Chen Xin, Pan Jia-Hua
Department of Pediatrics, First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui 233004, China.
Zhongguo Dang Dai Er Ke Za Zhi. 2014 Nov;16(11):1177-82.
In order to reduce the serious complications associated with invasive mechanical ventilation, non-invasive ventilation (NIV) has increasingly been chosen as the primary ventilation in preterm infants with respiratory distress syndrome (RDS). In the last 4 decades, nasal continuous positive airway pressure (NCPAP) has been as a main, or even the only mode of NIV in preterm infants with RDS. In the recent decade, improvements in sensors and nasal airway interfaces have resulted in the introduction of a variety of other new types of NIV, such as nasal intermittent positive pressure ventilation (NIPPV), bi-level positive airway pressure (BiPAP). Subsequent studies have shown that some new modes may be more superior to NCPAP in preterm infants with RDS. In order to further understand the application of various NIV modes, we review literatures about all kinds of NIV as a primary mode of ventilation in preterm infants with RDS.
为了减少有创机械通气相关的严重并发症，无创通气（NIV）越来越多地被选作呼吸窘迫综合征（RDS）早产儿的主要通气方式。在过去40年里，经鼻持续气道正压通气（NCPAP）一直是RDS早产儿无创通气的主要甚至唯一模式。近十年来，传感器和鼻气道接口的改进促使引入了多种其他新型无创通气方式，如经鼻间歇正压通气（NIPPV）、双水平气道正压通气（BiPAP）。随后的研究表明，对于RDS早产儿，一些新模式可能比NCPAP更具优势。为了进一步了解各种无创通气模式的应用情况，我们回顾了有关将各种无创通气作为RDS早产儿主要通气模式的文献。
