Objective
We describe a novel strategy of chronic-phase nasal intermitted positive pressure ventilation (cNIPPV) to support patients with bronchopulmonary dysplasia (BPD) and avoid tracheostomy.
Study Design
This is a retrospective study of Grade 3 BPD patients discharged from a single center January 2020 to May 2024. Patients were divided into groups treated with cNIPPV or with tracheostomy. Groups were assessed for clinical differences, and the cNIPPV strategy was described.
Result
There were 28 cNIPPV and 20 tracheostomy patients. There were no differences between groups for gestational age, birthweight, or respiratory severity score at key dates. Tracheostomy patients were more likely to have subglottic stenosis (55 vs 3.6%, p < 0.0001). Tracheostomy patients were older at discharge home [median 447 (411–514) vs 252 (184–309) days, p < 0.0001].
Conclusion
A subset of Grade 3 BPD patients can be supported with cNIPPV and avoid tracheostomy. This strategy may be associated with decreased length of hospital stay.