Noninvasive Support: Does It Really Decrease Bronchopulmonary

Clinics in perinatology · Dec 2016

Review

Noninvasive Support: Does It Really Decrease Bronchopulmonary Dysplasia?

Noninvasive support of preterm infants with respiratory distress is an evidenced-based strategy to decrease the incidence of bronchopulmonary dysplasia. Continuous positive airway pressure (CPAP) is the only noninvasive strategy with sufficient evidence to support its use in acute respiratory distress syndrome. It is unclear if one method for delivering CPAP is superior to another. Future research will focus on strategies (eg, sustained lung inflation, and administration of surfactant using a thin plastic catheter) that increase the likelihood of success with CPAP, especially in infants with a gestational age of less than 26 weeks.

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- Clyde J Wright and Richard A Polin.
- Section of Neonatology, Department of Pediatrics, Perinatal Research Center, Children's Hospital Colorado, University of Colorado School of Medicine, Mail Stop F441, 13243 East 23rd Avenue, Aurora, CO 80045, USA. Electronic address: clyde.wright@ucdenver.edu.
- Clin Perinatol. 2016 Dec 1; 43 (4): 783-798.
AbstractNoninvasive support of preterm infants with respiratory distress is an evidenced-based strategy to decrease the incidence of bronchopulmonary dysplasia. Continuous positive airway pressure (CPAP) is the only noninvasive strategy with sufficient evidence to support its use in acute respiratory distress syndrome. It is unclear if one method for delivering CPAP is superior to another. Future research will focus on strategies (eg, sustained lung inflation, and administration of surfactant using a thin plastic catheter) that increase the likelihood of success with CPAP, especially in infants with a gestational age of less than 26 weeks.Copyright © 2016 Elsevier Inc. All rights reserved.

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Noninvasive Support: Does It Really Decrease Bronchopulmonary Dysplasia?

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