Continuous Positive Airway Pressure To Bubble or Not to Bubble?

被引:18
作者
Gupta, Samir [1 ]
Donn, Steven M. [2 ]
机构
[1] Univ Durham, Univ Hosp North Tees, Dept Paediat, Hardwick Rd, Stockton On Tees TS19 8PE, England
[2] Univ Michigan Hlth Syst, CS Mott Childrens Hosp, Div Neonatal Perinatal Med, 1540 East Hosp Dr, Ann Arbor, MI 48109 USA
关键词
Continuous positive airway pressure; CPAP; Bubble CPAP; Ventilation; Respiratory support; RANDOMIZED CONTROLLED-TRIAL; NONINVASIVE RESPIRATORY SUPPORT; PRETERM INFANTS; GAS-EXCHANGE; DISTRESS-SYNDROME; JUVENILE RABBITS; VARIABLE FLOW; IN-VITRO; CPAP; EXTUBATION;
D O I
10.1016/j.clp.2016.07.003
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Continuous positive airway pressure (CPAP) systems can be broadly grouped into continuous flow or variable flow devices. Bubble CPAP (bCPAP) is a continuous flow device and has physiologic properties that could facilitate gas exchange. Its efficacy has been reported to be similar to variable flow CPAP systems when used as a primary mode of respiratory support. Post-extubation bCPAP is reported to significantly reduce extubation failure rates among preterm infants ventilated for less than 2 week when compared to Infant flow driver CPAP (variable flow). bCPAP has been successfully used in resource-poor settings. The success of CPAP is, however, dependant on good nursing care and clear management protocols for weaning and escalation of care.
引用
收藏
页码:647 / +
页数:15
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