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[PMID]:29237534
[Au] Autor:Zhu ZC; Zhou JG; Chen C
[Ad] Endereço:Department of Neonatology, Children's Hospital of Fudan University, Shanghai 201102, China. chen0610@163.com.
[Ti] Título:[Research advances in neonatal nasal intermittent positive pressure ventilation].
[So] Source:Zhongguo Dang Dai Er Ke Za Zhi;19(12):1301-1305, 2017 Dec.
[Is] ISSN:1008-8830
[Cp] País de publicação:China
[La] Idioma:chi
[Ab] Resumo:Nasal intermittent positive pressure ventilation (NIPPV) can augment nasal continuous positive airway pressure (nCPAP) by delivering intermittent positive pressure ventilation in a noninvasive way and can provide a new option for neonatal noninvasive respiratory support. NIPPV has an advantage over nCPAP in primary and post-extubation respiratory support. Moreover, it can reduce severe apnea of prematurity. Synchronized NIPPV has promising application prospects. This review article summarizes the advances in the application of NIPPV in neonatal respiratory support to promote the understanding and standardization of this technique.
[Mh] Termos MeSH primário: Ventilação com Pressão Positiva Intermitente
[Mh] Termos MeSH secundário: Extubação
Seres Humanos
Recém-Nascido
Ventilação com Pressão Positiva Intermitente/efeitos adversos
Ventilação com Pressão Positiva Intermitente/instrumentação
Ventilação com Pressão Positiva Intermitente/métodos
Prognóstico
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180306
[Lr] Data última revisão:
180306
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171215
[St] Status:MEDLINE


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[PMID]:28366356
[Au] Autor:Kamerkar A; Hotz J; Morzov R; Newth CJL; Ross PA; Khemani RG
[Ad] Endereço:Department of Anesthesiology and Critical Care Medicine, Children's Hospital Los Angeles, Los Angeles, CA.
[Ti] Título:Comparison of Effort of Breathing for Infants on Nasal Modes of Respiratory Support.
[So] Source:J Pediatr;185:26-32.e3, 2017 Jun.
[Is] ISSN:1097-6833
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To directly compare effort of breathing between high flow nasal cannula (HFNC), nasal intermittent mechanical ventilation (NIMV), and nasal continuous positive airway pressure (NCPAP). STUDY DESIGN: This was a single center prospective cross-over study for patients <6 months in the cardiothoracic or pediatric intensive care unit receiving nasal noninvasive respiratory support after extubation. We measured effort of breathing using esophageal manometry with pressure-rate product (PRP) on all 3 modes. NIMV synchrony was determined by comparing patient efforts (esophageal manometry) with mechanically delivered breaths (spirometry in ventilator circuit). On NIMV, PRP and synchrony was also measured after adding a nasal clip on 26 patients. RESULTS: Forty-two children were included. Median (IQR) age was 2 (0.5, 4) months. There was no difference in median PRP between HFNC 6 liters per minute, 355 (270,550), NIMV 12/5 cm H O, 341 (235, 472), and NCPAP 5 cm H O, 340 (245,506) (P?=?.33). Results were similar regardless of HFNC flow rate or NIMV inspiratory pressure. Median PRP on CPAP of 5 cm H O prior to extubation 255 (176, 375) was significantly lower than all postextubation values (P??.07)). However, as NIMV synchrony improved (>60%), PRP on NIMV was lower than on HFNC. CONCLUSIONS: For infants, effort of breathing is similar on HFNC, NIMV, and NCPAP after extubation, regardless of flow rate or inspiratory pressure. We speculate that bi-level NIMV may be superior if high levels of synchrony can be achieved.
[Mh] Termos MeSH primário: Extubação
Pressão Positiva Contínua nas Vias Aéreas
Ventilação com Pressão Positiva Intermitente
Oxigenoterapia/métodos
Trabalho Respiratório
[Mh] Termos MeSH secundário: Cânula
Estudos Cross-Over
Esôfago
Feminino
Cardiopatias Congênitas/cirurgia
Seres Humanos
Lactente
Recém-Nascido
Unidades de Terapia Intensiva Pediátrica
Masculino
Manometria
Cuidados Pós-Operatórios
Estudos Prospectivos
Insuficiência Respiratória/terapia
Espirometria
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170906
[Lr] Data última revisão:
170906
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170404
[St] Status:MEDLINE


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[PMID]:28146296
[Au] Autor:Lemyre B; Davis PG; De Paoli AG; Kirpalani H
[Ad] Endereço:Division of Neonatology, Children's Hospital of Eastern Ontario, 401 Smyth Road, Ottawa, ON, Canada, KlH 8L1.
[Ti] Título:Nasal intermittent positive pressure ventilation (NIPPV) versus nasal continuous positive airway pressure (NCPAP) for preterm neonates after extubation.
[So] Source:Cochrane Database Syst Rev;2:CD003212, 2017 02 01.
[Is] ISSN:1469-493X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Previous randomised trials and meta-analyses have shown that nasal continuous positive airway pressure (NCPAP) is a useful method for providing respiratory support after extubation. However, this treatment sometimes 'fails' in infants, and they may require endotracheal re-intubation with its attendant risks and expense. Nasal intermittent positive pressure ventilation (NIPPV) can augment NCPAP by delivering ventilator breaths via nasal prongs. Older children and adults with chronic respiratory failure benefit from NIPPV, and the technique has been applied to neonates. However, serious side effects including gastric perforation have been reported with older methods of providing NIPPV. OBJECTIVES: Primary objective To compare effects of management with NIPPV versus NCPAP on the need for additional ventilatory support in preterm infants whose endotracheal tube was removed after a period of intermittent positive pressure ventilation. Secondary objectives To compare rates of gastric distension, gastrointestinal perforation, necrotising enterocolitis and chronic lung disease; duration of hospitalisation; and rates of apnoea, air leak and mortality for NIPPV and NCPAP. SEARCH METHODS: We used the standard search strategy of the Cochrane Neonatal Review Group to search the Cochrane Central Register of Controlled Trials (CENTRAL; 2015, Issue 9), MEDLINE via PubMed (1966 to 28 September 2015), Embase (1980 to 28 September 2015) and the Cumulative Index to Nursing and Allied Health Literature (CINAHL; 1982 to 28 September 2015). We also searched clinical trials databases, conference proceedings and reference lists of retrieved articles for randomised controlled trials and quasi-randomised trials. SELECTION CRITERIA: We included randomised and quasi-randomised trials comparing use of NIPPV versus NCPAP in extubated preterm infants. NIPPV included non-invasive support delivered by a mechanical ventilator or a bilevel device in a synchronised or non-synchronised way. Participants included ventilated preterm infants who were ready to be extubated to non-invasive respiratory support. Interventions compared were NIPPV, delivered by short nasal prongs or nasopharyngeal tube, and NCPAP, delivered by the same methods.Types of outcomes measures included failure of therapy (respiratory failure, rates of endotracheal re-intubation); gastrointestinal complications (i.e. abdominal distension requiring cessation of feeds, gastrointestinal perforation or necrotising enterocolitis); pulmonary air leak; chronic lung disease (oxygen requirement at 36 weeks' postmenstrual age) and mortality. DATA COLLECTION AND ANALYSIS: Three review authors independently extracted data regarding clinical outcomes including extubation failure; endotracheal re-intubation; rates of apnoea, gastrointestinal perforation, feeding intolerance, necrotising enterocolitis, chronic lung disease and air leak; and duration of hospital stay. We analysed trials using risk ratio (RR), risk difference (RD) and the number needed to treat for an additional beneficial outcome (NNTB) or an additional harmful outcome (NNTH) for dichotomous outcomes, and mean difference (MD) for continuous outcomes. We used the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach to assess the quality of evidence. MAIN RESULTS: Through the search, we identified 10 trials enrolling a total of 1431 infants and comparing extubation of infants to NIPPV or NCPAP. Three trials had methodological limitations and possible selection bias.Five trials used the synchronised form of NIPPV, four used the non-synchronised form and one used both methods. Eight studies used NIPPV delivered by a ventilator, one used a bilevel device and one used both methods. When all studies were included, meta-analysis demonstrated a statistically and clinically significant reduction in the risk of meeting extubation failure criteria (typical RR 0.70, 95% CI 0.60 to 0.80; typical RD -0.13, 95% CI -0.17 to -0.08; NNTB 8, 95% CI 6 to 13; 10 trials, 1431 infants) and needing re-intubation (typical RR 0.76, 95% CI 0.65 to 0.88; typical RD -0.10, 95% CI -0.15 to -0.05; NNTB 10, 95% CI 7 to 20; 10 trials, 1431 infants). We graded evidence for these outcomes as moderate, as all trial interventions were unblinded. Although methods of synchronisation varied (Graseby capsule or pneumotachograph/flow-trigger), the five trials that synchronised NIPPV showed a statistically significant benefit for infants extubated to NIPPV in terms of prevention of extubation failure up to one week after extubation.Unsynchronised NIPPV also reduced extubation failure. NIPPV provided via a ventilator is more beneficial than that provided by bilevel devices in reducing extubation failure during the first week. When comparing interventions, investigators found no significant reduction in rates of chronic lung disease (typical RR 0.94, 95% CI 0.80 to 1.10; typical RD -0.02, 95% CI -0.08 to 0.03) or death, and no difference in the incidence of necrotising enterocolitis. Air leaks were reduced in infants randomised to NIPPV (typical RR 0.48, 95% CI 0.28 to 0.82; typical RD -0.03, 95% CI -0.05 to -0.01; NNTB 33, 95% CI 20 to 100). We graded evidence quality as moderate (unblinded studies) or low (imprecision) for secondary outcomes. AUTHORS' CONCLUSIONS: Implications for practice NIPPV reduces the incidence of extubation failure and the need for re-intubation within 48 hours to one week more effectively than NCPAP; however, it has no effect on chronic lung disease nor on mortality. Synchronisation may be important in delivering effective NIPPV. The device used to deliver NIPPV may be important; however, data are insufficient to support strong conclusions. NIPPV does not appear to be associated with increased gastrointestinal side effects. Implications for research Large trials should establish the impact of synchronisation of NIPPV on safety and efficacy of the technique and should compare the efficacy of bilevel devices versus a ventilator for providing NIPPV.
[Mh] Termos MeSH primário: Recém-Nascido Prematuro
Respiração com Pressão Positiva/métodos
[Mh] Termos MeSH secundário: Dilatação Patológica/etiologia
Enterocolite Necrosante/etiologia
Seres Humanos
Recém-Nascido
Ventilação com Pressão Positiva Intermitente/efeitos adversos
Intubação Intratraqueal
Respiração com Pressão Positiva/efeitos adversos
Respiração com Pressão Positiva/mortalidade
Ensaios Clínicos Controlados Aleatórios como Assunto
Insuficiência Respiratória/etiologia
Retratamento
Estômago
Desmame do Respirador/métodos
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; META-ANALYSIS; RESEARCH SUPPORT, N.I.H., EXTRAMURAL; RESEARCH SUPPORT, NON-U.S. GOV'T; REVIEW
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170531
[Lr] Data última revisão:
170531
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170202
[St] Status:MEDLINE
[do] DOI:10.1002/14651858.CD003212.pub3


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[PMID]:27889667
[Au] Autor:Ryu K; Choi W; Shim J; Song T
[Ad] Endereço:Department of Anesthesiology and Pain Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
[Ti] Título:The impact of a pulmonary recruitment maneuver to reduce post-laparoscopic shoulder pain: A randomized controlled trial.
[So] Source:Eur J Obstet Gynecol Reprod Biol;208:55-60, 2017 Jan.
[Is] ISSN:1872-7654
[Cp] País de publicação:Ireland
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: A pulmonary recruitment maneuver (PRM) can effectively reduce post-laparoscopic shoulder pain (PLSP). However, a high-pressure PRM may cause pulmonary barotrauma. This study aimed to evaluate the efficacy and safety of a PRM using two different maximum inspiratory pressures (40 and 60cmH O) for reducing PLSP. STUDY DESIGN: Patients undergoing gynecologic laparoscopy were randomly allocated to a control group (n=30), a 40 cmH O PRM group (n=30), and a 60 cmH O PRM group (n=30). In the control group, residual carbon dioxide was removed by passive exsufflation through the port site. In the two intervention groups, the PRM consisting of five manual pulmonary inflations was performed at the end of surgery with a maximum pressure of 40 cmH O or 60 cmH O, respectively. Shoulder pain and wound pain were recorded using a visual analogue scale at 24 and 48h postoperatively. RESULTS: Wound pain scores at 24 and 48h post-surgery were not different between the three groups. The PLSP scores in the two intervention groups were significantly lower than that seen in the control group at 24 and 48h postoperatively (P=0.006 and P<0.001, respectively). However, there were no statistically significant differences in the PLSP scores between the two intervention groups. CONCLUSION: A low-pressure PRM (40cmH O) is as effective as a high-pressure PRM (60cmH O) for removing residual gas from the peritoneal cavity. PRM using a maximal inspiratory pressure of 40cmH O is safe and efficacious for the reduction of PLSP.
[Mh] Termos MeSH primário: Barotrauma/prevenção & controle
Procedimentos Cirúrgicos em Ginecologia/efeitos adversos
Complicações Intraoperatórias/prevenção & controle
Laparoscopia/efeitos adversos
Dor Pós-Operatória/prevenção & controle
Pneumoperitônio/terapia
Dor de Ombro/prevenção & controle
[Mh] Termos MeSH secundário: Adulto
Barotrauma/etiologia
Barotrauma/fisiopatologia
Dióxido de Carbono/efeitos adversos
Diafragma/lesões
Diafragma/inervação
Feminino
Hospitais Urbanos
Seres Humanos
Ventilação com Pressão Positiva Intermitente/métodos
Complicações Intraoperatórias/etiologia
Complicações Intraoperatórias/fisiopatologia
Meia-Idade
Síndromes Neurotóxicas/fisiopatologia
Síndromes Neurotóxicas/prevenção & controle
Dor Pós-Operatória/etiologia
Dor Referida/etiologia
Dor Referida/prevenção & controle
Traumatismos dos Nervos Periféricos/fisiopatologia
Traumatismos dos Nervos Periféricos/prevenção & controle
Pneumoperitônio/etiologia
Pneumoperitônio/fisiopatologia
República da Coreia
Ombro/inervação
Dor de Ombro/etiologia
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Nm] Nome de substância:
142M471B3J (Carbon Dioxide)
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170419
[Lr] Data última revisão:
170419
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161128
[St] Status:MEDLINE


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[PMID]:27623133
[Au] Autor:Alkan Ozdemir S; Arun Ozer E; Ilhan O; Sutcuoglu S
[Ad] Endereço:Department of Neonatology, Behçet Uz Children's Hospital, Izmir, Turkey.
[Ti] Título:Impact of targeted-volume ventilation on pulmonary dynamics in preterm infants with respiratory distress syndrome.
[So] Source:Pediatr Pulmonol;52(2):213-216, 2017 Feb.
[Is] ISSN:1099-0496
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Mechanical ventilation is an essential therapy in the treatment of respiratory failure in preterm infants. However, optimal ventilation strategy continues to be difficult to define. OBJECTIVE: To compare the effects of volume guarantee (VG) combined with intermittent mandatory ventilation (SIMV) and VG combined with pressure support ventilation (PSV) on the pulmonary mechanics and short term prognosis in preterm infants with respiratory distress syndrome. METHODS: Infants of <32 weeks gestational age ventilated for respiratory distress syndrome were randomized to receive either SIMV + VG or PSV + VG. The patient characteristics, ventilator variables including PIP, PEEP, MAP, VT, dynamic compliance, resistance, C20/C, and neonatal outcomes (IVH, ROP, oxygen dependency at 28th postnatal day and 36 weeks of PMA), mortality and extubation failure were recorded in each groups. RESULTS: Thirty-four infants were enrolled in to the study: 19 patients were randomized to the SIMV + VG group, and 15 patients to the PSV + VG group. No significant differences were observed between the two groups in terms of the birth weight, gestational age, gender, multiple pregnancy, delivery mode, and antenatal steroid treatment. The respiratory and ventilatory parameters were similar in the groups. The need for reintubation were common in SIMV + VG group (P < 0.01). CONCLUSIONS: Volume guaranteed ventilation combined with PSV may be a convenient method for preterm infants with RDS in terms of reducing postextubation atelectasis and the need for reintubation. Pediatr Pulmonol. 2017;52:213-216. © 2016 Wiley Periodicals, Inc.
[Mh] Termos MeSH primário: Ventilação com Pressão Positiva Intermitente/métodos
Pulmão/fisiopatologia
Síndrome do Desconforto Respiratório do Recém-Nascido/terapia
[Mh] Termos MeSH secundário: Fenômenos Biomecânicos
Peso ao Nascer
Feminino
Idade Gestacional
Seres Humanos
Lactente
Recém-Nascido
Recém-Nascido Prematuro
Masculino
Oxigenoterapia
Atelectasia Pulmonar/prevenção & controle
Respiração Artificial/métodos
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171011
[Lr] Data última revisão:
171011
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160914
[St] Status:MEDLINE
[do] DOI:10.1002/ppul.23510


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[PMID]:27976361
[Au] Autor:Lemyre B; Laughon M; Bose C; Davis PG
[Ad] Endereço:Division of Neonatology, Children's Hospital of Eastern Ontario, 401 Smyth Road, Ottawa, ON, Canada, KlH 8L1.
[Ti] Título:Early nasal intermittent positive pressure ventilation (NIPPV) versus early nasal continuous positive airway pressure (NCPAP) for preterm infants.
[So] Source:Cochrane Database Syst Rev;12:CD005384, 2016 12 15.
[Is] ISSN:1469-493X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Nasal continuous positive airway pressure (NCPAP) is a strategy for maintaining positive airway pressure throughout the respiratory cycle through the application of bias flow of respiratory gas to an apparatus attached to the nose. Treatment with NCPAP is associated with decreased risk of mechanical ventilation and might be effective in reducing chronic lung disease. Nasal intermittent positive pressure ventilation (NIPPV) is a form of noninvasive ventilation during which patients are exposed intermittently to higher levels of airway pressure, along with NCPAP through the same nasal device. OBJECTIVES: To examine the risks and benefits of early NIPPV versus early NCPAP alone for preterm infants at risk of or in respiratory distress within the first hours after birth.Primary endpoints are respiratory failure and the need for intubated ventilatory support during the first week of life. Secondary endpoints include chronic lung disease (CLD) (oxygen therapy at 36 weeks' postmenstrual age), air leaks, duration of respiratory support, duration of oxygen therapy, intraventricular hemorrhage, and incidence of mortality. SEARCH METHODS: We used the standard search strategy of the Cochrane Neonatal Review Group to search the Cochrane Central Register of Controlled Trials (CENTRAL; 2015, Issue 9), MEDLINE via PubMed (1966 to September 28, 2015), Embase (1980 to September 28, 2015), and the Cumulative Index to Nursing and Allied Health Literature (CINAHL; 1982 to September 28, 2015). We also searched clinical trials databases, conference proceedings, and the reference lists of retrieved articles for randomized controlled trials and quasi-randomized trials. A member of the Cochrane Neonatal Review Group handsearched abstracts from the European Society of Pediatric Research (ESPR). We contacted the authors of ongoing clinical trials to ask for information. SELECTION CRITERIA: We considered all randomized and quasi-randomized controlled trials. Studies selected compared NIPPV versus NCPAP treatment, starting at birth or shortly thereafter in preterm infants (< 37 weeks' gestational age). DATA COLLECTION AND ANALYSIS: We performed data collection and analysis using the recommendations of the Cochrane Neonatal Review Group. MAIN RESULTS: Ten trials, enrolling a total of 1061 infants, met criteria for inclusion in this review. Meta-analyses of these studies showed significantly reduced risk of meeting respiratory failure criteria (typical risk ratio (RR) 0.65, 95% confidence interval (CI) 0.51 to 0.82; typical risk difference (RD) -0.09, 95% CI -0.13 to -0.04) and needing intubation (typical RR 0.78, 95% CI 0.64 to 0.94; typical RD -0.07, 95% CI -0.12 to -0.02) among infants treated with early NIPPV compared with early NCPAP. The meta-analysis did not demonstrate a reduction in the risk of CLD among infants randomized to NIPPV (typical RR 0.78, 95% CI 0.58 to 1.06). Investigators observed no evidence of harm. Review authors graded the quality of the evidence as moderate (unblinded studies). AUTHORS' CONCLUSIONS: Early NIPPV does appear to be superior to NCPAP alone for decreasing respiratory failure and the need for intubation and endotracheal tube ventilation among preterm infants with respiratory distress syndrome. Additional studies are needed to confirm these results and to assess the safety of NIPPV compared with NCPAP alone in a larger patient population.
[Mh] Termos MeSH primário: Pressão Positiva Contínua nas Vias Aéreas
Ventilação com Pressão Positiva Intermitente
Síndrome do Desconforto Respiratório do Recém-Nascido/terapia
Insuficiência Respiratória/prevenção & controle
[Mh] Termos MeSH secundário: Displasia Broncopulmonar/prevenção & controle
Doença Crônica
Pressão Positiva Contínua nas Vias Aéreas/efeitos adversos
Seres Humanos
Recém-Nascido
Recém-Nascido Prematuro
Ventilação com Pressão Positiva Intermitente/efeitos adversos
Hemorragias Intracranianas
Intubação Intratraqueal/estatística & dados numéricos
Oxigenoterapia/estatística & dados numéricos
Pneumotórax/epidemiologia
Pneumotórax/etiologia
Ensaios Clínicos Controlados Aleatórios como Assunto
[Pt] Tipo de publicação:JOURNAL ARTICLE; META-ANALYSIS; RESEARCH SUPPORT, N.I.H., EXTRAMURAL; REVIEW
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170213
[Lr] Data última revisão:
170213
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161216
[St] Status:MEDLINE
[do] DOI:10.1002/14651858.CD005384.pub2


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[PMID]:27849235
[Au] Autor:Komatsu DF; Diniz EM; Ferraro AA; Ceccon ME; Vaz FA
[Ad] Endereço:MSc in Pediatrics from Faculdade de Medicina, Universidade de São Paulo (FMUSP), São Paulo, SP, Brazil.
[Ti] Título:Randomized controlled trial comparing nasal intermittent positive pressure ventilation and nasal continuous positive airway pressure in premature infants after tracheal extubation.
[So] Source:Rev Assoc Med Bras (1992);62(6):568-574, 2016 Sep.
[Is] ISSN:1806-9282
[Cp] País de publicação:Brazil
[La] Idioma:eng
[Ab] Resumo:Objective:: To analyze the frequency of extubation failure in premature infants using conventional mechanical ventilation (MV) after extubation in groups subjected to nasal intermittent positive pressure ventilation (nIPPV) and continuous positive airway pressure (nCPAP). Method:: Seventy-two premature infants with respiratory failure were studied, with a gestational age (GA) ≤ 36 weeks and birth weight (BW) > 750 g, who required tracheal intubation and mechanical ventilation. The study was controlled and randomized in order to ensure that the members of the groups used in the research were chosen at random. Randomization was performed at the time of extubation using sealed envelopes. Extubation failure was defined as the need for re-intubation and mechanical ventilation during the first 72 hours after extubation. Results:: Among the 36 premature infants randomized to nIPPV, six (16.6%) presented extubation failure in comparison to 11 (30.5%) of the 36 premature infants randomized to nCPAP. There was no statistical difference between the two study groups regarding BW, GA, classification of the premature infant, and MV time. The main cause of extubation failure was the occurrence of apnea. Gastrointestinal and neurological complications did not occur in the premature infants participating in the study. Conclusion:: We found that, despite the extubation failure of the group of premature infants submitted to nIPPV being numerically smaller than in premature infants submitted to nCPAP, there was no statistically significant difference between the two modes of ventilatory support after extubation.
[Mh] Termos MeSH primário: Pressão Positiva Contínua nas Vias Aéreas
Ventilação com Pressão Positiva Intermitente
Síndrome do Desconforto Respiratório do Recém-Nascido/terapia
Desmame do Respirador
[Mh] Termos MeSH secundário: Índice de Apgar
Feminino
Seres Humanos
Recém-Nascido
Recém-Nascido Prematuro
Masculino
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170302
[Lr] Data última revisão:
170302
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161117
[St] Status:MEDLINE


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[PMID]:27830920
[Au] Autor:Forgiarini LA; Esquinas AM
[Ad] Endereço:Centro Universitário Metodista, IPA, Porto Alegre, Brazil - forgiarini.luiz@gmail.com.
[Ti] Título:Pulmonary rehabilitation for perioperative spinal fusion: looking inside practical details.
[So] Source:Eur J Phys Rehabil Med;52(5):753, 2016 Oct.
[Is] ISSN:1973-9095
[Cp] País de publicação:Italy
[La] Idioma:eng
[Mh] Termos MeSH primário: Ventilação com Pressão Positiva Intermitente/métodos
Assistência Perioperatória/métodos
Qualidade de Vida
Escoliose/reabilitação
Fusão Vertebral/reabilitação
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Masculino
Meia-Idade
Terapia Respiratória/métodos
Escoliose/diagnóstico
Fusão Vertebral/métodos
Resultado do Tratamento
Capacidade Vital/fisiologia
[Pt] Tipo de publicação:LETTER
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170609
[Lr] Data última revisão:
170609
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161111
[St] Status:MEDLINE


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[PMID]:27587876
[Au] Autor:Branson RD; Kacmarek RM
[Ad] Endereço:Department of Surgery University of Cincinnati Cincinnati, Ohio.
[Ti] Título:Intermittent Mandatory Ventilation: What's in a Name?
[So] Source:Respir Care;61(9):1282-3, 2016 09.
[Is] ISSN:1943-3654
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Ventilação com Pressão Positiva Intermitente
Desmame do Respirador
[Mh] Termos MeSH secundário: Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; COMMENT
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171114
[Lr] Data última revisão:
171114
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160903
[St] Status:MEDLINE
[do] DOI:10.4187/respcare.05155


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[PMID]:27587875
[Au] Autor:Chatburn RL
[Ad] Endereço:Respiratory Therapy Department Cleveland Clinic Cleveland, Ohio Lerner College of Medicine Case Western Reserve University Cleveland, Ohio.
[Ti] Título:Intermittent Mandatory Ventilation Will Live Forever.
[So] Source:Respir Care;61(9):1281-2, 2016 09.
[Is] ISSN:1943-3654
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Ventilação com Pressão Positiva Intermitente
Desmame do Respirador
[Mh] Termos MeSH secundário: Seres Humanos
[Pt] Tipo de publicação:LETTER; COMMENT
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171114
[Lr] Data última revisão:
171114
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160903
[St] Status:MEDLINE
[do] DOI:10.4187/respcare.05088



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