Effects of Nasal Continuous Positive Airway Pressure and High-Flow Nasal Cannula on Sucking, Swallowing, and Breathing during Bottle-Feeding in Lambs

Samson, Nathalie; Nadeau, Charlène; Vincent, Laurence; Cantin, Danny; Praud, Jean‐Paul

doi:10.3389/fped.2017.00296

Cited by 12 publications

(13 citation statements)

References 24 publications

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“…Requirement for pulmonary support is a common rationale for delaying introduction of oral feeding and, ultimately, attainment of full oral feeding and hospital discharge, although the evidence supporting such delay is, at best, limited. There is animal work evaluating the safety of oral feeding during noninvasive positive-pressure support in lambs [12,13]. Samson and colleagues observed no increase in cardiorespiratory events during bottle feeding in full-term lambs on nasal CPAP or high-flow nasal cannula compared to lambs on no respiratory support [12].…”

Section: Discussionmentioning

confidence: 99%

Oral feeding practices and discharge timing for moderately preterm infants

Brumbaugh

Colaizy

Saha

et al. 2018

Early Human Development

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Section: Discussionmentioning

confidence: 99%

Oral feeding practices and discharge timing for moderately preterm infants

Brumbaugh

Colaizy

Saha

et al. 2018

Early Human Development

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“…A recent animal study not only provided evidence on safe bottle feeding and maintained sucking-swallowing-breathing coordination, but also on improved efficiency of bottle feeding in preterm and full-term lambs on nasal CPAP. 34,35 The same group of researchers showed that nasal CPAP seems to inhibit GER in newborn lambs by increasing the barrier function of the EGJ. 36 They believed that this was due to a decreased duration and depth of the transient relaxation of the LES.…”

Section: Discussionmentioning

confidence: 99%

Characterization of esophageal motility and esophagogastric junction in preterm infants with bronchopulmonary dysplasia

Rayyan

Omari

Debeer

et al. 2020

Neurogastroenterology Motil

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Background: To characterize esophageal motility and function of the esophagogastric junction (EGJ) in preterm infants with bronchopulmonary dysplasia (BPD). Methods: High-resolution manometry with impedance was used to investigate esophageal motility and EGJ function in 28 tube-fed preterm infants with BPD. Patients with BPD were studied at term age during oral feeding. Thirteen healthy term-aged infants were included as controls. Esophageal analysis derived objective measures to evaluate esophageal contractile vigor, bolus distension pressure, EGJ relaxation, and EGJ barrier function (in rest and during respiration). In addition, we investigated the effect of BPD severity on these measures. Key results: A total of 140 nutritive swallows were analyzed (BPD, n = 92; controls, n = 48). Normal esophageal peristaltic wave patterns were observed in all infants. BPD patients had higher distal contractile esophageal strength compared with controls (Kruskal-Wallis (KW) P = .048), and their deglutitive EGJ relaxation was comparable to controls. Severe BPD patients showed higher bolus distension pressures, higher EGJ resting pressures, and increased EGJ contractile integrals compared with mild BPD patients (Mann-Whitney U P = .009, KW P = .012 and KW P = .028, respectively). Conclusions and Inferences: Preterm infants with BPD consistently present with normal peristaltic esophageal patterns following nutritive liquid swallows. The EGJ barrier tone and relaxation pressure appeared normal. In general, infants with BPD do not have altered esophageal motor function. There is however evidence for increased flow resistance at the EGJ in severe BPD patients possibly related to an increased contractility of the diaphragm.

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“…[ 7 ] Furthermore, NHF therapy facilitated swallowing of saliva even during respiratory management. [ 8 , 9 ] Terzi et al [ 16 ] reported the use of NIV for exacerbation of respiratory distress in patients with COPD, to secondarily reduce the frequency of swallowing during the inspiratory phase, and improve swallowing function. A study reported that aspiration is less likely to occur during NHF therapy than during NIV in both humans and animals.…”

Section: Discussionmentioning

confidence: 99%

“…A study reported that aspiration is less likely to occur during NHF therapy than during NIV in both humans and animals. [ 9 ]…”

Section: Discussionmentioning

confidence: 99%

“…[ 7 ] Furthermore, NHF therapy facilitated swallowing of saliva even during respiratory management. [ 8 , 9 ] In a recent clinical study, Nagata et al [ 10 ] reported that high-flow nasal cannula oxygen therapy for 6 weeks improved the health-related quality of life and reduced hypercapnia in patients with stable COPD. Nagata et al [ 10 ] also conducted a multicenter randomized controlled trial to investigate the efficacy and safety of long-term high-flow nasal cannula oxygen therapy in stable COPD patients.…”

Section: Introductionmentioning

confidence: 99%

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Efficacy of nasal high flow therapy on the coordination between breathing and swallowing of saliva during daytime nap in chronic obstructive pulmonary disease patients

Ayuse¹,

Hisamatsu²,

Yamaguchi³

et al. 2020

Medicine

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Background: There are some clinical reports on dysphagia in patients with chronic obstructive pulmonary disease (COPD); however, its pathophysiology remains largely unknown. Changes in respiratory function occur in patients with COPD causing a decrease in tidal volume and an increase in respiratory rate (tachypnea). In addition, it leads to lack of coordination between respiration and swallowing. A new treatment called nasal high flow (NHF) has been introduced for patients with COPD, replacing the traditional non-invasive ventilation (NIV) procedure. The NHF therapy involves inhalation of high flow of humidified air, which reduces respiratory effort in patients with COPD. Furthermore, NHF therapy facilitates swallowing of saliva even during respiratory management. A recent clinical study reported that high-flow nasal cannula oxygen therapy for 6 weeks improved the health-related quality of life and reduced hypercapnia in patients with stable COPD. Taken together, NHF therapy is gaining attention in the clinical management of patients with COPD. Therefore, in this study, we aim to examine the efficacy of NHF therapy on the coordination between breathing and swallowing of saliva during daytime nap in patients with COPD. Methods/Design: This open-label, investigator-initiated, single center study will evaluate the efficacy of NHF therapy on the coordination between breathing and swallowing of saliva during the daytime nap in COPD patients with forced expiratory volume in 1 second (FEV 1 %) of <70% during treatment at the Nagasaki University Hospital Respiratory Rehabilitation Center. Evaluations will be performed during the 90 to 180 minute “daytime nap” in the measurement room of the hospital. The primary endpoint will be the rate of appearance of the expiratory phase after swallowing of saliva and the frequency of swallowing during the measurement period. Discussion: The purpose of this study is to obtain evidence regarding the utility of NHF as a potential therapeutic device for COPD patients to prevent aspiration of saliva during the sleep stage of daytime nap. The utility will be assessed by comparing the decrease in incidence rates of the expiratory phase after swallowing of saliva in the NHF device group and the control group, wherein this device was not used.

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Effects of Nasal Continuous Positive Airway Pressure and High-Flow Nasal Cannula on Sucking, Swallowing, and Breathing during Bottle-Feeding in Lambs

Cited by 12 publications

References 24 publications

Oral feeding practices and discharge timing for moderately preterm infants

Oral feeding practices and discharge timing for moderately preterm infants

Characterization of esophageal motility and esophagogastric junction in preterm infants with bronchopulmonary dysplasia

Efficacy of nasal high flow therapy on the coordination between breathing and swallowing of saliva during daytime nap in chronic obstructive pulmonary disease patients

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