective StudiesTreatment Outcome