Nasal continuous positive airways pressure immediately after extubation for preventing morbidity in preterm infants

The Cochrane Database of Systematic Reviews
P G Davis, D J Henderson-Smart

Abstract

Preterm infants being extubated following a period of intermittent positive pressure ventilation via an endotracheal tube are at risk of developing respiratory failure as a result of apnea, respiratory acidosis and hypoxia. Nasal continuous positive airway pressure appears to stabilise the upper airway, improve lung function and reduce apnea and may therefore have a role in facilitating extubation in this population. In preterm infants having their endotracheal tube removed following a period of intermittent positive pressure ventilation (IPPV), does management with nasal continuous positive airways pressure (NCPAP) lead to an increased proportion remaining free of additional ventilatory support, compared to extubation directly to headbox oxygen? Searches were made of the Oxford Database of Perinatal Trials, Medline, previous reviews including cross references, abstracts of conferences and symposia proceedings, expert informants, journal handsearching mainly in the English language and expert informant searches in the Japanese language by Prof. Ogawa. All trials utilising random or quasi-random patient allocation, in which NCPAP (delivered by any method) was compared with headbox oxygen for post-extubation care were included. M...Continue Reading

References

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Citations

Mar 17, 2010·Archives of Otolaryngology--head & Neck Surgery·Kris R JatanaCharles A Elmaraghy
Aug 23, 2007·Archives of Disease in Childhood. Fetal and Neonatal Edition·Louise S OwenPeter G Davis
Aug 2, 2015·European Journal of Pediatrics·Yue YinDavid A Todd
Jun 22, 2002·The Cochrane Database of Systematic Reviews·V J Flenady, P H Gray
Jul 25, 2000·The Cochrane Database of Systematic Reviews·D J Henderson-Smart, P G Davis
Jan 16, 2009·Pediatrics International : Official Journal of the Japan Pediatric Society·Luke Jardine, Mark W Davies
Sep 11, 2009·Journal of Perinatology : Official Journal of the California Perinatal Association·J SwietlinskiUNKNOWN Polish Noninvasive Respiratory Study Group
Apr 16, 2010·Journal of Perinatology : Official Journal of the California Perinatal Association·S E CourtneyR H Habib
Oct 27, 2017·Journal of Perinatology : Official Journal of the California Perinatal Association·N EzeV K Rehan
Sep 15, 2017·Maternal Health, Neonatology and Perinatology·Calum T Roberts, Kate A Hodgson
Dec 15, 2010·The Cochrane Database of Systematic Reviews·David J Henderson-Smart, Peter G Davis
May 7, 2003·Journal of Perinatology : Official Journal of the California Perinatal Association·Vivek NarendranAlan H Jobe
Apr 18, 2020·The Cochrane Database of Systematic Reviews·Luca MorescoMatteo Bruschettini
Dec 21, 2018·Archives of Disease in Childhood. Fetal and Neonatal Edition·Elys Alexandra GreenCalum Timothy Roberts
May 16, 2012·Journal of Paediatrics and Child Health·Paul F FlemingMichael Stewart
Aug 30, 2019·BMC Pediatrics·Byoung Kook LeeHan-Suk Kim
Feb 5, 2008·Indian Journal of Pediatrics·Satish MishraVinod K Paul
Feb 18, 2011·The Cochrane Database of Systematic Reviews·Luke A JardineMark W Davies
Aug 11, 2017·European Journal of Pediatrics·Gianluca ListaFernando R Moya
Jul 2, 2019·NeoReviews·Walid A Hussain, Jeremy D Marks
Jun 18, 2016·The Cochrane Database of Systematic Reviews·Prema SubramaniamPeter G Davis

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