拔管后使用高流量鼻持续气道正压通气：我们准备好做出改变了吗？ - Suppr

Post-extubation using high nCPAP: are we ready for the change?

作者信息

Kakkilaya Venkatakrishna, Rosenfeld Charles R

机构信息

Division of Neonatal-Perinatal Medicine, Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas, USA.

出版信息

Transl Pediatr. 2024 Nov 30;13(11):1906-1908. doi: 10.21037/tp-24-318. Epub 2024 Nov 26.

DOI:10.21037/tp-24-318

PMID:39649656

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11621897/

Abstract

摘要

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Post-extubation using high nCPAP: are we ready for the change?拔管后使用高流量鼻持续气道正压通气：我们准备好做出改变了吗？

Transl Pediatr. 2024 Nov 30;13(11):1906-1908. doi: 10.21037/tp-24-318. Epub 2024 Nov 26.

Nasal intermittent positive pressure ventilation (NIPPV) versus nasal continuous positive airway pressure (NCPAP) for preterm neonates after extubation.拔管后早产儿使用鼻间歇正压通气（NIPPV）与鼻持续气道正压通气（NCPAP）的比较

Cochrane Database Syst Rev. 2017 Feb 1;2(2):CD003212. doi: 10.1002/14651858.CD003212.pub3.

Nasal intermittent positive pressure ventilation (NIPPV) versus nasal continuous positive airway pressure (NCPAP) for preterm neonates after extubation.经鼻间歇正压通气（NIPPV）与经鼻持续气道正压通气（NCPAP）用于早产儿拔管后

Cochrane Database Syst Rev. 2014 Sep 4(9):CD003212. doi: 10.1002/14651858.CD003212.pub2.

Effectiveness of Nasal Continuous Positive Airway Pressure vs Nasal Intermittent Positive Pressure Ventilation vs Noninvasive High-Frequency Oscillatory Ventilation as Support After Extubation of Neonates Born Extremely Preterm or With More Severe Respiratory Failure: A Secondary Analysis of a Randomized Clinical Trial.经鼻持续气道正压通气与经鼻间歇正压通气与无创高频振荡通气在极早产儿或更严重呼吸衰竭拔管后支持中的效果比较：一项随机临床试验的二次分析。

JAMA Netw Open. 2023 Jul 3;6(7):e2321644. doi: 10.1001/jamanetworkopen.2023.21644.

Noninvasive High-Frequency Oscillatory Ventilation vs Nasal Continuous Positive Airway Pressure vs Nasal Intermittent Positive Pressure Ventilation as Postextubation Support for Preterm Neonates in China: A Randomized Clinical Trial.经鼻间歇正压通气与经鼻持续正压通气比较非侵入性高频振荡通气作为中国早产儿拔管后支持的随机临床试验。

JAMA Pediatr. 2022 Jun 1;176(6):551-559. doi: 10.1001/jamapediatrics.2022.0710.

Comparison of non-synchronized nasal intermittent positive pressure ventilation versus nasal continuous positive airway pressure as post-extubation respiratory support in preterm infants with respiratory distress syndrome: a randomized controlled trial.非同步鼻间歇正压通气与经鼻持续气道正压通气用于呼吸窘迫综合征早产儿拔管后呼吸支持的比较：一项随机对照试验

J Matern Fetal Neonatal Med. 2016;29(10):1546-51. doi: 10.3109/14767058.2015.1059809. Epub 2015 Jul 28.

[Efficacy and safety of heated humidified high-flow nasal cannula for prevention of extubation failure in neonates].[加温湿化高流量鼻导管预防新生儿拔管失败的有效性和安全性]

Zhonghua Er Ke Za Zhi. 2014 Apr;52(4):271-6.

Nasal intermittent positive pressure ventilation (NIPPV) versus nasal continuous positive airway pressure (NCPAP) for preterm neonates after extubation.经气管插管拔管后的早产儿使用经鼻间歇正压通气（NIPPV）与经鼻持续气道正压通气（NCPAP）的比较。

Cochrane Database Syst Rev. 2023 Jul 27;7(7):CD003212. doi: 10.1002/14651858.CD003212.pub4.

Cochrane Database Syst Rev. 2001(3):CD003212. doi: 10.1002/14651858.CD003212.

Is noninvasive neurally adjusted ventilatory assistance (NIV-NAVA) an alternative to NCPAP in preventing extubation failure in preterm infants?无创神经调节通气辅助（NIV-NAVA）是否可替代鼻塞持续气道正压通气（NCPAP）预防早产儿拔管失败？

J Matern Fetal Neonatal Med. 2021 Nov;34(22):3756-3760. doi: 10.1080/14767058.2019.1697669. Epub 2019 Dec 2.

本文引用的文献

CPAP Versus NIPPV Postextubation in Preterm Neonates: A Comparative-Effectiveness Study.CPAP 与 NIPPV 用于拔管后早产儿的比较：一项有效性研究。

Pediatrics. 2024 Apr 1;153(4). doi: 10.1542/peds.2023-064045.

Higher versus lower nasal continuous positive airway pressure for extubation of extremely preterm infants in Australia (ÉCLAT): a multicentre, randomised, superiority trial.澳大利亚极高出生体重儿拔管时应用高与低鼻持续气道正压通气的效果比较（ÉCLAT）：一项多中心、随机、优效性试验。

Lancet Child Adolesc Health. 2023 Dec;7(12):844-851. doi: 10.1016/S2352-4642(23)00235-3. Epub 2023 Oct 27.

Evaluation of a respiratory care protocol including less invasive surfactant administration in preterm infants.评估包括经鼻持续气道正压通气联合肺表面活性物质治疗的早产儿呼吸管理方案

Pediatr Res. 2024 May;95(6):1603-1610. doi: 10.1038/s41390-023-02963-x. Epub 2023 Dec 14.

Cochrane Database Syst Rev. 2023 Jul 27;7(7):CD003212. doi: 10.1002/14651858.CD003212.pub4.

Effect of Minimally Invasive Surfactant Therapy vs Sham Treatment on Death or Bronchopulmonary Dysplasia in Preterm Infants With Respiratory Distress Syndrome: The OPTIMIST-A Randomized Clinical Trial.微创表面活性剂治疗与假治疗对呼吸窘迫综合征早产儿的死亡或支气管肺发育不良的影响：OPTIMIST 随机临床试验。

JAMA. 2021 Dec 28;326(24):2478-2487. doi: 10.1001/jama.2021.21892.

Nasal continuous positive airway pressure levels for the prevention of morbidity and mortality in preterm infants.经鼻持续气道正压通气在早产儿中的应用：预防发病率和死亡率。

Cochrane Database Syst Rev. 2021 Nov 30;11(11):CD012778. doi: 10.1002/14651858.CD012778.pub2.

Decreasing Continuous Positive Airway Pressure Failure in Preterm Infants.降低早产儿持续气道正压通气失败率。

Pediatrics. 2021 Oct;148(4). doi: 10.1542/peds.2020-014191. Epub 2021 Sep 22.

High continuous positive airway pressure in neonates: A physiological study.新生儿持续气道正压通气过高：一项生理学研究。

Pediatr Pulmonol. 2019 Jul;54(7):1039-1044. doi: 10.1002/ppul.24312. Epub 2019 Mar 11.

Markers of Successful Extubation in Extremely Preterm Infants, and Morbidity After Failed Extubation.极早产儿成功拔管的标志物及拔管失败后的发病率

J Pediatr. 2017 Oct;189:113-119.e2. doi: 10.1016/j.jpeds.2017.04.050. Epub 2017 Jun 7.

Regional Volume Characteristics of the Preterm Infant Receiving First Intention Continuous Positive Airway Pressure.接受首次持续气道正压通气的早产儿的区域容积特征

J Pediatr. 2017 Aug;187:80-88.e2. doi: 10.1016/j.jpeds.2017.04.046. Epub 2017 May 22.

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Post-extubation using high nCPAP: are we ready for the change?

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