Nasal intermittent positive pressure ventilation during less invasive surfactant administration in preterm infants: An open-label randomized controlled study.
noninvasive ventilation
respiratory distress syndrome
Journal
Pediatric pulmonology
ISSN: 1099-0496
Titre abrégé: Pediatr Pulmonol
Pays: United States
ID NLM: 8510590
Informations de publication
Date de publication:
22 Jan 2024
22 Jan 2024
Historique:
revised:
08
01
2024
received:
20
07
2023
accepted:
10
01
2024
medline:
5
3
2024
pubmed:
5
3
2024
entrez:
5
3
2024
Statut:
aheadofprint
Résumé
Approximately half of very preterm infants with respiratory distress syndrome (RDS) fail treatment with nasal continuous positive airway pressure (NCPAP) and need mechanical ventilation (MV). Our aim with this study was to evaluate if nasal intermittent positive pressure ventilation (NIPPV) during less invasive surfactant treatment (LISA) can improve respiratory outcome compared with NCPAP. We carried out an open-label randomized controlled trial at tertiary neonatal intensive care units in which infants with RDS born at 25 We enrolled 101 infants in the NIPPV group and 99 in the NCPAP group. The unadjusted odds ratio for the composite primary outcome was 0.873 (95% confidence interval: 0.456-1.671; p = .681). We found that the SpO The application of NIPPV or NCPAP during LISA in very preterm infants supported with NCPAP before and after surfactant administration had similar effects on the short-term respiratory outcome and are both safe. Our study does not support the use of NIPPV during LISA.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : Partially funded by Chiesi Farmaceutici
Investigateurs
Michel Luzzati
(M)
Francesca Miselli
(F)
Maria Vittoria Foderini
(MV)
Luigi Balestriere
(L)
Dario Riccardi
(D)
Vincenza Roseto
(V)
Ida Rotta
(I)
Vittorio Picone
(V)
Anna Molisso
(A)
Emilia Pirozzi
(E)
Amelia Faiella
(A)
Bruno Orsini
(B)
Francesco Maria Toro
(FM)
Francesca Castoldi
(F)
Domenica Mercadante
(D)
Matilde Amatruda
(M)
Lucia Marina Marseglia
(LM)
Arianna Aceti
(A)
Maria Grazia Capretti
(MG)
Alessandra Grison
(A)
Anthea Bottoni
(A)
Paola Fusco
(P)
Milena Tana
(M)
Matteo Rinaldi
(M)
Pio Liberatore
(P)
Annalisa Fracchiolia
(A)
Carla Cimino
(C)
Silvia Vendramin
(S)
Informations de copyright
© 2024 Wiley Periodicals LLC.
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