Minimal handling and bronchopulmonary dysplasia in extremely low-birth-weight infants

被引：39
作者：
Latini, G [1 ]
De Felice, C
Presta, G
Rosati, E
Vacca, P
机构：
[1] Azienda Osped A Summa, Perrino Hosp, Div Pediat, I-72100 Brindisi, Italy
[2] Azienda Osped Sense, Neonatal Intens Care Unit, I-53100 Siena, Italy
[3] CNR, CNR, IFC, Inst Clin Physiol, Lecce, Italy
来源：
EUROPEAN JOURNAL OF PEDIATRICS | 2003年 / 162卷 / 04期
关键词：
nasal continuous positive airway pressure; nasal intermittent positive pressure ventilation minimal handling; bronchopulmonary dysplasia; extremely low birth weight;
D O I：
10.1007/s00431-002-1131-5
中图分类号：
R72 [儿科学];
学科分类号：
100202 ;
摘要：
Over the last 16 years a minitouch regime, i.e., nasal continuous positive airway pressure (n-CPAP) and/or nasal intermittent positive pressure ventilation (n-IPPV), together with a minimal intubation policy has been routinely used for the treatment of respiratory distress syndrome (RDS) in preterm infants. Only 1.39 (1 out of 72) of the extremely low-birth-weight babies admitted to our Neonatal Intensive Care Unit (NICU) and surviving for at least 36 weeks' postconceptional age developed bronchopulmonary dysplasia at 36 weeks (BPD 36-wk). The BPD-36wk incidence observed in our population is significantly lower than expected (30%) from the literature (p = 0.000002). Conclusion: Our experience supports the effectiveness of the minitouch regime as a way to ventilate premature babies. reducing BPD risk.
引用
收藏
页码：227 / 229
页数：3
相关论文
共 21 条
  • [1] AVERY ME, 1987, PEDIATRICS, V79, P26
  • [2] Bancalari E., 2000, BRONCHOPULMONARY DYS, P41
  • [3] Neonatal pneumatocele as a complication of nasal continuous positive airway pressure
    de Bie, HMA
    van Toledo-Eppinga, L
    Verbeke, JIML
    van Elburg, RM
    [J]. ARCHIVES OF DISEASE IN CHILDHOOD-FETAL AND NEONATAL EDITION, 2002, 86 (03): : 202 - 203
  • [4] Nasal continuous positive airway pressure and outcomes of preterm infants
    De Klerk, AM
    De Klerk, RK
    [J]. JOURNAL OF PAEDIATRICS AND CHILD HEALTH, 2001, 37 (02) : 161 - 167
  • [5] Use of continuous positive airway pressure in preterm infants: Comments and experience from New Zealand
    de Klerk, AM
    de Klerk, RK
    [J]. PEDIATRICS, 2001, 108 (03) : 761 - 762
  • [6] THE MEANING AND USE OF THE AREA UNDER A RECEIVER OPERATING CHARACTERISTIC (ROC) CURVE
    HANLEY, JA
    MCNEIL, BJ
    [J]. RADIOLOGY, 1982, 143 (01) : 29 - 36
  • [7] Postnatal lung inflammation increased by ventilation of preterm lambs exposed antenatally to Escherichia coli endotoxin
    Ikegami, M
    Jobe, AH
    [J]. PEDIATRIC RESEARCH, 2002, 52 (03) : 356 - 362
  • [8] MINITOUCH TREATMENT OF VERY-LOW-BIRTH-WEIGHT INFANTS
    JACOBSEN, T
    GRONVALL, J
    PETERSEN, S
    ANDERSEN, GE
    [J]. ACTA PAEDIATRICA, 1993, 82 (11) : 934 - 938
  • [9] Decreased indicators of lung injury with continuous positive expiratory pressure in preterm lambs
    Jobe, AH
    Kramer, BW
    Moss, TJ
    Newnham, JP
    Ikegami, M
    [J]. PEDIATRIC RESEARCH, 2002, 52 (03) : 387 - 392
  • [10] Jobe Alan H., 2001, American Journal of Respiratory and Critical Care Medicine, V163, P1723
123