Nasal intermittent positive pressure ventilation (NIPPV) versus nasal continuous positive airway pressure (NCPAP) for preterm neonates after extubation

Lemyre, Brigitte; Deguise, Marc-Olivier; Benson, Paige; Kirpalani, Haresh; Paoli, Antonio G De; Davis, Peter G

doi:10.1002/14651858.cd003212.pub4

Cited by 10 publications

(2 citation statements)

References 77 publications

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“…CPAP and early initiation of noninvasive ventilation should be explored in well-designed clinical trials given their promising results in preventing extubation failure. (38)(39)(40) This study provides important data on the use of RSS and OSI for early identification of moderate preterm infants at risk of NRS failure. However, there are several notable limitations.…”

Section: Manuscriptmentioning

confidence: 99%

Respiratory Severity Score and Oxygen Saturation Index during the First 2 Hours of Life as Predictors for Noninvasive Respiratory Support Failure in Respiratory Distress Syndrome

Zapata,

Koueik,

Becker

et al. 2024

Am J Perinatol

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Background: Noninvasive respiratory support (NRS) failure is common in preterm infants with respiratory distress syndrome (RDS). We evaluated the utility of Respiratory Severity Score (RSS) and Oxygen Saturation Index (OSI) during the first two hours of life (HOL) as a predictor for NRS failure in moderate preterm infants. Methods: We conducted a retrospective cohort study of infants born between 28 0/7 to 33 6/7 weeks with RDS. Univariate and multivariable logistic regression analysis were used to assess whether the RSS and OSI summary measures were associated with NRS failure. Results: A total of 282 infants were included in the study. Median GA and birthweights were 32 weeks and 1.7 Kg respectively. Fifty eight infants (21%) developed NRS failure at median age of 10.5 hours. RSS and OSI summary measures in the first 2 HOL were associated with NRS failure within 72 HOL. Conclusion: RSS and OSI during the first two HOL can predict NRS failure. Optimal RSS and OSI cutoffs for prediction of NRS failure need to be determined in large cohort studies.

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Section: Manuscriptmentioning

confidence: 99%

Respiratory Severity Score and Oxygen Saturation Index during the First 2 Hours of Life as Predictors for Noninvasive Respiratory Support Failure in Respiratory Distress Syndrome

Zapata,

Koueik,

Becker

et al. 2024

Am J Perinatol

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“…Nasal intermittent positive pressure ventilation (NIPPV) has shown promise in reducing extubation failure rates compared to NCPAP. NIPPV reduces chronic lung disease slightly although it has little impact on mortality compared to NCPAP [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Noninvasive high-frequency oscillation ventilation as post- extubation respiratory support in neonates: Systematic review and meta-analysis

Prasad,

Saha,

et al. 2024

PLoS ONE

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Introduction Noninvasive High-Frequency Oscillatory Ventilation (NHFOV) is increasingly being adopted to reduce the need for invasive ventilation after extubation. Objectives To evaluate the benefits and harms of NHFOV as post-extubation respiratory support in newborns compared to other non‐invasive respiratory support modes. Material & methods We included randomized controlled trials comparing NHFOV with other non-invasive modes post-extubation in newborns. Data sources were MEDLINE (via Pubmed), Cochrane Central Register of Controlled Trials, China National Knowledge Infrastructure, WHO international clinical trials registry platform and Clinical Trial Registry, forward and backward citation search. Methodological quality of studies was assessed by Cochrane’s Risk of Bias tool 1.0. Results This systematic review included 21 studies and 3294 participants, the majority of whom were preterm. NHFOV compared to nasal continuous positive airway pressure (NCPAP) reduced reintubation within seven days (RR 0.34, 95% CI 0.22 to 0.53) after extubation. It also reduced extubation failure (RR 0.39, 95% CI 0.30 to 0.51) and reintubation within 72 hrs (RR 0.40, 95% CI 0.31 to 0.53), bronchopulmonary dysplasia (RR 0.59, 95% CI 0.37 to 0.94) and pulmonary air leak (RR 0.46, 95% CI 0.27 to 0.79) compared to NCPAP. The rate of reintubation within seven days (RR 0.62, 95% CI 0.18 to 2.14) was similar whereas extubation failure (RR 0.65, 95% CI 0.50 to 0.83) and reintubation (RR 0.68, 95% CI 0.52 to 0.89) within 72 hrs were lower in NHFOV group compared to nasal intermittent positive pressure ventilation. There was no effect on other outcomes. Overall quality of the evidence was low to very low in both comparisons. Conclusions NHFOV may reduce the rate of reintubation and extubation failure post-extubation without increasing complications. Majority of the trials were exclusively done in preterm neonates. Further research with high methodological quality is warranted.

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Nasal continuous positive airway pressure immediately after extubation for preventing morbidity in preterm infants

Ho,

Kidman,

Chua

et al. 2024

Cochrane Database of Systematic Reviews

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Nasal intermittent positive pressure ventilation (NIPPV) versus nasal continuous positive airway pressure (NCPAP) for preterm neonates after extubation

Cited by 10 publications

References 77 publications

Respiratory Severity Score and Oxygen Saturation Index during the First 2 Hours of Life as Predictors for Noninvasive Respiratory Support Failure in Respiratory Distress Syndrome

Respiratory Severity Score and Oxygen Saturation Index during the First 2 Hours of Life as Predictors for Noninvasive Respiratory Support Failure in Respiratory Distress Syndrome

Noninvasive high-frequency oscillation ventilation as post- extubation respiratory support in neonates: Systematic review and meta-analysis

Nasal continuous positive airway pressure immediately after extubation for preventing morbidity in preterm infants

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