The Use of Noninvasive Ventilation with High Frequency in Newborns-A Single-Center Experience.
Am J Perinatol
; 36(13): 1362-1367, 2019 11.
Article
em En
| MEDLINE
| ID: mdl-30620945
ABSTRACT
OBJECTIVE:
The aim of the study is to evaluate the efficacy of noninvasive high-frequency ventilation (nHFV) in respiratory-deficient infants. STUDYDESIGN:
Retrospective analysis of 32 cases of nHFV in 30 term (n = 4) and preterm (n = 26) newborns using a noninvasive ventilation (NIV) device. nHFV avoided intubation of children performed with NIV and reintubation after long-term mechanical ventilation (MV). Patients were divided into three groups Group 1 NIV from birth (n = 18, mean birth weight [BW] 1,987 g, gestational age [GA] 33.1 weeks); Group 2 MV, also used temporarily, and NIV (n = 10, BW 1,074 g, GA 28.2 weeks); and Group 3 two cases with nHFV avoided reintubation after long-term MV (BW 725 g, GA 24.5 weeks).RESULTS:
From 32 episodes of nHFV application, positive effect was achieved 26 times (81%) (24 of 30 children). All newborns had a significant increase in pH (7.23-7.27) and reduction in partial pressure of CO2 (66.7-58.9 mm Hg, over 1-2 hours). Failures in application of nHFV reported only in Group 1 (6/18, 33%) (failures primarily due to increasing demand for oxygen). There were two reports of pneumothorax in preterm infants with congenital pneumonia. No other nHFV-related complications were noted.CONCLUSION:
nHFV is a promising NIV mode which can be also used with NIV devices.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Insuficiência Respiratória
/
Recém-Nascido Prematuro
/
Ventilação de Alta Frequência
/
Ventilação não Invasiva
/
Doenças do Prematuro
Tipo de estudo:
Observational_studies
Limite:
Humans
/
Newborn
Idioma:
En
Revista:
Am J Perinatol
Ano de publicação:
2019
Tipo de documento:
Article
País de afiliação:
Polônia