Non-invasive respiratory support in newborn infants

Boel, Lieve; Broad, Katherine; Chakraborty, Mallinath

doi:10.1016/j.paed.2017.10.007

Cited by 14 publications

(15 citation statements)

References 7 publications

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“…They can be classified into two categories: (1) NIV techniques that provide a constant pressure to the airways during the respiratory cycle, such as CPAP and High Flow Nasal Cannula (HFNC); and (2) NIV techniques that provide a variable pressure to the airways, such as Bilevel Positive Airway Pressure (BiPAP), Nasal Intermittent Positive Pressure Ventilation (NIPPV) and Nasal High Frequency Oscillatory Ventilation (NHFOV) [ 19 ].…”

Section: Noninvasive Respiratory Support Of the Preterm Infants In Th...mentioning

confidence: 99%

Respiratory Management of the Preterm Infant: Supporting Evidence-Based Practice at the Bedside

et al. 2023

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Extremely preterm infants frequently require some form of respiratory assistance to facilitate the cardiopulmonary transition that occurs in the first hours of life. Current resuscitation guidelines identify as a primary determinant of overall newborn survival the establishment, immediately after birth, of adequate lung inflation and ventilation to ensure an adequate functional residual capacity. Any respiratory support provided, however, is an important contributing factor to the development of bronchopulmonary dysplasia. The risks correlated to invasive ventilatory techniques increase inversely with gestational age. Preterm infants are born at an early stage of lung development and are more susceptible to lung injury deriving from mechanical ventilation. Any approach aiming to reduce the global burden of preterm lung disease must implement lung-protective ventilation strategies that begin from the newborn’s first breaths in the delivery room. Neonatologists today must be able to manage both invasive and noninvasive forms of respiratory assistance to treat a spectrum of lung diseases ranging from acute to chronic conditions. We searched PubMed for articles on preterm infant respiratory assistance. Our narrative review provides an evidence-based overview on the respiratory management of preterm infants, especially in the acute phase of neonatal respiratory distress syndrome, starting from the delivery room and continuing in the neonatal intensive care unit, including a section regarding exogenous surfactant therapy.

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Section: Noninvasive Respiratory Support Of the Preterm Infants In Th...mentioning

confidence: 99%

Respiratory Management of the Preterm Infant: Supporting Evidence-Based Practice at the Bedside

et al. 2023

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“… 6 The masks and nasal prongs are the most common interfaces used. 5 However, in neonatology, the short binasal prongs are the most popular, 7 they may cause skin and mucosal damage in the nostrils and nasal septum. 8 …”

Section: Introductionmentioning

confidence: 99%

“…4 For NIV application, an interface device between equipment and patient is necessary. 5 There is a wide variety of interfaces of different sizes, types, shapes, and materials available in the market. 6 The masks and nasal prongs are the most common interfaces used.…”

Section: Introductionmentioning

confidence: 99%

Incidence and Severity of Nasal Injuries in Preterm Infants Associated to Non-Invasive Ventilation Using Short Binasal Prong

Ribeiro

Barros

Fernandes

et al. 2021

Global Pediatric Health

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Short binasal prongs can cause skin and mucosal damage in the nostrils of preterm infants. The objective of this study was to investigate the incidence and severity of nasal injuries in preterm infants during the use of short binasal prongs as non-invasive ventilation (NIV) interfaces. A prospective observational study was carried out in the public hospital in a Southern Brazil. The incidence and severity of internal and external nasal injuries were evaluated in 28 preterm infants who required NIV using short binasal prongs for more than 24 hours. In order to identify possible causes of those nasal injuries, the expertise researcher physiotherapist has been carried empirical observations, analyzed the collected data, and correlated them to the literature data. A cause and effect diagram was prepared to present the main causes of the nasal injury occurred in the preterm infants assessed. The incidence of external nasal injuries was 67.86%, and internal ones 71.43%. The external nasal injuries were classified as Stage I (68.42%) and Stage II (31.58%). All the internal injuries had Stage II. The cause and effect diagram was organized into 5 categories containing 17 secondary causes of nasal injuries. There was a high incidence of Stage II-internal nasal injury and Stage I-external nasal injury in preterm infants submitted to NIV using prongs. The injuries genesis can be related to intrinsic characteristics of materials, health care, neonatal conditions, professional competence, and equipment issues.

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“…The NIV provides ventilatory support through a noninvasive (external) interface, replacing the invasive mechanical ventilation and their deleterious effects [1,2,3]. The NIV has interfaces with the NB skin, such as facial masks, nasal masks, nasopharyngeal prong, and short binasal prong [4].…”

Section: Introductionmentioning

confidence: 99%

“…A and B indicate comparison between the groups; IQR indicates interquartile range; SD indicates standard deviation;1 Pearson chi-square test; 2 Kruskall-Wallis Anova.…”

mentioning

confidence: 99%

Hydrocolloid versus silicone gel for the prevention of nasal injury in newborns submitted to noninvasive ventilation: A randomized clinical trial

Ribeiro

Barros

Fernandes

et al. 2020

Heliyon

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To compare the effectiveness of the hydrocolloid and the silicone gel on the nasal protection of the newborns (NBs) during the use of noninvasive ventilation (NIV). Materials and methods: Thirty-three NBs were selected. They were randomly divided into three groups of 11 NBs, according to the type of nasal protection used: hydrocolloid, thick silicone gel, and thin silicone gel. The stage of the nasal injury and need for exchanging nasal protection were assessed before the connection to the NIV and every 24 h until the physician's authorization for NIV's suspension. Results: The mean gestational age was 32.03 AE 3.93 weeks, and the median birth weight was 1760 g (750-3535 g). The incidence of nasal injury using hydrocolloid, thick silicone gel, and a thin silicone gel group was 36.36%, 81.81%, and 72.72%, respectively (p ¼ 0.06). Regarding the injury stage, there was no statistical significance between the three study groups. The hydrocolloid protection type had the best adhesion (p ¼ 0.03) on the NBs' skin. Conclusions: Although this study was conducted by local practice patterns, the results showed that the hydrocolloid could be the best choice to prevent the nasal septum base injury in the NB submitted to NIV.

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Non-invasive respiratory support in newborn infants

Cited by 14 publications

References 7 publications

Respiratory Management of the Preterm Infant: Supporting Evidence-Based Practice at the Bedside

Respiratory Management of the Preterm Infant: Supporting Evidence-Based Practice at the Bedside

Incidence and Severity of Nasal Injuries in Preterm Infants Associated to Non-Invasive Ventilation Using Short Binasal Prong

Hydrocolloid versus silicone gel for the prevention of nasal injury in newborns submitted to noninvasive ventilation: A randomized clinical trial

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