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Review
. 2020 Mar;7(1):19-25.
doi: 10.1016/j.ijpam.2020.02.005. Epub 2020 Feb 18.

Practical aspects on the use of non-invasive respiratory support in preterm infants

Nehad Nasef  1   2 , Hend Me Rashed  3 , Hany Aly  4
Affiliations
Review

Practical aspects on the use of non-invasive respiratory support in preterm infants

Nehad Nasef et al. Int J Pediatr Adolesc Med. 2020 Mar.

Erratum in

  • Erratum regarding previously published articles.
    [No authors listed] [No authors listed] Int J Pediatr Adolesc Med. 2020 Dec;7(4):212. doi: 10.1016/j.ijpam.2020.09.004. Epub 2020 Sep 28. Int J Pediatr Adolesc Med. 2020. PMID: 33319023 Free PMC article.

Abstract

Preterm infants frequently present with respiratory insufficiency requiring respiratory assistance. Invasive mechanical ventilation has been associated with several short and long term complications. Therefore, the practice of early use of non-invasive ventilation has been adopted. Nasal CPAP proved efficacy as an initial therapy for preterm infants. Non-invasive positive pressure ventilation is an alternative used to mitigate CPAP failure in infants with apnea or increased work of breathing. High flow nasal cannula gained popularity primarily due to the ease of its use, despite multiple prominent trials that demonstrated its inferiority. Bi-level positive airway pressure and neurally adjusted non-invasive ventilatory are used in infants with apnea and increased work of breathing. The effectiveness of non invasive ventilation tools can be augmented by having a proper protocol for initiation, weaning, skin care, positioning, and developmental care during their application.

Keywords: Mechanical ventilation; Neonatal respiratory distress syndrome; Noninvasive ventilation; Preterm infant.

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