دورية أكاديمية

Safety of bubble nasal intermittent positive pressure ventilation (NIPPV) versus bubble nasal continuous positive airway pressure (NCPAP) in preterm infants with respiratory distress.

التفاصيل البيبلوغرافية
العنوان: Safety of bubble nasal intermittent positive pressure ventilation (NIPPV) versus bubble nasal continuous positive airway pressure (NCPAP) in preterm infants with respiratory distress.
المؤلفون: John SC; Department of Medicine-Pediatrics, University of Minnesota, Minneapolis, MN, USA. scjres@gmail.com., Garg M; Department of Neonatology, Paramitha Women and Children's Hospital, Hyderabad, India., Muttineni M; Department of Pediatrics, University of Minnesota, Minneapolis, MN, USA., Brearley AM; Division of Biostatistics and Health Data Science, University of Minnesota, Minneapolis, MN, USA., Rao P; Department of Neonatology, Paramitha Women and Children's Hospital, Hyderabad, India., Bhandari V; Division of Neonatology, Department of Pediatrics, The Children's Regional Hospital at Cooper/Cooper Medical School of Rowan University, Camden, NJ, USA., Slusher T; Department of Pediatrics, University of Minnesota, Minneapolis, MN, USA.; Department of Pediatrics, Hennepin Healthcare, Minneapolis, MN, USA., Murki S; Department of Neonatology, Paramitha Women and Children's Hospital, Hyderabad, India.
المصدر: Journal of perinatology : official journal of the California Perinatal Association [J Perinatol] 2024 Sep; Vol. 44 (9), pp. 1252-1257. Date of Electronic Publication: 2024 Feb 15.
نوع المنشور: Journal Article; Comparative Study
اللغة: English
بيانات الدورية: Publisher: Nature Publishing Group Country of Publication: United States NLM ID: 8501884 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1476-5543 (Electronic) Linking ISSN: 07438346 NLM ISO Abbreviation: J Perinatol Subsets: MEDLINE
أسماء مطبوعة: Publication: 2001- : New York, NY : Nature Publishing Group
Original Publication: [Philadelphia, Pa. : W.B. Saunders, c1984-
مواضيع طبية MeSH: Respiratory Distress Syndrome, Newborn*/therapy , Continuous Positive Airway Pressure*/adverse effects , Continuous Positive Airway Pressure*/methods , Intermittent Positive-Pressure Ventilation*/methods , Intermittent Positive-Pressure Ventilation*/adverse effects , Infant, Premature*, Humans ; Infant, Newborn ; Female ; Male ; Pneumothorax/therapy ; Pneumothorax/etiology ; India ; Nasal Septum
مستخلص: Objective: Nasal Intermittent Positive Pressure Ventilation (NIPPV) is an effective therapy for infants in respiratory distress. We here report the safety of a novel, low-cost, non-electric bubble NIPPV device in comparison with bubble NCPAP.
Study Design: At Paramitha Children's Hospital (Hyderabad, India), preterm (n = 60) neonates with moderate respiratory distress were pragmatically allocated to bubble NCPAP (5-8 cm H 2 O) or bubble NIPPV (P high 8-12 cm H 2 O/P low 5-8 cm H 2 O) based on staff and equipment availability. Primary outcomes to assess safety included clinically relevant pneumothorax, nasal septal necrosis, or abdominal distention.
Results: One patient in each arm developed minor nasal septal injury (grade 3 on NCPAP, grade 2 on NIPPV); no patients in either arm developed a clinically significant pneumothorax or abdominal distention.
Conclusion: The similar rates of nasal septal injury, pneumothorax and abdominal distention suggest that bubble NIPPV has a similar safety profile as bubble NCPAP for preterm infants in respiratory distress.
(© 2024. The Author(s), under exclusive licence to Springer Nature America, Inc.)
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معلومات مُعتمدة: ULI-TR002494 U.S. Department of Health & Human Services | NIH | National Center for Advancing Translational Sciences (NCATS)
تواريخ الأحداث: Date Created: 20240215 Date Completed: 20240907 Latest Revision: 20240907
رمز التحديث: 20240908
DOI: 10.1038/s41372-024-01904-8
PMID: 38361002
قاعدة البيانات: MEDLINE
الوصف
تدمد:1476-5543
DOI:10.1038/s41372-024-01904-8