Panel Discussion: Non-invasive Respiratory Support in NICU
نویسندگان
چکیده
Non-invasive respiratory support in the neonatal intensive care unit (NICU) is a mainstay to reduce complications of invasive mechanical ventilation. Nasal Continuous Positive Airway Pressure (CPAP) in infants is used for situations such as respiratory distress syndrome, apnea of prematurity, bronchomalacia with terminal airway collapse, and in other conditions that require positive pressure. Types of CPAP used in neonates include continuous flow CPAP, variable flow CPAP, bubble or underwater seal CPAP, bi-level CPAP, synchronized non-invasive positive pressure ventilation, high flow nasal cannula, and nasal high frequency ventilation (NHFV). Changes resulting from research and product development have generated new ideas and different types of CPAP prongs or masks that accommodate the infant’s needs, with an emphasis on non-invasive devices. Overall, non-invasive respiratory support strategies for the management of RDS in the neonatal intensive care unit continue to evolve. Early CPAP is practiced regularly in the delivery room to encourage spontaneous breathing and promote surfactant production in the smallest infants. Comprehensive strategies to prevent chronic lung disease and oxygen dependence are essential for survival and quality of life in these patients.
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تاریخ انتشار 2017