Twin nasal cannula for administration of continuous positive airway pressure to newborn infants.

Caliumi-Pellegrini, G; Agostino, Rocco; Orzalesi, M; Nodari, S; Marzetti, G; Savignoni, P G; Bucci, G.

doi:10.1136/adc.49.3.228

Cited by 53 publications

(17 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Following the description of nasal prongs by Kattwinkel et al [3] and Caliumi-Pellegrini et al [4] to deliver NCPAP, in 1981 our group carried out the first successful application of NIPPV with short bi-nasal prongs in 10 very low birth weight (VLBW) infants who had severe apnea spells despite NCPAP and methylxanthines [5]. In most cases the underlying clinical problem was sepsis, and NIPPV was given for 5-14 days.…”

Section: First Trials Of Noninvasive Ventilationmentioning

confidence: 99%

Synchronized Nasal Intermittent Positive Pressure Ventilation of the Newborn: Technical Issues and Clinical Results

et al. 2016

View full text Add to dashboard Cite

Although mechanical ventilation via an endotracheal tube has undoubtedly led to improvement in neonatal survival in the last 40 years, the prolonged use of this technique may predispose the infant to development of many possible complications including bronchopulmonary dysplasia. Avoiding mechanical ventilation is thought to be a critical goal, and different modes of noninvasive respiratory support beyond nasal continuous positive airway pressure, such as nasal intermittent positive pressure ventilation and synchronized nasal intermittent positive pressure ventilation, are also available and may reduce intubation rate. Several trials have demonstrated that the newer modes of noninvasive ventilation are more effective than nasal continuous positive airway pressure in reducing extubation failure and may also be more helpful as modes of primary support to treat respiratory distress syndrome after surfactant and for treatment of apnea of prematurity. With synchronized noninvasive ventilation, these benefits are more consistent, and different modes of synchronization have been reported. Although flow-triggering is the most common mode of synchronization, this technique is not reliable for noninvasive ventilation in neonates because it is affected by variable leaks at the mouth and nose. This review discusses the mechanisms of action, benefits and limitations of noninvasive ventilation, describes the different modes of synchronization and analyzes the technical characteristics, properties and clinical results of a flow-sensor expressly developed for synchronized noninvasive ventilation.

show abstract

Section: First Trials Of Noninvasive Ventilationmentioning

confidence: 99%

Synchronized Nasal Intermittent Positive Pressure Ventilation of the Newborn: Technical Issues and Clinical Results

et al. 2016

View full text Add to dashboard Cite

show abstract

“…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

View full text Add to dashboard Cite

“…Ever since Gregory et al (1971) showed the beneficial effect of CPAP application in IRDS several devices have been described mainly to avoid the complications of tracheal tubes (Ackerman et al, 1974;Agostino et al, 1973; Barrie, 1973;Baum and Roberton, 1974;Caliumi-Pellegrini et al, 1974;Chernick and Vidyasagar, 1972;Dunn, 1974;Fanaroffet al, 1973;Harris, 1972;Kattwinkel et al, 1973; Olinsky, MacMurray and Swyer, 1973;Rhodes and Hall, 1973;Salle et al, 1974 mixer allows adjustment of the oxygen concentration from 21 %, i.e. pure air, to 100%, the flow meter adjustment of gas flow through the face chamber.…”

mentioning

confidence: 99%

Continuous postive airways pressure treatment by a face chamber in idiopathic respiratory distress syndrome.

Ahlström¹,

Jonson²,

Svenningsen³

1976

Archives of Disease in Childhood

View full text Add to dashboard Cite

. Continuous positive airways pressure treatment by a face chamber in idiopathic respiratory distress syndrome. During a 3-year period 45 infants with idiopathic respiratory distress syndrome (IRDS) requiring ventilatory support were treated in the neonatal unit. Continuous positive airways pressure (CPAP) via the face chamber was applied as initial therapy in 39 infants and during weaning from initial intermittent positive pressure ventilation (IPPV) treatment in 5 infants, whereas 1 infant received IPPV only. Among the 39 infants initially treated with CPAP 9 required IPPV as well. The overall survival rate was 37/45 or 82%.Incapacity to hyperoxygenate while breathing 100% oxygen was the indication for CPAP while occurrence of apnoeic attacks was the indication for IPPV. Pao, during the hyperoxia test before ventilatory support was less than 50 nmHg in 10 infants and between 50 and 105 mmHg in 35 infants.Surviving infants were followed up with neurological and developmental control examinations as well as chest x-ray, and in several infants pulmonary function tests. 3/37 infants had moderate neurological sequelae and only 1/37 infants developed bronchopulmonary dysplasia. No deleterious effects of the face chamber were seen. As the face chamber is a noninvasive and easily applied technique for CPAP therapy without hazards, it is proposed that it should be used at a still earlier stage of IRDS in order to lesson the need for IPPV treatment and to increase the neurological and lung functional quality of survival.In a previous report face chamber treatment was suggested as a feasible method for establishing continuous positive airways pressure (CPAP) in infants with idiopathic respiratory distress syndrome (IRDS) (Ahlstr6m, Jonson, and Svenningsen, 1973). Ever since Gregory et al. (1971) showed the beneficial effect of CPAP application in IRDS several devices have been described mainly to avoid the complications of tracheal tubes (Ackerman et al

show abstract

Twin nasal cannula for administration of continuous positive airway pressure to newborn infants.

Cited by 53 publications

References 4 publications

Synchronized Nasal Intermittent Positive Pressure Ventilation of the Newborn: Technical Issues and Clinical Results

Synchronized Nasal Intermittent Positive Pressure Ventilation of the Newborn: Technical Issues and Clinical Results

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

Continuous postive airways pressure treatment by a face chamber in idiopathic respiratory distress syndrome.

Contact Info

Product

Resources

About