A comparison of the effects of invasive mechanic ventilation/surfactant therapy and non-invasive nasal-continuous positive airway pressure in preterm newborns

Çelik, Muhittin; Bülbül, Ali; Uslu, Sinan; Dursun, Mesut; Güran, Ömer; Baş, Evrim Kıray; Arslan, Selda; Zubarioglu, Umut

doi:10.1080/14767058.2017.1367380

Cited by 7 publications

(1 citation statement)

References 28 publications

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“…The 2019 European Consensus Guidelines on the management of RDS recommend the early use of continuous positive airway pressure (CPAP) of at least 6 cm H 2 O in all babies at risk of RDS who do not need intubation for delivery room stabilization ( 1 ). Early initiation of CPAP potentially reduces the need for mechanical ventilation and surfactant replacement ( 2 , 3 ) while improving clinical outcomes ( 2 , 4 , 5 ).…”

Section: Introductionmentioning

confidence: 99%

Failure of early non-invasive ventilation in preterm infants with respiratory distress syndrome in current care practice in Spanish level-III neonatal intensive care units – a prospective observational study

et al. 2023

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IntroductionDespite advances in respiratory distress syndrome (RDS) management over the past decade, non-invasive ventilation (NIV) failure is frequent and associated with adverse outcomes. There are insufficient data on the failure of different NIV strategies currently used in clinical practice in preterm infants.MethodsThis was a prospective, multicenter, observational study of very preterm infants [gestational age (GA) <32 weeks] admitted to the neonatal intensive care unit for RDS that required NIV from the first 30 min after birth. The primary outcome was the incidence of NIV failure, defined as the need for mechanical ventilation for <72 h of life. Secondary outcomes were risk factors associated with NIV failure and complication rates.ResultsThe study included 173 preterm infants with a median GA of 28 (IQR 27–30) weeks and a median birth weight of 1,100 (IQR 800–1,333) g. The incidence of NIV failure was 15.6%. In the multivariate analysis, lower GA (OR, 0.728; 95% CI, 0.576–0.920) independently increased the risk of NIV failure. Compared to NIV success, NIV failure was associated with higher rates of unfavorable outcomes, including pneumothorax, intraventricular hemorrhage, periventricular leukomalacia, pulmonary hemorrhage, and a combined outcome of moderate-to-severe bronchopulmonary dysplasia or death.ConclusionNIV failure occurred in 15.6% of the preterm neonates and was associated with adverse outcomes. The use of LISA and newer NIV modalities most likely accounts for the reduced failure rate. Gestational age remains the best predictor of NIV failure and is more reliable than the fraction of inspired oxygen during the first hour of life.

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Section: Introductionmentioning

confidence: 99%

Failure of early non-invasive ventilation in preterm infants with respiratory distress syndrome in current care practice in Spanish level-III neonatal intensive care units – a prospective observational study

et al. 2023

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Continuous positive airway pressure (CPAP) for respiratory distress in preterm infants

Subramaniam

Davis

2020

Cochrane Database of Systematic Reviews

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Noninvasive ventilation for respiratory distress syndrome is a potential risk factor for retinopathy of prematurity

Hanuna

Rus

Gantar

et al. 2021

Wien Klin Wochenschr

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A comparison of the effects of invasive mechanic ventilation/surfactant therapy and non-invasive nasal-continuous positive airway pressure in preterm newborns

Abstract: Early nCPAP treatment in preterm infants (≤32 weeks of gestation) decreases both the need for MV and the use of surfactant, but without a significant effect on BPD development. (No. 2016/324).

Cited by 7 publications

References 28 publications

Failure of early non-invasive ventilation in preterm infants with respiratory distress syndrome in current care practice in Spanish level-III neonatal intensive care units – a prospective observational study

Failure of early non-invasive ventilation in preterm infants with respiratory distress syndrome in current care practice in Spanish level-III neonatal intensive care units – a prospective observational study

Continuous positive airway pressure (CPAP) for respiratory distress in preterm infants

Noninvasive ventilation for respiratory distress syndrome is a potential risk factor for retinopathy of prematurity

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