Journal of perinatology : official journal of the California Perinatal Association
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Randomized Controlled Trial Multicenter Study Comparative Study
A randomized controlled trial of synchronized nasal intermittent positive pressure ventilation in RDS.
Comparison of outcomes of infants with respiratory distress syndrome (RDS), post-surfactant, extubated to synchronized nasal intermittent positive pressure ventilation (SNIPPV) or continued on conventional ventilation (CV). ⋯ Infants of BW 600 to 1250 g with RDS receiving surfactant with early extubation to SNIPPV had a significantly lower incidence of BPD/death. Primary mode SNIPPV is a feasible method of ventilation in small premature infants.
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Case Reports
Acute airway obstruction by a sheared endotracheal intubation stylet sheath in a premature infant.
Airway obstruction by foreign bodies is rarely encountered in the neonatal intensive care unit. The majority of those cases reported are iatrogenic. ⋯ The small airway of this premature infant posed a challenge to retrieve the foreign body and to ensure adequate gas exchange at the same time. The risks and benefits of available therapeutic options for this rare, but serious complication are reviewed.