Comparison of four different non-invasive respiratorysupport techniques as primary respiratory support inpreterm infants

yigit, sule; CELIK, HASAN TOLGA; Yurdakok, Murat; Öktem, Ahmet

doi:10.24953/turkjped.2021.01.003

Comparison of four different non-invasive respiratorysupport techniques as primary respiratory support inpreterm infants

Ahmet ÖKTEM, (Department of Neonatology, Dr. Sami Ulus Training and Research Hospital, Ankara, Turkey)

Şule YİĞİT, (Department of Neonatology, Hacettepe University Faculty of Medicine, Ankara, Turkey.)

Hasan Tolga ÇELİK, (Department of Neonatology, Hacettepe University Faculty of Medicine, Ankara, Turkey.)

Murat YURDAKOK (Department of Neonatology, Hacettepe University Faculty of Medicine, Ankara, Turkey.)

Turkish Journal of Pediatrics

2 0

Yıl: 2021 Cilt: 63 Sayı: 1 Sayfa Aralığı: 23 - 30 Metin Dili: İngilizce DOI: 10.24953/turkjped.2021.01.003 İndeks Tarihi: 20-05-2022

Comparison of four different non-invasive respiratorysupport techniques as primary respiratory support inpreterm infants

Öz:

Background. The use of non-invasive ventilation methods in neonatal intensive care units has been increasingin recent years. Non-invasive ventilation techniques are lung preserving methods and they reduce the risk ofvolutrauma, barotrauma, and atelectotrauma. Methods. The effect of heated humidified high-flow nasal cannula (HHHFNC), continuous positive airwaypressure (CPAP), nasal intermittent positive-pressure ventilation (NIPPV), and nasal high-frequency oscillationventilation (NHFOV) were compared in preterm infants with respiratory distress.Results. Between December 2015 and February 2017, a total of 76 preterm infants (gestational age <32 weeks)with respiratory distress were enrolled in this study. Of the patients, 20 received HHHFNC, while 20 receivednasal CPAP (NCPAP), 19 received NIPPV, and 17 received NHFOV for respiratory support. The primaryoutcome was intubation requirement during non-invasive respiratory support. The secondary outcome includedduration of non-invasive ventilation, air leak syndrome, abdominal distension, intraventricular hemorrhage,necrotizing enterocolitis (NEC), nasal injury, increased secretions, agitation, and mortality rate. The intubationratio was higher in the NCPAP (40%) and NHFOV (29.4%) groups when compared with the NIPPV (10.5%)and HHHFNC (11.8%) groups. More nasal injury had developed in the NIPPV (78.9%) and NHFOV (82.4%)groups when compared with the NCPAP (40%) and HHHFNC (35%) groups. Moreover, the viscous secretionthat blocked the cannulas was higher in NIPPV (78.9%) and NHFOV (76.5%) groups than NCPAP (25%) andHHHFNC (40%) groups. There were no significant differences in the duration of non-invasive ventilationmethods, abdominal distension, NEC, air leak syndrome or mortality in the 4 groups.Conclusions. The NIPPV and HHHFNC methods can be useful as a primary mode of respiratory support forrespiratory distress. However, doctors need to be careful with regard to the complications that may develop.

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APA	Öktem A, yigit s, CELIK H, Yurdakok M (2021). Comparison of four different non-invasive respiratorysupport techniques as primary respiratory support inpreterm infants. , 23 - 30. 10.24953/turkjped.2021.01.003
Chicago	Öktem Ahmet,yigit sule,CELIK HASAN TOLGA,Yurdakok Murat Comparison of four different non-invasive respiratorysupport techniques as primary respiratory support inpreterm infants. (2021): 23 - 30. 10.24953/turkjped.2021.01.003
MLA	Öktem Ahmet,yigit sule,CELIK HASAN TOLGA,Yurdakok Murat Comparison of four different non-invasive respiratorysupport techniques as primary respiratory support inpreterm infants. , 2021, ss.23 - 30. 10.24953/turkjped.2021.01.003
AMA	Öktem A,yigit s,CELIK H,Yurdakok M Comparison of four different non-invasive respiratorysupport techniques as primary respiratory support inpreterm infants. . 2021; 23 - 30. 10.24953/turkjped.2021.01.003
Vancouver	Öktem A,yigit s,CELIK H,Yurdakok M Comparison of four different non-invasive respiratorysupport techniques as primary respiratory support inpreterm infants. . 2021; 23 - 30. 10.24953/turkjped.2021.01.003
IEEE	Öktem A,yigit s,CELIK H,Yurdakok M "Comparison of four different non-invasive respiratorysupport techniques as primary respiratory support inpreterm infants." , ss.23 - 30, 2021. 10.24953/turkjped.2021.01.003
ISNAD	Öktem, Ahmet vd. "Comparison of four different non-invasive respiratorysupport techniques as primary respiratory support inpreterm infants". (2021), 23-30. https://doi.org/10.24953/turkjped.2021.01.003

APA	Öktem A, yigit s, CELIK H, Yurdakok M (2021). Comparison of four different non-invasive respiratorysupport techniques as primary respiratory support inpreterm infants. Turkish Journal of Pediatrics, 63(1), 23 - 30. 10.24953/turkjped.2021.01.003
Chicago	Öktem Ahmet,yigit sule,CELIK HASAN TOLGA,Yurdakok Murat Comparison of four different non-invasive respiratorysupport techniques as primary respiratory support inpreterm infants. Turkish Journal of Pediatrics 63, no.1 (2021): 23 - 30. 10.24953/turkjped.2021.01.003
MLA	Öktem Ahmet,yigit sule,CELIK HASAN TOLGA,Yurdakok Murat Comparison of four different non-invasive respiratorysupport techniques as primary respiratory support inpreterm infants. Turkish Journal of Pediatrics, vol.63, no.1, 2021, ss.23 - 30. 10.24953/turkjped.2021.01.003
AMA	Öktem A,yigit s,CELIK H,Yurdakok M Comparison of four different non-invasive respiratorysupport techniques as primary respiratory support inpreterm infants. Turkish Journal of Pediatrics. 2021; 63(1): 23 - 30. 10.24953/turkjped.2021.01.003
Vancouver	Öktem A,yigit s,CELIK H,Yurdakok M Comparison of four different non-invasive respiratorysupport techniques as primary respiratory support inpreterm infants. Turkish Journal of Pediatrics. 2021; 63(1): 23 - 30. 10.24953/turkjped.2021.01.003
IEEE	Öktem A,yigit s,CELIK H,Yurdakok M "Comparison of four different non-invasive respiratorysupport techniques as primary respiratory support inpreterm infants." Turkish Journal of Pediatrics, 63, ss.23 - 30, 2021. 10.24953/turkjped.2021.01.003
ISNAD	Öktem, Ahmet vd. "Comparison of four different non-invasive respiratorysupport techniques as primary respiratory support inpreterm infants". Turkish Journal of Pediatrics 63/1 (2021), 23-30. https://doi.org/10.24953/turkjped.2021.01.003