Nasal continuous positive airway pressure (NCPAP) and Bi-level NCPAP (providing two levels of CPAP) are used in preterm infants with RDS. INSURE (INtubation-SURfactant-Extubation) procedure improves respiratory outcome and reduces the need for mechanical ventilation (MV). Volumes optimization after surfactant administration modifies spatial distribution of ventilation. Our target is to evaluate the need for MV in preterm infants undergoing NCPAP or Bilevel NCPAP after INSURE procedure for RDS. Bilevel NCPAP reduced the need for mechanical ventilation, the lenght of respiratory support and of O2 dependency after INSURE procedure. This result suggests that two alternating CPAP levels lead to a better lung volume recruitment after surfactant administration.
Mancuso, D. A., Fontana, P., Castoldi, F., Cavigioli, F., Bastrenta, P., Bianchi, S., Lista, G., INSURE Procedure Efficacy in Preterm Infants with Respiratory Distress Syndrome Undergoing Nasal CPAP or Bilevel Nasal CPAP, Poster, in 2012 Pediatric Academic Societies - PAS Annual Meeting April 28-May 1, 2012 Boston, MA, (Boston, 28-April 01-May 2012), Scripta Web, Boston 2012: 4520204-4520204 [http://hdl.handle.net/10807/1938]
INSURE Procedure Efficacy in Preterm Infants with Respiratory Distress Syndrome Undergoing Nasal CPAP or Bilevel Nasal CPAP
Mancuso, Diego Attilio;
2012
Abstract
Nasal continuous positive airway pressure (NCPAP) and Bi-level NCPAP (providing two levels of CPAP) are used in preterm infants with RDS. INSURE (INtubation-SURfactant-Extubation) procedure improves respiratory outcome and reduces the need for mechanical ventilation (MV). Volumes optimization after surfactant administration modifies spatial distribution of ventilation. Our target is to evaluate the need for MV in preterm infants undergoing NCPAP or Bilevel NCPAP after INSURE procedure for RDS. Bilevel NCPAP reduced the need for mechanical ventilation, the lenght of respiratory support and of O2 dependency after INSURE procedure. This result suggests that two alternating CPAP levels lead to a better lung volume recruitment after surfactant administration.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.