Biphasic non-invasive lung ventilation in the neonatal intensive care unit: the choice of tactics for starting respiratory support in preterm infants

The paper considers respiratory support strategies in neonatal intensive care practice. The paper describes the impact of noninvasive mechanical ventilation (NIMV) on oxygenation in premature babies. In order to improve the differentiated choice of targeted two-phase NIMV as a starting respiratory support, the authors have made a follow-up assessment of respiratory tactics and perinatal outcomes in premature babies of small gestational age. The data of the follow-up of 90 extremely low-birth weight babies, which was performed at 6 months of adjusted age, were compared with the comprehensive perinatal assessment criteria and with clinical, laboratory, and instrumental data obtained in the early neonatal period.

Targeted two-phase noninvasive mechanical ventilation in the neonatal intensive care unit: a follow-up assessment of respiratory tactics and perinatal outcomes in premature babies

Zavyalov,

Pasechnik,

Ignatko

et al. 2023

The current approaches to initial noninvasive lung ventilation in premature infants in the early neonatal period: international recommendations and Russian resuscitation experience

Zavyalov,

Pasechnik,

Ignatko

et al. 2023

The paper considers the current approaches to the initial noninvasive lung ventilation (NILV) in premature newborns in the early neonatal period. The international recommendations and clinical algorithms of primary respiratory therapy for neonatal respiratory disorder syndrome are presented. The paper discusses the Russian resuscitation experience of lung ventilation with two airway phases as a starting respiratory support for children with extremely low weight babies in the neonatal intensive care unit. It analyzes early predictors for failures and criteria for optimizing the clinical effectiveness of initial two-phase NILV in premature babies in the early neonatal period.

Silverman–Andersen respiratory scale in a comprehensive assessment of respiratory distress syndrome of premature newborns: clinical and prognostic role in the early neonatal period

Zavyalov,

Ilyenko,

Ignatko

et al. 2023

The article provides epidemiology, main international recommendations and domestic clinical experience of the early use of the Silverman–Andersen respiratory scale in the comprehensive assessment of neonatal respiratory distress syndrome (NRDS). The modern anatomical and histological prerequisites and clinical and pathophysiological features of respiratory failure, pathognomonic for the development of NRDS in the early neonatal period, are considered. The important clinical and prognostic role of the initial use of the Silverman–Andersen scale in assessing the development/progression of NRDS in premature infants of small gestational age with the targeted choice of starting non-invasive ventilation in the conditions of the neonatal intensive care unit of the maternity hospital of the perinatal center of the S.S. Yudin City Clinical Hospital (Moscow).