Continuous positive airway pressure and mechanical ventilation by facemask in newborn infants.

Allen, L P; Blake, A M; Durbin, G M; Ingram, D.; Reynolds, Eor; Wimberley, P. D.

doi:10.1136/bmj.4.5989.137

Cited by 33 publications

(20 citation statements)

References 10 publications

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“…Attempts were made during this time to develop new techniques for securing the face mask that would decrease the risk of head molding and consequent neurologic complications during NIV. 27 Following the initial description of nasal prongs by Kattiwinkel et al 28 and Caliumi-Pellegrini et al 29 to deliver CPAP, Moretti et al 30 described the first successful application of NIV with bi-nasal prongs in preterm neonates with respiratory failure and apnea. The widespread use of NIV was temporarily hampered following the publication of a paper by Garland et al, 31 who found that neonates ventilated with either oronasal mask or nasal prongs were 30 times more likely to develop gastrointestinal perforations than were neonates ventilated with ETT.…”

Section: Proposed Benefits Of Noninvasive Ventilationmentioning

confidence: 99%

Neonatal Noninvasive Ventilation Techniques: Do We Really Need to Intubate?

DiBlasi

2011

Respir Care

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Section: Proposed Benefits Of Noninvasive Ventilationmentioning

confidence: 99%

Neonatal Noninvasive Ventilation Techniques: Do We Really Need to Intubate?

DiBlasi

2011

Respir Care

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“…All who have used continuous positive airway pressure (CPAP) for treating hyaline membrane disease agree that it effectively improves arterial oxygen tension (Pao2) and reduces the infant's need for a high inspired oxygen concentration (Fio,) (Gregory et al, 1971;Chernick and Vidyasagar, 1972;Bancalari et al, 1973;Chernick, 1973;Fanaroff et al, 1973;Rhodes and Hall, 1973;Baum and Roberton, 1974;Caliumi-Pellegrini et al, 1974;Dunn, 1974;Gerard et al, 1975;Krouscop et al, 1975;Mockrin and Bancalari, 1975;Stahlman and Cotton, 1975;Reynolds, 1975;Roberton, 1976;Durbin et al, 1976). Most authors have inferred that the survival rate of infants with hyaline membrane disease would increase if CPAP was introduced early in the illness, though this has never been clearly shown.…”

mentioning

confidence: 99%

“…Most authors have inferred that the survival rate of infants with hyaline membrane disease would increase if CPAP was introduced early in the illness, though this has never been clearly shown. CPAP is not without complications (Stahlman and Cotton, 1975;Reynolds, 1975;Roberton, 1976).…”

mentioning

confidence: 99%

Controlled trial of continuous positive airway pressure given by face mask for hyaline membrane disease.

Allen¹,

Reynolds²,

Rivers³

et al. 1977

Archives of Disease in Childhood

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SUMMARY A controlled trial of elective intervention with continuous positive airway pressure (CPAP) was performed on 24 infants with hyaline membrane disease whose arterial oxygen tension (Pao2) fell below 8 kPa (60 mmHg) while they were breathing a fractional inspired oxygen concentration (F,o2) greater than 0 60. A face mask was used to apply the CPAP. The progress of the 12 infants who were treated on entry to the trial was compared with that of 12 infants who were treated later. All 12 infants in the early-intervention group and 8 infants in the late-intervention group survived. When CPAP was started, Pao2 increased and the early-treated infants breathed high concentrations of oxygen for a shorter period than the late-treated infants. The 4 infants in the earlyintervention group who required mechanical ventilation needed lower mean airway pressures to achieve satisfactory gas exchange than the 7 ventilated infants in the late-intervention group. We conclude that a Pao2 < 8 kPa while breathing an FIO2 >0 60 is an adequate indication for giving CPAP in hyaline membrane disease, and that early intervention with CPAP allows infants who go on to require mechanical ventilation to be ventilated at lower pressures.All who have used continuous positive airway pressure (CPAP) for treating hyaline membrane disease agree that it effectively improves arterial oxygen tension (Pao2) and reduces the infant's need for a high inspired oxygen concentration (Fio,) (Gregory et al

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“…In 1975, Allen et al [12] successfully introduced the application of a nontraumatic facemask for use with CPAP in newborns as a way to avoid endotracheal intubation. Treatment of OSA with CPAP was introduced by Sullivan et al [13] in 1981, resulting in complete cessation of upper airway obstruction and a restful night's sleep.…”

Section: Treatment Of Snoringmentioning

confidence: 99%

The History of Sleep Surgery

Yaremchuk

Garcia‐Rodriguez²

2017

Sleep-Related Breathing Disorders

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Snoring and the subsequent diagnosis of obstructive sleep apnea (OSA) was a life-threatening medical condition with no available treatment until the late 20th century. An early description of OSA was provided by Charles Dickens in his 1836 novel Pickwick Papers with the description of a "fat boy" who was thought to be lazy and always falling asleep but likely displayed hypersomnolence from OSA. It was not until 1976 that Ikematsu first described uvulopalatopharyngoplasty (UPPP) as an alternative surgical treatment of "snoring," with a reported cure rate of 81%. The only other surgical procedure for OSA was permanent tracheostomy, but patients suffered from social stigma from the visible stoma with skin flaps and complications such as tracheal granulomas and tracheitis. UPPP was introduced in the USA as an alternative to permanent tracheostomy by Fujita in 1981. Since then, multiple surgical approaches and combinations of approaches have surfaced, with variable success rates.

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Continuous positive airway pressure and mechanical ventilation by facemask in newborn infants.

Cited by 33 publications

References 10 publications

Neonatal Noninvasive Ventilation Techniques: Do We Really Need to Intubate?

Neonatal Noninvasive Ventilation Techniques: Do We Really Need to Intubate?

Controlled trial of continuous positive airway pressure given by face mask for hyaline membrane disease.

The History of Sleep Surgery

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