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Randomized Controlled Trial
. 2021 Feb;49(2):300060520984915.
doi: 10.1177/0300060520984915.

Non-invasive high-frequency oscillatory ventilation in preterm infants after extubation: a randomized, controlled trial

Yan Li  1   2 , Qiufen Wei  2 , Dan Zhao  2 , Yan Mo  2 , Liping Yao  2 , Lingxiao Li  2 , Wei Tan  2 , Xinnian Pan  2 , Jiayan Yao  2 , Wei Dai  2 , Danni Zhong  1
Affiliations
Randomized Controlled Trial

Non-invasive high-frequency oscillatory ventilation in preterm infants after extubation: a randomized, controlled trial

Yan Li et al. J Int Med Res. 2021 Feb.

Abstract

Objective: To investigate the effectiveness and safety of non-invasive high-frequency oscillatory ventilation (NHFOV) in post-extubation preterm infants.

Methods: This was a randomized, controlled trial. A total of 149 preterm infants aged between 25 to 34 weeks' gestational age with a birth weight of <1500 g who required invasive mechanical ventilation on admission were included. After extubation, they were randomized to the NHFOV group (n = 47), nasal intermittent positive pressure ventilation (NIPPV) group (n = 51), or nasal continuous positive airway pressure (NCPAP) group (n = 51). We compared the effectiveness and safety among these three groups.

Results: A total of 139 preterm infants finally completed the study. The reintubation rate was significantly lower in the NHFOV group than in the other groups. The duration of non-invasive ventilation and the length of hospital stay in the NHFOV and NIPPV groups were significantly shorter than those in the NCPAP group. The incidence of bronchopulmonary dysplasia in the NHFOV and NIPPV groups was significantly lower than that in the NCPAP group. The NHFOV group had significantly less nasal injury than the NCPAP group.

Conclusion: As post-extubation respiratory support in preterm infants, NHFOV has a lower reintubation rate compared with NCPAP and NIPPV, without increasing the rate of complications.

Keywords: Preterm infant; bronchopulmonary dysplasia; invasive ventilation; nasal continuous positive airway pressure; non-invasive high-frequency oscillatory ventilation; post-extubation.

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Conflict of interest statement

Declaration of conflicting interest: The authors declare that there is no conflict of interest.

Figures

Figure 1.
Figure 1.
CONSORT flow diagram. NHFOV, non-invasive high-frequency oscillatory ventilation NIPPV, nasal intermittent positive pressure ventilation; NCPAP, nasal continuous positive airway pressure; ROP, retinopathy of prematurity.
See this image and copyright information in PMC

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