NON-INVASIVE RESPIRATORY SUPPORT IN PRETERM BORN INFANTS AND POSSIBILITIES OF PREVENTION OF COMPLICATIONS

Authors

  • Borko Veković Institut za Neonatologiju, Beograd, Srbija
  • Vesna Veković Clinical Hospital Center "Dr Dragiša Mišović", Children's Hospital for Lung Diseases and Tuberculosis, Belgrade, Serbia
  • Zorica Živković Medical Center „Dr Dragiša Mišović“, Children's Hospital for Lung Diseases and Tuberculosis, Belgrade, Serbia, Faculty of Pharmacy Novi Sad, Business Academy in Novi Sad, Novi Sad, Serbia

DOI:

https://doi.org/10.46793/PP190212006V

Keywords:

noninvasive ventilation, prematurity, prevention

Abstract

Invasive mechanical ventilation is life saving respiratory support for many preterm babies. Nevertheless, mechanical ventilation can induce lung damage and chronic lung diseases can develop in some cases. Despite administration of antenatal corticosteroid   therapy and surfactant therapy along with mechanical ventilation modes, over 40 % of premature babies born before 28th week of gestation still develop chronic lung disease. Early and successful extubation followed by application of non-invasive techniques of respiratory support are some of the actions that can reduce the incidence of lung injury and other complications.

References

Stoll BJ et al: Neonatal outcomes of extremely preterm infants from the NICHD Neonatal Research Network. Pediatrics 2010 Sep;126(3):443-56.

Von Reuss AR. The diseases of the newborn. London: John Bale, Sons and Danielssons; 1921:19286.

Ashbaugh DG, Bigelow DB, Petty TI, et al: Acute respiratory distress in adults. Lancet 1967; 2:319-323.

Dreyfuss D, Saumon G. Barotrauma is volutrauma but which volume is the one responsible? Intensive Care Med 1992;18(3): 139-141.

Muscedere JG, Mullen JB, Gan K, Slutsky AS. Tidal ventilation at low airway pressures can augment lung injury. Am J Respir Crit Care Med 1994; 149(5): 1327-1334.

Ricard, JD, Dreyfuss, D, Saumon G. Ventilator-induced lung injury. Eur Respir J Suppl 2003;42:2S-9S.

Finr NN, et al: Early CPAP versus Surfactant in Extremely Preterm Infants. N Engl J Med 2010; 362:1970-1979.

Morley CJ et al: Nasal CPAP or intubation at birth for very preterm infants. N Engl J Med 14;358(7):700-708.

Migliori C1, Motta M, Angeli A, Chirico G.Nasal bilevel vs. continuous positive airway pressure in preterm infants. Pediatr Pulmonol 2005; 40 (5):426-430.

Lista G. Castoldi F, Fontana P, Reali R, Reggiani A, Bianchi S, Compagnoni G. Lung inflammation in preterm infants with respiratory distress syndrome: effects of ventilation with different tidal volumes. Pediatr Pulmonol 2006; 41(4):357-363.

Victor S, et al. Biphasic Positive Airway Pressure or Continuous Positive Airway Pressure: A Randomized Trial. Pediatrics 2016; 138(2):e20154095.

Karel O'Brien, Craig Campbell, Leanne Brown, Lisa Wenger, and Vibhuti Shah. Infant flow biphasic nasal continuous positive airway pressure (BP- NCPAP) vs. infant flow NCPAP for the facilitation of extubation in infants' ≤ 1,250 grams: a randomized controlled trial. BMC Pediatr 2012;12:43.

Salvo V, Lista G, Lupo E, et al. Noninvasive Ventilation Strategies for Early Treatment of RDS in Preterm Infants: An RCT. Pediatrics 2015; 135(3):441-451.

Goldsmith JP, Karotkin EH: Assisted Ventilation of thr Neonate, 5th edition. Philadelphia: WB Sanders.2010; 2:140-162.

Fuchs H, Lindner W, Leiprecht A, et al. Predictors of early nasal PAP failure and effects of various intubation criteria on the rate of mechanical ventilation in preterm infants of <29 weeks gestational age. Arch Dis Child Fetal Neonatal Ed. 2011; 96:F343-F347.

Lista G, Castoldi F, Fontana P, Daniele I, Cavigioli F, Rossi S, Mancuso D, Reali R. Nasal continuous positive airway pressure (CPAP) versus bi-level nasal CPAP in preterm babies with respiratory distress syndrome: a randomised control trial. Arch Dis Child Fetal Neonatal Ed. 2010; Mar; 95(2):F85-89.

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Published

04/30/2019

Issue

Section

Review Articles