new YORK (Reuters Health) – A meta-analysis reveals that the
intermittent positive pressure ventilation early use
(NIPPV,_por_sus_siglas_en_inglés) instead of positive pressure
continuous nasal (NCPAP, in English) in preterm infants with
(RDS) respiratory distress syndrome prevents the use of
mechanical ventilation invasive in the first 72 hours of life.
Jucille Meneses, of the Institute of medicine team
Integral Professor Fernando Figueira, Recife, Brazil, publishes
Archives of Pediatrics and Adolescent outcomes
Medicine.
“Minimize the need of invasive mechanical ventilation in
“
the first hours of life is important to reduce the risk
“
dysplasia (BPD) bronchopulmonary and other Comorbidities”,
writes the team.
The authors acknowledge that the use of NCPAP reduced
significantly the incidence of BPD in babies
preterm infants with RDS, but ensure that the strategy does not
latest invasive, the NIPPV, has more advantages and increasingly is
more used in neonatal intensive care units of the
world.
The team reviewed the literature and identified three studies
important on some 360 babies. The results revealed a
significant reduction in the use of invasive ventilation in the
first 72 hours of life in children treated with NIPPV versus
the group treated with NCPAP (RR = 0, 60).
And although the relative risk of BPD was 0.56, the
difference was not statistically significant.
In the discussion of the results, the team stresses that
the NIPPV also prevents the failure of extubation and reduces
the number of apneas.
Although they say that it is “possible” that the NIPPV reduces more than
NCPAP episodes of BPD in intensive therapy, conclude
that “larger studies on babies are needed
“
preterm infants more vulnerable under treatment for periods more
prolonged in order to assess the relative of both advantages
“
ventilatory strategies”.
Source: Archives of Pediatrics and Adolescent Medicine,
Online April 2, 2012
