Sie befinden Sich nicht im Netzwerk der Universität Paderborn. Der Zugriff auf elektronische Ressourcen ist gegebenenfalls nur via VPN oder Shibboleth (DFN-AAI) möglich. mehr Informationen...
Nasal intermittent positive pressure ventilation in preterm infants: Equipment, evidence, and synchronization
Ist Teil von
Seminars in fetal & neonatal medicine, 2016-06, Vol.21 (3), p.146-153
Ort / Verlag
Netherlands: Elsevier Ltd
Erscheinungsjahr
2016
Quelle
Elsevier ScienceDirect Journals
Beschreibungen/Notizen
Summary The use of nasal intermittent positive pressure ventilation (NIPPV) as respiratory support for preterm infants is well established. Evidence from randomized trials indicates that NIPPV is advantageous over continuous positive airway pressure (CPAP) as post-extubation support, albeit with varied outcomes between NIPPV techniques. Randomized data comparing NIPPV with CPAP as primary support, and for the treatment of apnea, are conflicting. Intrepretation of outcomes is limited by the multiple techniques and devices used to generate and deliver NIPPV. This review discusses the potential mechanisms of action of NIPPV in preterm infants, the evidence from clinical trials, and summarizes recommendations for practice.