Electrical activity of the diaphragm during nCPAP and high flow nasal cannula
| Autor: | Gerard J. Hutten, Juliette V. Kraaijenga, A. H. van Kaam, F H de Jongh, C G de Waal |
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| Přispěvatelé: | ARD - Amsterdam Reproduction and Development, Neonatology |
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Male
Respiratory rate medicine.medical_treatment Diaphragm Diaphragmatic breathing medicine.disease_cause 03 medical and health sciences 0302 clinical medicine Respiratory Rate Heart Rate Intensive Care Units Neonatal 030225 pediatrics Fraction of inspired oxygen Heart rate medicine Humans Prospective Studies 030212 general & internal medicine Continuous positive airway pressure Continuous Positive Airway Pressure Electromyography business.industry Infant Newborn Oxygen Inhalation Therapy Obstetrics and Gynecology General Medicine Diaphragm (structural system) Oxygen Control of respiration Anesthesia Pediatrics Perinatology and Child Health Female business Nasal cannula Infant Premature |
| Zdroj: | Archives of disease in childhood. Fetal and neonatal edition, 102(5), F434-F438. BMJ Publishing Group |
| ISSN: | 1359-2998 |
| Popis: | Objective To determine if the electrical activity of the diaphragm, as measure of neural respiratory drive and breathing effort, changes over time in preterm infants transitioned from nasal continuous positive airway pressure (nCPAP) to high flow nasal cannula (HFNC). Design Prospective observational study. Setting Neonatal intensive care unit. Patients Stable preterm infants transitioned from nCPAP to HFNC using a 1:1 pressure to flow ratio. Interventions The electrical activity of the diaphragm was measured by transcutaneous electromyography (dEMG) from 30 min before until 3 hours after the transition. Main outcome measures At eight time points after the transition to HFNC, diaphragmatic activity was compared with the baseline on nCPAP. Percentage change in amplitude dEMG , peak dEMG and tonic dEMG were calculated. Furthermore, changes in respiratory rate, heart rate and fraction of inspired oxygen (FiO 2 ) were analysed. Results Thirty-two preterm infants (mean gestational age: 28.1±2.2 weeks, mean birth weight: 1118±368 g) were included. Compared with nCPAP, the electrical activity of the diaphragm did not change during the first 3 hours on HFNC (median (IQR) change in amplitude dEMG at t=180 min: 2.81% (−21.51–14.10)). The respiratory rate, heart rate and FiO 2 remained stable during the 3-hour measurement. Conclusions Neural respiratory drive and breathing effort assessed by electrical activity of the diaphragm is similar in the first 3 hours after transitioning stable preterm infants from nCPAP to HFNC with a 1:1 pressure-to-flow ratio. |
| Databáze: | OpenAIRE |
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