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. 2013 Mar;15(3):183-6.
doi: 10.5812/ircmj.2791. Epub 2013 Mar 5.

Comparison of High Frequency Positive Pressure Mechanical Ventilation (HFPPV) With Conventional Method in the Treatment of Neonatal Respiratory Failure

Elahe Amini  1 , Fatemeh Sadat Nayeri, Arezu Hemati, Tahere Esmaeilinia, Firuzeh Nili, Hossein Dalili, Majid Aminnejad
Affiliations

Comparison of High Frequency Positive Pressure Mechanical Ventilation (HFPPV) With Conventional Method in the Treatment of Neonatal Respiratory Failure

Elahe Amini et al. Iran Red Crescent Med J. 2013 Mar.

Abstract

Background: Respiratory failure is a major problem in neonatal medicine in all over the world and has different causes. Using mechanical ventilation is one of its major treatments.

Objectives: Different strategies have been expressed in this context, including high frequency mechanical ventilation.

Patients and methods: This study is a prospective randomized clinical trial conducted on all newborns with respiratory failure hospitalized in the NICU of Tehran vali-asr Hospital during 2009.These patients were divided in to two groups through block Randomization method; conventional mechanical ventilation group and high frequency ventilation group.

Results: Intraventricular hemorrhage (IVH) and air leak (e.g. pneumothorax) were less in HFPPV group than conventional group (P = 0.012 and P = 0.038). The mean time needed for mechanical ventilation was lower in HFPPV group, but this difference was not statistically significant (P = 0.922). Needing to O2 in 28 days of age was almost equal in both groups (P = 0. 99). Mortality, and refractory hypoxia and PVL were lower in HFPPV group, but the difference was not statistically significant (P = 0.301, P = 0. 508, P = 0. 113).

Conclusions: Treatment of neonatal respiratory failure with high rate mechanical ventilation may reduce some complications.

Keywords: Infant, Newborn; Respiratory Insufficiency; Ventilation.

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