Document Detail


Clinical practice : noninvasive respiratory support in newborns.
MedLine Citation:
PMID:  20179966     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The most important goal of introducing noninvasive ventilation (NIV) has been to decrease the need for intubation and, therefore, mechanical ventilation in newborns. As a result, this technique may reduce the incidence of bronchopulmonary dysplasia (BPD). In addition to nasal CPAP, improvements in sensors and flow delivery systems have resulted in the introduction of a variety of other types of NIV. For the optimal application of these novelties, a thorough physiological knowledge of mechanics of the respiratory system is necessary. In this overview, the modern insights of noninvasive respiratory therapy in newborns are discussed. These aspects include respiratory support in the delivery room; conventional and modern nCPAP; humidified, heated, and high-flow nasal cannula ventilation; and nasal intermittent positive pressure ventilation. Finally, an algorithm is presented describing common practice in taking care of respiratory distress in prematurely born infants.
Authors:
J Peter de Winter; Machteld A G de Vries; Luc J I Zimmermann
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Publication Detail:
Type:  Journal Article; Review     Date:  2010-02-24
Journal Detail:
Title:  European journal of pediatrics     Volume:  169     ISSN:  1432-1076     ISO Abbreviation:  Eur. J. Pediatr.     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-05-26     Completed Date:  2010-09-03     Revised Date:  2013-05-30    
Medline Journal Info:
Nlm Unique ID:  7603873     Medline TA:  Eur J Pediatr     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  777-82     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, Spaarne Hospital, Hoofddorp, The Netherlands. pdewinter@spaarneziekenhuis.nl
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MeSH Terms
Descriptor/Qualifier:
Algorithms
Continuous Positive Airway Pressure
Humans
Infant, Newborn / physiology
Infant, Premature
Intermittent Positive-Pressure Ventilation
Laryngeal Masks
Positive-Pressure Respiration / instrumentation,  methods*
Respiratory Mechanics / physiology
Comments/Corrections

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