Clinical Study of Different Modes of Non-invasive Ventilation Treatment in Preterm Infants With Respiratory Distress Syndrome After Extubation

Fei Ding; Jingling Zhang; Wenya Zhang; Qian Zhao; Zimei Cheng; Yang Wang; Tao Bo; Hui Wu

doi:10.3389/fped.2020.00063

Clinical Study of Different Modes of Non-invasive Ventilation Treatment in Preterm Infants With Respiratory Distress Syndrome After Extubation

Front Pediatr. 2020 Feb 25:8:63. doi: 10.3389/fped.2020.00063. eCollection 2020.

Authors

Fei Ding¹, Jingling Zhang¹, Wenya Zhang¹, Qian Zhao¹, Zimei Cheng¹, Yang Wang¹, Tao Bo², Hui Wu³

Affiliations

¹ Department of Pediatrics, The First Affiliated Hospital of Anhui Medical University, Hefei, China.
² Department of Pediatrics, Second Xiangya Hospital, Central South University, Changsha, China.
³ Department of Pediatrics, First Hospital of Jilin University, Changchun, China.

Abstract

Objective: This study aimed to investigate the clinical efficacy and safety of different non-invasive respiratory support methods in preterm infants with respiratory distress syndrome (RDS) after extubation. Methods: From Oct 2017 to 2018, 120 preterm infants were recruited from the NICUs of three hospitals. They were diagnosed with RDS and required mechanical ventilation. After extubation from mechanical ventilation, these infants were divided into NCPAP group, SNIPPV group and SNIPPV + NCPAP group. The time of non-invasive ventilation, reintubation rate within 72 h, success rate of non-invasive ventilation within 1 week, duration of oxygen therapy, hospital stay and incidence of complications were recorded and compared. Results: Compared with the NCPAP group, the SNIPPV group and the SNIPPV + NCPAP group had significantly higher rate of successful extubation and removal from non-invasive ventilation within 1 week (P < 0.05). There were no significant differences among three groups in the time of non-invasive ventilation, time of oxygen therapy, hospital stay or incidence of complications (P > 0.05). Conclusion: SNIPPV + NCPAP after mechanical ventilation is a relatively safe and effective ventilation strategy for preterm infants with severe RDS. The use of NCPAP facilitates the turnover of SNIPPV ventilators in developing countries.

Keywords: extubation; nasal continuous positive airway pressure ventilation; preterm infants; respiratory distress syndrome; synchronized nasal intermittent positive pressure ventilation.