Which Continuous Positive Airway Pressure System is Best for the Preterm Infant with Respiratory Distress Syndrome?

被引:30
作者
Pillow, J. Jane [1 ,2 ,3 ]
机构
[1] Univ Western Australia, Ctr Neonatal Res & Educ, Perth, WA 6009, Australia
[2] Univ Western Australia, Sch Womens & Infants Hlth, Perth, WA 6009, Australia
[3] King Edward Mem Hosp Women, Neonatal Clin Care Unit, Subiaco, WA 6008, Australia
关键词
Continuous positive airway pressure; Noninvasive ventilation; Infant; Newborn; Variable flow; Constant flow; Apnea; Respiratory distress syndrome; FLOW NASAL CANNULA; CONTINUOUS NEGATIVE-PRESSURE; PREMATURE-INFANTS; BREATHING PATTERN; LUNG-MECHANICS; CPAP SYSTEMS; NOISE-LEVELS; BUBBLE; WORK; DEVICE;
D O I
10.1016/j.clp.2012.06.007
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Various commercial and home-made continuous positive airway pressure (CPAP) systems are described in this article. CPAP may be delivered via a range of device-patient interfaces; nasal CPAP is most common, and short binasal prongs impose the least extrinsic load impedance on the infant. The source of pressure generation is categorized as either constant pressure or constant flow. The efficacy of different systems may vary according to whether lung volume recruitment, airway patency, minimization of work of breathing, or central nervous system stimulation are the primary goal of the clinical decision to use CPAP therapy.
引用
收藏
页码:483 / +
页数:15
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