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Perinatología y reproducción humana
On-line version ISSN 2524-1710Print version ISSN 0187-5337
Abstract
YLLESCAS-MEDRANO, Eucario et al. VNFns vs. CPAPn as methods of extubation and rescue in newborns with respiratory distress. Perinatol. Reprod. Hum. [online]. 2021, vol.35, n.2, pp.57-64. Epub May 06, 2022. ISSN 2524-1710. https://doi.org/10.24875/per.19000046.
Background:
Non-synchronized nasopharyngeal ventilation (VNFns) and continuous positive pressure of the nasal airway (CPAPn) are methods of non-invasive ventilatory support.
Objective:
To compare the efficacy of the two methods as an extubation and rescue strategy.
Material and methods:
Patients who had been in one of both strategies from 2008 to 2012, categorizing them as extubation or rescue and measuring success or failure.
Results:
Success as an extubation strategy was 83.3% for VNFns against 68.7% for CPAPn (OR: 2.26). There was a difference for VNFns, in relation to hospitalization days, with a mean of 38.6 versus 65.4 days (p = 0.0001). Regarding bronchopulmonary dysplasia, there was a decreased risk (OR: 0.64; p = 0.01) for VNFns. There was a higher number of complications for CPAPn, columella injury, pneumomediastinum, pneumothorax and nasal bleeding. Hypocarbia was more frequent in VNFns.
Conclusion:
VNFns was shown to be an effective and safe strategy, compared to CPAPn.
Keywords : Prematurity; CPAPn; VNFns; Extubation; Rescue; DBP.
