Ventilatory practices in extremely low birth weight infants in a level III neonatal intensive care unit

Impact of the use of surfactant and Nasal CPAP in the reduction of mortality among very low birth weight preterm babies in Ile-Ife, south western Nigeria

“…The marked immaturity of the respiratory system in ELBW babies is better managed with invasive ventilation. 24,25 Therefore, it can be argued that if invasive ventilatory techniques were utilized in the latter period in the current study, the chances of survival of babies in the extreme low birth weight category may have improved. 22,23 Mechanical ventilation inflates atelectatic lung and keeps blood gases at an acceptable range although its use may be associated with air leak syndrome and chronic lung disease.…”

“…22,23 Mechanical ventilation inflates atelectatic lung and keeps blood gases at an acceptable range although its use may be associated with air leak syndrome and chronic lung disease. 25,26 This is why the European Consensus Guidelines recommend early weaning off invasive ventilation with improvement in respiratory effort. 12 Although this study clearly shows that preterm mortality can be improved through life-saving measures such as the administration of exogenous surfactant and CPAP, prevention of preterm death is not limited to these interventions alone.…”

A comparison of the effect of bi-level positive airway pressure and synchronized intermittent mandatory ventilation in preterm infants with respiratory distress syndrome

“…Compared to BiPAP, SIMV decreases carbon dioxide retention due to the establishment of artificial airways via intubation. However, it leads to a longer length of stay in the hospital and a higher incidence rate of BPD in extremely preterm infants [7].…”

Técnicas De Análise Espacial Aplicadas Na Atenção Primária Em Saúde Em Fortaleza No Ceará: Estudo De Caso Da Dengue No Contexto Sócio Sanitário Da Pandemia Da Covid-19 Na Uaps Maurício Mattos Dourado

“…Contudo, a ventilação mecânica invasiva (VM) não é inócua e oferece riscos associados: ao procedimento da intubação orotraqueal (lesão da mucosa traqueal, cordas vocais e laringe); à lesão pulmonar induzida pela ventilação (um conjunto de alterações definidos como atelectrauma, volutrauma, biotrauma, barotrauma e reotrauma) à ocorrência de infecção (pneumonia associada à ventilação). (Carvalho et al, 2013;Reyburn et al, 2012) Atualmente, é preconizado o uso do suporte ventilatório não-invasivo, como uma forma mais segura de ventilar o prematuro na primeira semana de vida, evitando, desse modo, a lesão pulmonar e cerebral associada à ventilação mecânica (Abreu- Pereira et al, 2018). Dentre as modalidades utilizadas para a ventilação não invasiva (VNI), é, frequentemente, utilizada a pressão positiva contínua nas vias aéreas (continuous positive airway pressure -CPAP).…”