Non-invasive Respiratory Support of the Premature Neonate: From Physics to Bench to Practice
| Autor: | Sreenivas Karnati, Ibrahim Sammour |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Population Review 030204 cardiovascular system & hematology Pediatrics 03 medical and health sciences bubble CPAP 0302 clinical medicine CPAP 030225 pediatrics medicine Neonatology nasal high frequency ventilation education Intensive care medicine Mechanical ventilation education.field_of_study Respiratory distress business.industry non-invasive ventilation high flow nasal cannula lcsh:RJ1-570 lcsh:Pediatrics medicine.disease Bronchopulmonary dysplasia Review article Low birth weight Bubble CPAP neurally adjusted ventilator assist (NAVA) Pediatrics Perinatology and Child Health medicine.symptom business |
| Zdroj: | Frontiers in Pediatrics, Vol 8 (2020) Frontiers in Pediatrics |
| ISSN: | 2296-2360 |
| DOI: | 10.3389/fped.2020.00214/full |
| Popis: | Premature births continue to rise globally with a corresponding increase in various morbidities among this population. Rates of respiratory distress syndrome and the consequent development of Bronchopulmonary Dysplasia (BPD) are highest among the extremely preterm infants. The majority of extremely low birth weight premature neonates need some form of respiratory support during their early days of life. Invasive modes of respiratory assistance have been popular amongst care providers for many years. However, the practice of prolonged invasive mechanical ventilation is associated with an increased likelihood of developing BPD along with other comorbidities. Due to the improved understanding of the pathophysiology of BPD, and technological advances, non-invasive respiratory support is gaining popularity; whether as an initial mode of support, or for post-extubation of extremely preterm infants with respiratory insufficiency. Due to availability of a wide range of modalities, wide variations in practice exist among care providers. This review article aims to address the physical and biological basis for providing non-invasive respiratory support, the current clinical evidence, and the most recent developments in this field of Neonatology. |
| Databáze: | OpenAIRE |
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