• J Perinatol · Dec 2010

    Randomized Controlled Trial Comparative Study

    High-flow nasal cannula and extubation success in the premature infant: a comparison of two modalities.

    • S M Miller and S A Dowd.
    • Division of Newborn Medicine, Weill Cornell Medical College, New York, NY, USA.
    • J Perinatol. 2010 Dec 1; 30 (12): 805-8.

    ObjectiveTo compare the effectiveness of Fisher and Paykel (FP) and Vapotherm (VT) high-flow nasal cannula (HFNC) in preventing reintubation either within 72 h or <7 days after extubation of premature infants. The primary outcome was the rate of extubation failure defined as reintubation within 72 h. Secondary outcomes included reintubation after ≤7 days.Study DesignThis was a prospective, randomized pilot study comparing the extubation success of 40 infants born between 26 and 29 weeks of gestation.ResultThe rate of extubation failure at 72 h was 18% for FP and 9% for VT. The failure rate ≤7 days after extubation was 30% for FP and 27% for VT. None of these differences were statistically significant.ConclusionThere was no difference between FP and VT in the extubation success of infants born between 26 and 29 weeks.

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