Ventilation Practices in the Neonatal Intensive Care Unit: A Cross-Sectional Study

Kaam, Anton H. van; Rimensberger, Peter C.; Borensztajn, Dorine; Jaegere, Anne P De

doi:10.1016/j.jpeds.2010.05.043

Cited by 106 publications

(74 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Some surveys have reported as many as 12 different brands of ventilators for delivering conventional MV and at least 4 different types of machines for providing high-frequency oscillatory ventilation (HFOV), with many units having more than one type at their disposal [11][12][13]. There are currently over 10 different MV modes available, including assist control (pressure or volume controlled), intermittent mandatory ventilation (with or without synchronization, with or without pressure support), HFOV (with or without volume control), high-frequency jet ventilation and neurally adjusted ventilatory assist (NAVA).…”

Section: Invasive Mechanical Ventilationmentioning

confidence: 99%

Respiratory Care Protocols in Neonatal Intensive Care

Shalish¹,

Anna²

2016

Respiratory Management of Newborns

View full text Add to dashboard Cite

Neonatal respiratory care involves physicians with variable backgrounds treating multiple respiratory problems and populations with a number of invasive and noninvasive devices and strategies. Unfortunately, there is a lack of strong evidence to guide the most adequate management for several specific situations. Altogether, this complexity leads to significant practice variability that can affect patient and health care outcomes. Respiratory care protocols, guided by evidence and/or consensus, are an attractive solution to promote standardization of care and reduction of unnecessary practice variations. Indeed, despite the limited evidence supporting the use of respiratory protocols in neonates, a significant number of units have already developed and implemented them into clinical practice. Respiratory care protocols appear to promote evidence-based practices, discourage outdated approaches and ultimately improve patient safety.

show abstract

Section: Invasive Mechanical Ventilationmentioning

confidence: 99%

Respiratory Care Protocols in Neonatal Intensive Care

Shalish¹,

Anna²

2016

Respiratory Management of Newborns

View full text Add to dashboard Cite

show abstract

“…In Australasia and the Nordic countries, 50% of level 3 neonatal units routinely use VTV modes, and 80% of these used VG. 10 In contrast, a recent cross-sectional study in Europe revealed that only 11% of ventilated infants received VTV modes. 11 The current paper presents practical guidance about using VG ventilation drawing upon research and our experience with the Dräger Babylog 8000plus and our understanding about the Dräger Babylog VN500.…”

Section: Introductionmentioning

confidence: 95%

“…Lack of experience or knowledge of how to use VTV may explain why it is infrequently used in many countries. 10,11 This paper gives neonatologists practical guidance on the use of one type of VTV; VG ventilation with the Dräger Babylog 8000plus ventilator and the new Dräger Babylog VN500. Dräger Babylog 8000plus is the most commonly used neonatal ventilator in Europe.…”

Section: Why We Have Written This Paper?mentioning

confidence: 99%

“…Dräger Babylog 8000plus is the most commonly used neonatal ventilator in Europe. 10,11 We have used VG ventilation for many years and reported different aspects on how this specific VTV mode works. [14][15][16][17][18][19][20] We believe it is more acceptable to the users, if such guidance is written by experienced clinicians without input from the manufacturer.…”

Section: Why We Have Written This Paper?mentioning

confidence: 99%

See 1 more Smart Citation

A practical guide to neonatal volume guarantee ventilation

et al. 2011

View full text Add to dashboard Cite

A recent systematic review and meta-analysis shows that volume-targeted ventilation (VTV) compared with pressure-limited ventilation (PLV) reduce death and bronchopulmonary dysplasia, pneumothorax, hypocarbia and severe cranial ultrasound abnormalities. In this paper, we present published research and our experience with volume guarantee (VG) ventilation, a VTV mode available on the Dräger Babylog 8000plus and VN500 ventilators. The VG algorithm measures the expired tidal volume (V T ) for each inflation and adjusts the peak inflating pressure for the next inflation to deliver a V T set by the clinician. The advantage of controlling expired V T is that this is less influenced by endotracheal tube leak than inspired V T . VG ventilation can be used with an endotracheal tube leak up to B50%. Initial set V T for infants with respiratory distress syndrome should be 4.0 to 5.0 ml kg À1 . The set V T should be adjusted to maintain normocapnoea. Setting the peak inflating pressure limit well above the working pressure is important to enable the ventilator to deliver the set V T , and to avoid frequent alarms. This paper provides a practical guide on how to use VG ventilation.

show abstract

“…In a recent publication from the NeoVent group, 48 173 neonatal ICUs in 21 European countries participated in a survey that included 535 pre-term neonates. Clinicians caring for ventilated pre-term neonates used conventional ventilation (85%) more frequently than high-frequency ventilation (15%).…”

Section: Invasive Respiratory Supportmentioning

confidence: 99%

Respiratory Care Year in Review 2010: Part 2. Invasive Mechanical Ventilation, Noninvasive Ventilation, Pediatric Mechanical Ventilation, Aerosol Therapy

et al. 2011

View full text Add to dashboard Cite

SummaryThe purpose of this paper is to review the recent literature related to invasive mechanical ventilation, NIV, pediatric mechanical ventilation, and aerosol therapy. Topics covered related to invasive mechanical ventilation topics include the role of PEEP in providing lung protection during mechanical ventilation, unconventional modes for severe hypoxemia, and strategies to improve patient-ventilator interactions. Topics covered related to NIV include real-life NIV use, NIV and extubation failure, and NIV and pandemics. For pediatric mechanical ventilation, the topics addressed are NIV, invasive respiratory support, and inhaled nitric oxide. Topics covered related to aerosol therapy include short-acting ␤-adrenergic agents, long-acting ␤-adrenergic agents, longacting antimuscarinic agents, inhaled corticosteroid therapy, phosphodiesterase type 4 (PDE4) inhibitors, long-acting ␤-adrenergic plus inhaled corticosteroid, long-acting antimuscarinic plus RESPIRATORY CARE • MAY 2011 VOL 56 NO 5 667 inhaled corticosteroid, nebulized hypertonic saline, inhaled mannitol, and inhaled antibiotic therapy. These topics were chosen and reviewed in a manner that is most likely to have interest to the readers of RESPIRATORY CARE.

show abstract

Ventilation Practices in the Neonatal Intensive Care Unit: A Cross-Sectional Study

Cited by 106 publications

References 17 publications

Respiratory Care Protocols in Neonatal Intensive Care

Respiratory Care Protocols in Neonatal Intensive Care

A practical guide to neonatal volume guarantee ventilation

Respiratory Care Year in Review 2010: Part 2. Invasive Mechanical Ventilation, Noninvasive Ventilation, Pediatric Mechanical Ventilation, Aerosol Therapy

Contact Info

Product

Resources

About