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2013, Number 2

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AMC 2013; 17 (2)

Impact of the use of nasal continuous positive pressure ventilation during the progress of the very low birth weight infants

Barreras AJ, Agüero DA, Avilés CE, Murray HJ, Gómez VY

Language: Spanish
References: 45
Page: 139-149
PDF size: 206.53 Kb.


ABSTRACT

Background: complications of very low birth weight infants are reduced by using nasal continuous positive pressure ventilation.
Objective: to determine the impact of nasal continuous positive pressure ventilation during the progress of the very low birth weight infants.
Method: an evaluation investigation was conducted along with an analytical observational design in retrospective way. The study universe was composed of 163 very low weight infants, who required any type of ventilation from January 1 2007 to December 31st 2010, treated in the Neonatology Department at the Gynecobstetrical University Hospital Ana Betancourt de Mora. The sample was constituted by a study group of 95 infants and a control group of 68.
Results: there was a great similarity between weight and gestational age of both groups. The length of the ventilation was considerably shorter in the study group (97.87 for 127 days). There was significant air block decrease and pneumonia after ventilation in the study group. There was no significant difference regarding the incidence of intraventricular hemorrhage. Fewer children from the study group died (0.08 % against 0.15 %).
Conclusions: the impact of using nasal continuous positive pressure ventilation during the progress of the very low birth weight infants treated in the Neonatology Department at the Gynecobstetrical University Hospital Ana Betancourt de Mora was satisfactory.


REFERENCES

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  38. Finer NN, Carlo WA, Walsh MC, Rich W, Gantz MG, Laptook AR, et al. Early CPAP versus surfactant in extremely preterm infants. N Engl J Med. 2010;362:1970–9.

  39. Sekar KC, Corff KE. To tube or not to tube babies with respiratory distress syndrome. J Perinatol. 2009 May;29 Suppl 2:S68-72.

  40. Jay D, Iams MD. The epidemiology of preterm birth. Clin Perinatol. 2003;30:651-64.

  41. Tucker J, McGuire W. ABC of preterm birth. Epidemiology of preterm birth. BMJ. 2004;329:675-8.

  42. Kamath BD, Macguire ER, McClure EM, Goldenberg RL, Jobe AH. Neonatal mortality from respiratory distress syndrome: lessons for low-resource countries. Pediatrics. 2011 Jun;127(6):1139-46.

  43. Sweet DG, Carnielli V, Greisen G, Hallman M, Ozek E, Plavka R, et al. European Association of Perinatal Medicine. European consensus guidelines on the management of neonatal respiratory distress syndrome in preterm infants - 2010 . Neonatology. 2010 Jun;97(4):402-17.

  44. Diblasi RM. Nasal continuous positive airway pressure (CPAP) for the respiratory care of the newborn infant. Respir Care. 2009 Sep;54(9):1209-35.

  45. Bohlin K, Jonsson B, Gustafsson AS, Blennow M. Continuous positive airway pressure and surfactant. Neonatology. 2008;93(4):309-15.




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