Effect of nasal continuous positive airway pressure on the pharyngeal swallow in neonates
| Autor: | Louisa Ferrara, C C Crowley, A Bidiwala, Warren Rosenfeld, Melodi Pirzada, I Sher, D Barlev, Nazeeh Hanna, Shahidul Islam |
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| Rok vydání: | 2017 |
| Předmět: |
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medicine.medical_specialty medicine.medical_treatment Infant Premature Diseases 03 medical and health sciences 0302 clinical medicine Swallowing Laryngeal penetration 030225 pediatrics medicine Humans Neonatology Continuous positive airway pressure Continuous Positive Airway Pressure business.industry Infant Newborn Reflux Obstetrics and Gynecology Gestational age Cannula United States Deglutition Fluoroscopy Anesthesia Pediatrics Perinatology and Child Health Pharynx Female Deglutition Disorders business Infant Premature 030217 neurology & neurosurgery Oral feeding |
| Zdroj: | Journal of Perinatology. 37:398-403 |
| ISSN: | 1476-5543 0743-8346 |
| DOI: | 10.1038/jp.2016.229 |
| Popis: | Feeding neonates orally while on nasal continuous positive airway pressure (nCPAP) is a common practice. We hypothesize that pressurized airflow provided by nCPAP will alter the swallowing mechanism in neonates, increasing the risk of aspiration during oral feeding. Infants receiving nCPAP with a RAM cannula and tolerating at least 50% of their feeding orally were included in the study (one term; six preterm infants). Each participant underwent a videofluoroscopic swallow study while on nCPAP and off nCPAP. A non-parametric signed-rank test was used for paired data. The incidence of deep penetration (P=0.03) and aspiration (P=0.01) decreased significantly off-nCPAP compared with on-nCPAP. However, the incidence of mild penetration (P=0.65) and nasopharyngeal reflux (P=0.87) remained the same under both conditions. Oral feeding while on-nCPAP significantly increases the risk of laryngeal penetration and tracheal aspiration events. We recommend caution when initiating oral feedings on nCPAP. |
| Databáze: | OpenAIRE |
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