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2013, Number 1

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Revista de Ciencias Médicas de la Habana 2013; 19 (1)

Application of continuous positive airway pressure in the neonatal intensive care unit

Fernández NG, Inclán LJM, Noas CY, Capote LM

Language: Spanish
References: 17
Page:
PDF size: 79.50 Kb.


ABSTRACT

Introduction: continuous positive airway pressure of the respiratory tract known by its initials in English as CPAP is a globally recognized non-invasive ventilation technique. A decrease in mortality and morbidity is associated with the early application of this ventilation.
Objective: to characterize the results obtained in the neonatal intensive care unit with the use of continuous positive airway pressure.
Methods: a retrospective, descriptive, observational study was conducted in infants receiving continuous positive airway pressure in a period of seven years, at "MAJ. Manuel Piti Fajardo" Ginecobstetric Hospital in Güines, Mayabeque province.. From a universe of 12068 born, it was taken a sample of 70 neonates ventilated with continuous positive airway pressure.
Results: of the 8 ventilated neonates with very low birth weight, 7.1 % died, however of 55.7 % of neonates with gestational age ≤ 36 weeks only 8.6 % died. With regard to the age at onset of ventilation, 50.0 % of cases were associated with the first 12 hours of life. 62.9 % had no complications. In the indications of continuous positive airway pressure, the (50.0 %) was used early, and there was a 8.6 % failure.
Conclusions: early initiation of CPAP reduces exposure to ventilation, as well as the diagnosis and proper management of its indication decreases the number of complications, and it was found to be ineffective in very low birth weight neonates.


REFERENCES

  1. Midley AD. Fisiopatología y soporte ventilatorio no invasivo en la falla respiratoria aguda de los pacientes con obesidad. Rev Arg Med Resp [Internet]. 2008 [citado 24 Mar 2011];8. Disponible en:http://www.ramr.org.ar/archivos/numero/ano_8_2_jun_2008/mere2_9.pdf

  2. Moreno Vázquez O. Surfactante y enfermedad de la membrana hialina. Rev Cubana Pediatr [Internet]. 2008 Jun [citado 10 Jun 2011];80(2). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034- 75312008000200015&lng=es.

  3. García Fernández Y, Fernández Ragi RM, Rodríguez Rivero M, Pérez Moreno E. Supervivencia en el recién nacido ventilado. Rev Cubana Pediatr [Internet]. 2006 Dic [citado 10 Jun 2011];78(4). Disponible en:http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034- 75312006000400002&lng=es.

  4. Domínguez Dieppa F. Ventilación de alta frecuencia en neonatología: a quiénes y cómo ventilar. Rev Cubana Pediatr [Internet]. 2005 Jun [citado 10 Jun 2011];77(2). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034- 75312005000200004&lng=es.

  5. Davis P, Davies M, Faber B. A randomised controlled trial of two methods of delivering nasal continuous positive airway pressure after extubation to infants weighing less than 1000 g: binasal (Hudson) versus single nasal prongs. Arch Dis Child Fetal Neonatal Ed [Internet]. 2001 Sep [cited 2011 Jun 10];85(2). Available from: http://www.ncbi.nlm.nih.gov/pubmed/11517198

  6. Capítulo 36. Moreno Vázquez O, Domínguez Dieppa F, Millán Cruz G, Almanza Más M. Alteraciones de sistemas orgánicos. En: Torre Montejo E De la, Pelayo Gonzáles-Posada EJ, editores. Pediatría. La Habana: Ciencias Médicas; 2006. p. 430-31.

  7. Engle WA. Committee on fetus and newborn. Surfactant-replacement therapy for respiratory distress in the preterm and term neonate. Pediatrics [Internet]. 2008 Feb [citado 2010 Feb 10];121(2). Available from: http://pediatrics.aappublications.org/content/121/2/419.full.pdf

  8. Finer NN, Waldemar AC, Walsh MC, Rich W, Gantz MG, Laptook AR [et al]. Early CPAP versus surfactant in extremely preterm infants. N Engl J Med [Internet]. 2010 May [cited 2011 Jan 10];362. Available from:http://www.nejm.org/doi/full/10.1056/NEJMoa0911783#t=article

  9. Biblioteca de Salud Reproductiva [Internet]. Nueva York: Biblioteca Cochrane; © 2013 [citado 10 Ene 2011]. BSR Biblioteca de Salud Reproductiva de la OMS. Disponible en:http://apps.who.int/rhl/newborn/cd003063_schelonkarl_com/es/index.html

  10. Finer NN, Carlo WA, Duara S, Fanaroff AA, Donovan EF, Wright LL [et al]. Delivery room continuous positive airway pressure/positive end-expiratory pressure in extremely low birth weight infants: a feasibility trial. Pediatrics [Internet]. 2005 [cited 2011 Jan 10];114(3). Available from: http://www.ncbi.nlm.nih.gov/pubmed/15342835

  11. Mühlhausen GM. Uso actual de presión positiva continua en la vía aérea (CPAP) en recién nacidos. Revista Pediatría Electrónica [Internet]. 2004 Oct [citado 2011 Ene 20];1(1). Disponible en:http://www.revistapediatria.cl/vol1num1/11.htm

  12. Buettiker V, Hug MI, Baenziger O, Meyer C, Frey B. Advantages and disadvantages of different nasal CPAP systems in newborns. Intensive Care Medic [Internet]. 2004 May [citado 2012 Abr 24];30(5) Available from: http://www.ncbi.nlm.nih.gov/pubmed/15042289

  13. Sweet D, Bevilacqua G, Carnielli V, Greisen G, Plavka R., Didrik Saugstad O [et al]. European consensus guidelines on the management of neonatal respiratory distress syndrome. Neonatology [Internet]. 2010 Jun [cited 2011 Jan 10]97(4). Available from: http://www.ncbi.nlm.nih.gov/pubmed/20551710 .

  14. Téllez Baquero SN, Dávila Sotelo EL, Cervantes Rodríguez RR, Abrego Moya V. nCPAP como método de ventilación primario en prematuros de peso muy bajo en el Hospital Universitario Dr. José Eleuterio González de la UANL. Medicina Universitaria [Internet]. 2008 [citado 10 Ene 2011];10(39). Disponible en: http://medicinauniversitaria.uanl.mx/39/pdf/87.pdf

  15. Carballo–Piris Da Motta C, Gómez ME, Recalde L. Características de las complicaciones pulmonares asociadas a la ventilación mecánica en Recién Nacidos. Pediatría [Internet]. 2010 Ago [citado 10 Ene 2011];31(2). Disponible en:http://scielo.iics.una.py/scielo.php?pid=S1683- 98032010000200005&script=sci_arttext

  16. Rojas MA, Lozano JM, Rojas MX, Laughon M, Bose CL, Rondon MA [et al]. Very early surfactant without mandatory ventilation in premature infants treated with early continuous positive airway pressure: a randomized, controlled trial. Pediatrics [Internet]. 2009 [cited 2011 Jan 10];123(1). Available from: http://www.ncbi.nlm.nih.gov/pubmed/19117872

  17. Roehr CC, Schmalisch G, Khakban A, Proquitté H, Wauer RR. Use of continuous positive airway pressure (CPAP) in neonatal units-a survey of current preferences and practice in Germany. Eur J Med Res [Internet]. 2007 [cited 2011 Jan 10];12(4). Available from: http://www.ncbi.nlm.nih.gov/pubmed/17509957




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