Comparison of extubation success using noninvasive positive pressure ventilation (NIPPV) versus noninvasive neurally adjusted ventilatory assist (NI-NAVA).
Journal
Journal of perinatology : official journal of the California Perinatal Association
ISSN: 1476-5543
Titre abrégé: J Perinatol
Pays: United States
ID NLM: 8501884
Informations de publication
Date de publication:
08 2020
08 2020
Historique:
received:
09
09
2019
accepted:
18
12
2019
revised:
18
11
2019
pubmed:
9
1
2020
medline:
1
9
2021
entrez:
9
1
2020
Statut:
ppublish
Résumé
Compare rates of initial extubation success in preterm infants extubated to NIPPV or NI-NAVA. In this pilot study, we randomized 30 mechanically ventilated preterm infants at the time of initial elective extubation to NI-NAVA or NIPPV in a 1:1 assignment. Primary study outcome was initial extubation success. Rates of continuous extubation for 120 h were 92% in the NI-NAVA group and 69% in the NIPPV group (12/13 vs. 9/13, respectively, p = 0.14). Infants extubated to NI-NAVA remained extubated longer (median 18 vs. 4 days, p = 0.02) and experienced lower peak inspiratory pressures (PIP) than infants managed with NIPPV throughout the first 3 days after extubation. Survival analysis through 14 days post extubation showed a sustained difference in the primary study outcome until 12 days post extubation. Our study is the first to suggest that a strategy of extubating preterm infants to NI-NAVA may be more successful.
Identifiants
pubmed: 31911641
doi: 10.1038/s41372-019-0578-4
pii: 10.1038/s41372-019-0578-4
pmc: PMC7222927
doi:
Types de publication
Journal Article
Randomized Controlled Trial
Langues
eng
Sous-ensembles de citation
IM
Pagination
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