Continuous postive airways pressure treatment by a face chamber in idiopathic respiratory distress syndrome.

Abstract

. Continuous positive airways pressure treatment by a face chamber in idiopathic respiratory distress syndrome. During a 3-year period 45 infants with idiopathic respiratory distress syndrome (IRDS) requiring ventilatory support were treated in the neonatal unit. Continuous positive airways pressure (CPAP) via the face chamber was applied as initial therapy in 39 infants and during weaning from initial intermittent positive pressure ventilation (IPPV) treatment in 5 infants, whereas 1 infant received IPPV only. Among the 39 infants initially treated with CPAP 9 required IPPV as well. The overall survival rate was 37/45 or 82%.Incapacity to hyperoxygenate while breathing 100% oxygen was the indication for CPAP while occurrence of apnoeic attacks was the indication for IPPV. Pao, during the hyperoxia test before ventilatory support was less than 50 nmHg in 10 infants and between 50 and 105 mmHg in 35 infants.Surviving infants were followed up with neurological and developmental control examinations as well as chest x-ray, and in several infants pulmonary function tests. 3/37 infants had moderate neurological sequelae and only 1/37 infants developed bronchopulmonary dysplasia. No deleterious effects of the face chamber were seen. As the face chamber is a noninvasive and easily applied technique for CPAP therapy without hazards, it is proposed that it should be used at a still earlier stage of IRDS in order to lesson the need for IPPV treatment and to increase the neurological and lung functional quality of survival.In a previous report face chamber treatment was suggested as a feasible method for establishing continuous positive airways pressure (CPAP) in infants with idiopathic respiratory distress syndrome (IRDS) (Ahlstr6m, Jonson, and Svenningsen, 1973). Ever since Gregory et al. (1971) showed the beneficial effect of CPAP application in IRDS several devices have been described mainly to avoid the complications of tracheal tubes (Ackerman et al

Consecutive study of early CPAP-application in hyaline membrane disease

“…In a previous study [3] we found that treatment with the CPAP-f.c. technique was efficient in most cases of HMD (see Table 5).…”

“…The face chamber with its supporting intensive care crib, gas mixer and humidifier (Fc 100, Siemens-Elema AB, Solna, Sweden) (Fig. 1) has been presented previously [3]. When HMD had been diagnosed according to the criteria shown in Table 1, CPAP-f.c.…”

Successful Treatment With Cpap of Two Infants With Bronchomalacia

“…Therefore we used tracheal intubation. Possibly these difficulties can be avoided using a facechamber as recently described (2). The children did not show laryngeal damage.…”

Measurement of Ventilation and Respiratory Mechanics during Continuous Positive Airway Pressure (CPAP) Treatment in Infants

“…Device. The face chamber device for CPAP treatment is non-invasive; it enables truly continuous positive airway pressure to be maintained, while leaving the airways, neck and chest unrestricted (9,17). Our modification of the device makes it possible to study ventilation and breathing patterns without interference of treatment, addition of dead space, addition of resistance, manipulation of the infant or sensory stimulation of the face (5,18,19).…”