Aktas Selma, Unal Sezin, Aksu Meltem, Ozcan Ebru, Ergenekon Ebru, Turkyilmaz Canan, Hirfanoglu Ibrahim, Atalay Yildiz
Division of Neonatology, Department of Pediatrics, Gazi University Hospital, Ankara, Turkey
Division of Neonatology, Department of Pediatrics, Gazi University Hospital, Ankara, Turkey.
J Trop Pediatr. 2016 Apr;62(2):165-8. doi: 10.1093/tropej/fmv088. Epub 2015 Dec 27.
Non-invasive ventilation has been used increasingly in recent years to reduce the duration of endotracheal ventilation and its complications, especially bronchopulmonary dysplasia. Nasal continuous positive airway pressure and nasal intermittent positive pressure ventilation are the most common non-invasive modalities, and nasal high-frequency oscillatory ventilation (n-HFOV) is relatively new but it seems effective and feasible. We present three premature cases who were ventilated with n-HFOV with Neotech RAM Cannula as interphase. In two cases, we used n-HFOV with good results to prevent extubation failure, and in one case, we used it to avoid intubation with success. n-HFOV may be useful both in early times of respiratory failure and also to facilitate extubation particularly in patients with prolonged intubation.
近年来，无创通气越来越多地用于缩短气管插管通气的时间及其并发症，尤其是支气管肺发育不良。鼻持续气道正压通气和鼻间歇正压通气是最常见的无创通气方式，而鼻高频振荡通气（n-HFOV）相对较新，但似乎有效且可行。我们报告了3例早产病例，使用Neotech RAM套管作为接口进行n-HFOV通气。其中2例使用n-HFOV成功预防了拔管失败，1例使用n-HFOV成功避免了插管。n-HFOV可能在呼吸衰竭早期有用，也有助于促进拔管，特别是对于长时间插管的患者。
