Work of breathing during HHHFNC and synchronised NIPPV following extubation
نویسندگان
چکیده
منابع مشابه
Neonatal non-invasive respiratory support: synchronised NIPPV, non-synchronised NIPPV or bi-level CPAP: what is the evidence in 2013?
Nasal continuous positive airway pressure (NCPAP) has proven to be an effective mode of non-invasive respiratory support in preterm infants; however, many infants still require endotracheal ventilation, placing them at an increased risk of morbidities such as bronchopulmonary dysplasia. Several other modes of non-invasive respiratory support beyond NCPAP, including synchronised and non-synchron...
متن کاملSpontaneous breathing trial and post-extubation work of breathing in morbidly obese critically ill patients
BACKGROUND Predicting whether an obese critically ill patient can be successfully extubated may be specially challenging. Several weaning tests have been described but no physiological study has evaluated the weaning test that would best reflect the post-extubation inspiratory effort. METHODS This was a physiological randomized crossover study in a medical and surgical single-center Intensive...
متن کاملIs synchronised NIPPV more effective than NIPPV and NCPAP in treating apnoea of prematurity (AOP)? A randomised cross-over trial.
BACKGROUND Apnoea, desaturations and bradycardias are common problems in preterm infants which can be treated with nasal continuous positive airway pressure (NCPAP) and nasal intermittent positive pressure ventilation (NIPPV). It is unclear whether synchronised NIPPV (SNIPPV) would be even more effective. OBJECTIVE To assess the effects of flow-SNIPPV, NIPPV and NCPAP on the rate of desaturat...
متن کاملRisk factors for extubation success in patients following failure of a spontaneous breathing trial.
I read with great interest the article in CHEST by Silverman and colleagues1 (January 2007). I think that it is a very important article because is the first attempt to assess the performance of spirometry in an acute care setting. Thus, it is well established that the severity of airflow obstruction cannot be accurately judged by means of symptoms and physical examination. On presentation, aft...
متن کاملExtubation with or without spontaneous breathing trial.
Purpose- To evaluate whether spontaneous breathing trials (SBTs) are necessary when extubating critical care patients. Methods- A prospective, randomized, double-blind study was performed in adult patients supported by mechanical ventilation for at least 48 hours in the general intensive care unit of a teaching hospital. Patients ready for weaning were randomly assigned to either the SBT group ...
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ژورنال
عنوان ژورنال: European Journal of Pediatrics
سال: 2018
ISSN: 0340-6199,1432-1076
DOI: 10.1007/s00431-018-3254-3