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Am J Perinatol. 2015 Feb;30(2):171-6. doi: 10.1055/s-0034-1381317. Epub 2014 Jun 10.

Use of noninvasive high-frequency ventilation in the neonatal intensive care unit: a retrospective review.

Author information

1
Department of Paediatrics, Hospital for Sick Children, Toronto, Ontario, Canada.
2
Department of Paediatrics, McMaster Children's Hospital, Hamilton, Ontario, Canada.
3
Department of Paediatrics, Sunnybrook Health Sciences Center, Toronto, Ontario, Canada.
4
Department of Paediatrics, Mount Sinai Hospital, Toronto, Ontario, Canada.

Abstract

OBJECTIVE:

The aim of the article is to review the effectiveness of neonatal noninvasive high-frequency ventilation (NIHFV) in preventing endotracheal mechanical ventilation.

STUDY DESIGN:

Retrospective case series including all 79 instances of NIHFV use at four participating centers between July 2010 and September 2012.

RESULTS:

In 73% of cases, NIHFV was used as rescue after another noninvasive mode, and prophylactically (postextubation) in the remainder. In 58% of cases, infants transitioned to another noninvasive mode, without requiring intubation. There were significant reductions in the mean (SD) number of apneas, bradycardias, or desaturations (over 6 hours) (3.2 [0.4] vs. 1.2 [0.3]; p < 0.001), FiO2 (48 [3] vs. 40 [2]%; p < 0.001) and CO2 levels (74 [6] vs. 62 [4] mm Hg; p = 0.025] with NIHFV. No NIHFV-related complications were noted.

CONCLUSIONS:

NIHFV is a promising NIV mode that may help prevent or delay intubation and deserves further clinical research.

PMID:
24915560
DOI:
10.1055/s-0034-1381317
[Indexed for MEDLINE]
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