A Randomized Controlled Trial of Infant Flow Continuous Positive Airway Pressure (CPAP) Versus Nasopharyngeal CPAP in the Extubation of Babies ≤ 1250 grams

Roukema, Henry; O’Brien, Karel; Nesbitt, Karin; Zaw, Win

doi:10.1203/00006450-199904020-01890

Cited by 19 publications

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“…Short binasal prongs (short tubes that fit in both nostrils) are more effective than a single nasal prong (longer tube in 1 nostril) 5,6 or nasopharyngeal prongs (long tubes in both nostrils). 7 Masks that fit over the nose were developed many years ago 8,9 and are commonly used today (Fig 1). 10 Nasal trauma has been reported with the use of both nasal masks and prongs 11,12 and occurs equally often with each interface.…”

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confidence: 99%

Randomized Trial of Prongs or Mask for Nasal Continuous Positive Airway Pressure in Preterm Infants

et al. 2012

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confidence: 99%

Randomized Trial of Prongs or Mask for Nasal Continuous Positive Airway Pressure in Preterm Infants

et al. 2012

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“…The improved extubation success rates seen by Roukema et al 18 and Sun and Tien 19 may have been due, in part, to the larger mean birth weight of their subjects than those of Stefanescu et al 8 The infants in the conventional NCPAP group had a mean birth weight of 857 g (SD = 200) and a mean gestation of 26.3 weeks (SD = 1.8).…”

Section: Conventional Versus Variable Flow Ncpapmentioning

confidence: 90%

Extubation Success in Premature Infants With Respiratory Distress Syndrome Treated With Bi-Level Nasal Continuous Positive Airway Pressure Versus Nasal Intermittent Positive Pressure Ventilation

Thomas

LeFlore

2013

Journal of Perinatal &Amp; Neonatal Nursing

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Infants born prematurely with respiratory distress syndrome are at high risk for complications from mechanical ventilation. Strategies are needed to minimize their days on the ventilator. The purpose of this study was to compare extubation success rates in infants treated with 2 different types of continuous positive airway pressure devices. A retrospective cohort study design was used. Data were retrieved from electronic medical records for patients in a large, metropolitan, level III neonatal intensive care unit. A sample of 194 premature infants with respiratory distress syndrome was selected, 124 of whom were treated with nasal intermittent positive pressure ventilation and 70 with bi-level variable flow nasal continuous positive airway pressure (bi-level nasal continuous positive airway pressure). Infants in both groups had high extubation success rates (79% of nasal intermittent positive pressure ventilation group and 77% of bi-level nasal continuous positive airway pressure group). Although infants in the bi-level nasal continuous positive airway pressure group were extubated sooner, there was no difference in duration of oxygen therapy between the 2 groups. Promoting early extubation and extubation success is a vital strategy to reduce complications of mechanical ventilation that adversely affect premature infants with respiratory distress syndrome.

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“…Interfaces, including single nasal prongs, binasal prongs (NP) in short and long versions, and nasal masks (NM) are currently used for the delivery of nasal continuous positive airway pressure (NCPAP) . Short binasal prongs are more effective in preventing extubation failure than single nasal or nasopharyngeal prongs; however, NP involve a risk of displacement of the prong and nasal injury . Recently, NM are increasingly being used for providing CPAP owing to their easy applicability .…”

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Randomized trial of mask or prongs for nasal intermittent mandatory ventilation in term infants with transient tachypnea of the newborn

İlhan

Bor

2020

Pediatrics International

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Background: The aim of this study was to compare nasal masks (NM) with binasal prongs (NP) for applying nasal intermittent mandatory ventilation (NIMV) by assessing the duration of respiratory distress, rate of intubation, and nasal trauma in term infants with transient tachypnea of the newborn (TTN). Methods: Infants with a gestational age ≥37 weeks and birthweight ≥2,000 g who had NIMV administered for TTN were enrolled. We randomly allocated 80 neonates to the NM (n = 40) or NP (n = 40) group. Duration of respiratory distress was the primary outcome of this study. Results: There were no statistically significant differences between the groups for the duration of tachypnea and NIMV (P = 0.94 and P = 0.13, respectively). No significant differences were observed between the two groups in terms of duration of oxygen supplementation and length of hospitalization (P = 0.72 and P = 0.70, respectively). The incidence of any grade of trauma and moderate trauma (grade II) was significantly higher in the NP group than in the NM group (P = 0.004 and P = 0.04, respectively). The rate of NIMV failure and other complications, including pneumothorax, pneumonia and feeding intolerance, was not significantly different in the groups. Conclusions: In term infants with TTN, delivering NIMV using NP in comparison to using NM appears to be similar with regard to the duration of respiratory distress and preventing intubation. However, the use of NP involves a greater risk of trauma than that of NM.

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A Randomized Controlled Trial of Infant Flow Continuous Positive Airway Pressure (CPAP) Versus Nasopharyngeal CPAP in the Extubation of Babies ≤ 1250 grams

Cited by 19 publications

References 0 publications

Randomized Trial of Prongs or Mask for Nasal Continuous Positive Airway Pressure in Preterm Infants

Randomized Trial of Prongs or Mask for Nasal Continuous Positive Airway Pressure in Preterm Infants

Extubation Success in Premature Infants With Respiratory Distress Syndrome Treated With Bi-Level Nasal Continuous Positive Airway Pressure Versus Nasal Intermittent Positive Pressure Ventilation

Randomized trial of mask or prongs for nasal intermittent mandatory ventilation in term infants with transient tachypnea of the newborn

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