Tidal volume delivery during nasal intermittent positive pressure ventilation: infant cannula vs. nasal continuous positive airway pressure prongs.


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:
21 Dec 2023
Historique:
received: 28 06 2023
accepted: 29 11 2023
revised: 16 11 2023
medline: 22 12 2023
pubmed: 22 12 2023
entrez: 22 12 2023
Statut: aheadofprint

Résumé

To measure tidal volume delivery during nasal intermittent positive pressure ventilation with two nasal interfaces: infant cannula and nasal prongs. A single-center crossover study of neonates with mild respiratory distress. Fifteen preterm neonates were randomized to initial interface of infant cannula or nasal prongs and monitored on a sequence of pressure settings first on the initial interface, then repeated on the alternate interface. We compared relative tidal volumes between the two interfaces with two-way repeated measures ANOVA during three breath types: synchronized (I), patient effort without ventilator breaths (II), and ventilator breaths without patient effort (III). Clinical trial #NCT04326270. Type III breaths delivered no significant tidal volume. No significant difference was measured in relative tidal volume delivery between the interfaces when breath types were matched. Nasal intermittent positive pressure ventilation delivers neither clinically nor statistically significant tidal volume with either infant cannula or nasal prongs.

Identifiants

pubmed: 38129599
doi: 10.1038/s41372-023-01846-7
pii: 10.1038/s41372-023-01846-7
doi:

Banques de données

ClinicalTrials.gov
['NCT04326270']

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : Arkansas Children's Hospital Research Institute (ACHRI)
ID : 037123

Informations de copyright

© 2023. The Author(s), under exclusive licence to Springer Nature America, Inc.

Références

Miller JD, Carlo WA. Pulmonary complications of mechanical ventilation in neonates. Clin Perinatol. 2008;35:273–81, x-xi.
doi: 10.1016/j.clp.2007.11.004 pubmed: 18280886
The STOP-ROP Multicenter Study Group. Supplemental therapeutic oxygen for prethreshold retinopathy of prematurity (STOP-ROP), a randomized, controlled trial. I: Primary outcomes. Pediatrics. 2000;105:295–310.
doi: 10.1542/peds.105.2.295
Jobe AH, Bancalari E. Bronchopulmonary dysplasia. Am J Respir Crit Care Med. 2001;163:1723–9.
doi: 10.1164/ajrccm.163.7.2011060 pubmed: 11401896
Lemyre B, Davis PG, De Paoli AG, Kirpalani H. Nasal intermittent positive pressure ventilation (NIPPV) versus nasal continuous positive airway pressure (NCPAP) for preterm neonates after extubation. Cochrane Database Syst Rev. 2017;2:CD003212.
pubmed: 28146296
Meneses J, Bhandari V, Alves JG. Nasal intermittent positive-pressure ventilation vs. nasal continuous positive airway pressure for preterm infants with respiratory distress syndrome. Arch Pediatr Adolesc Med. 2012;166:372–6.
doi: 10.1001/archpediatrics.2011.1142 pubmed: 22474063
Rojas-Reyes MX, Lozano JM, Solà I, Soll R Overview of ventilation strategies for the early management of intubated preterm infants. Cochrane Database Syst Rev. 2015, Issue 4. Art. No.: CD011663. https://doi.org/10.1002/14651858.CD011663 .
Dumpa V, Northrup V, Bhandari V. Type and timing of ventilation in the first post-natal week is associated with bronchopulmonary dysplasia/death. Am J Perinatol. 2011;28:321–30.
doi: 10.1055/s-0030-1268708 pubmed: 21082539
Bhandari V, Gavino RG, Nedrelow JH, Pallela P, Salvador A, Ehrenkranz RA, et al. A randomized controlled trial of synchronized nasal intermittent positive pressure ventilation in RDS. J Perinatol. 2007;27:697–703.
doi: 10.1038/sj.jp.7211805 pubmed: 17703184
Iyer NP, Chatburn R. Evaluation of a nasal cannula in noninvasive ventilation using a lung simulator. Respir Care. 2015;60:508–12.
doi: 10.4187/respcare.03560 pubmed: 25492958
Mukerji A, Belik J. Neonatal nasal intermittent positive pressure ventilation efficacy and lung pressure transmission. J Perinatol. 2015;35:716–9.
doi: 10.1038/jp.2015.61 pubmed: 26043417
Owen LS, Morley CJ, Dawson JA, Davis PG. Effects of non-synchronised nasal intermittent positive pressure ventilation on spontaneous breathing in preterm infants. Arch Dis Child Fetal Neonatal Ed. 2011;96:F422–F428.
doi: 10.1136/adc.2010.205195 pubmed: 21335623
Silveira CST, Leonardi KM, Melo AP, Zaia JE, Brunherotti MAA. Response of preterm infants to 2 noninvasive ventilatory support systems: nasal CPAP and nasal intermittent positive-pressure ventilation. Respir Care. 2015;60:1772–6.
doi: 10.4187/respcare.03565 pubmed: 26374907
Kirpalani H, Millar D, Lemyre B, Yoder BA, Chiu A, Roberts RS, et al. A trial comparing noninvasive ventilation strategies in preterm infants. N. Engl J Med. 2013;369:611–20.
doi: 10.1056/NEJMoa1214533 pubmed: 23944299
Owen LS, Morley CJ, Davis PG. Pressure variation during ventilator generated nasal intermittent positive pressure ventilation in preterm infants. Arch Dis Child Fetal Neonatal Ed. 2010;95:F359–F364.
doi: 10.1136/adc.2009.172957 pubmed: 20488862
Matlock DN, Bai S, Weisner MD, Comtois N, Beck J, Sinderby C, et al. Tidal Volume Transmission During Non-Synchronized Nasal Intermittent Positive Pressure Ventilation via RAM® Cannula. J Perinatol. 2019;39:723–9.
doi: 10.1038/s41372-019-0333-x pubmed: 30755718
Robertson NJ, McCarthy LS, Hamilton PA, Moss ALH. Nasal deformities resulting from flow driver continuous positive airway pressure. Arch Dis Child Fetal Neonatal Ed. 1996;75:F209–F212.
doi: 10.1136/fn.75.3.F209 pubmed: 8976689 pmcid: 1061202
Yong SC, Chen SJ, Boo NY. Incidence of nasal trauma associated with nasal prong versus nasal mask during continuous positive airway pressure treatment in very low birthweight infants: a randomised control study. Arch Dis Child Fetal Neonatal Ed. 2005;90:F480–F483.
doi: 10.1136/adc.2004.069351 pubmed: 15941825 pmcid: 1721971
Fischer C, Bertelle V, Hohlfield J, Guex MF, Diaw CS, Tolsa JF. Nasal trauma due to continuous positive airway pressure in neonates. Arch Dis Child Fetal Neonatal Ed. 2010;95:F447–F451.
doi: 10.1136/adc.2009.179416 pubmed: 20584802
Sinderby C, Beck J. Neurally adjusted ventilatory assist in non-invasive ventilation. Minerva Anestesiol. 2013;79:915–25.
pubmed: 23558763
Ulm LN, Hamvas A, Ferkol TW, Rodriguez OM, Cleveland CM, Linneman LA, et al. Sources of methodological variability in phase angles from respiratory inductance plethysmography in preterm infants. Ann Am Thorac Soc. 2014;11:753–60.
doi: 10.1513/AnnalsATS.201310-363OC pubmed: 24716708 pmcid: 4225808
Gerdes JS, Sivieri EM, Abbasi S. Factors influencing delivered mean airway pressure during nasal CPAP with the RAM cannula. Pediatr Pulmonol. 2016;51:60–69.
doi: 10.1002/ppul.23197 pubmed: 25851534
Neotech Products. https://www.neotechproducts.com/product/neotech-ram-cannula/# . Accessed April 6, 2018.
Sivieri EM, Gerdes JS, Abbasi S. Effect of HFNC flow rate, cannula size, and nares diameter on generated airway pressures: an in vitro study. Pediatr Pulmonol. 2013;48:506–14.
doi: 10.1002/ppul.22636 pubmed: 22825878
Reddy SP, Fisher S, White DB, Stein H. Pilot study to compare two nasal airway interfaces in neonates on non-invasive neurally adjusted ventilatory assist. Neonatal Intensive Care. 2015;28:40–42.
Bailes SA, Firestone KS, Dunn DK, McNinch NL, Brown MF, Volsko TA. Evaluating the effect of flow and interface type on pressures delivered with bubble CPAP in a simulated model. Respir Care. 2016;61:333–9.
doi: 10.4187/respcare.04251 pubmed: 26534997
Hochwald O, Borenstein-Levin L, Dinur G, Jubran H, Littner Y, Breuer M, et al. The effect of changing respiratory rate settingds on CO2 levels during nasal intermittent positive pressure ventilation (NIPPV) in premature infants. J Perinatol. 2023;43:305–10.
doi: 10.1038/s41372-023-01614-7 pubmed: 36759706
Namdevb S, Tarafdar O, Fusch G, Beck J, Mukerji A. Pressure transmission and electrical diaphragm activity in preterm infants during nasal intermittent positive pressure ventilation – an exploratory prospective physiological study. J Perinatol. 2023;43:1004–6.
doi: 10.1038/s41372-023-01686-5

Auteurs

Ashley L Lynch (AL)

University of Arkansas for Medical Sciences, Little Rock, AR, USA. allynch@uams.edu.

David N Matlock (DN)

University of Arkansas for Medical Sciences, Little Rock, AR, USA.

Chary Akmyradov (C)

Biostatistics Core, Arkansas Children's Research Institute, Arkansas Children's Hospital, Little Rock, USA.

Michael D Weisner (MD)

Equilibrated Bio Systems, Inc., Smithtown, NY, USA.

Jennifer Beck (J)

Keenan Research Centre for Biomedical Science, St. Michael's Hospital, Toronto, ON, Canada.
Department of Medicine and Interdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, ON, Canada.
Department of Pediatrics, University of Toronto, Toronto, ON, Canada.
Institute for Biomedical Engineering and Science Technology (iBEST) at Ryerson University and St-Michael's Hospital, Toronto, ON, Canada.

Christer Sinderby (C)

Keenan Research Centre for Biomedical Science, St. Michael's Hospital, Toronto, ON, Canada.
Department of Medicine and Interdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, ON, Canada.
Institute for Biomedical Engineering and Science Technology (iBEST) at Ryerson University and St-Michael's Hospital, Toronto, ON, Canada.

Sherry E Courtney (SE)

University of Arkansas for Medical Sciences, Little Rock, AR, USA.

Classifications MeSH