invasive respiratory support

More documents

Recommendations

Info

Nasal continuous positiveairway pressure (NCPAP)Pressures may be increased for lung recruitment in severe RDS(usually up to ~8 cm H2O), while monitoring the hemodynamiceffects in the individual patient and chest radiograph to avoidhyperinflation.When treating the acute phase of RDS in the very prematureinfant, one should consider intubation and surfactantadministration instead of increasing the CPAP level.NCPAP pressure may be weaned in the recovery stages of RDSas lung compliance improves to avoid over-distention. We wean infants to spontaneous un<strong>support</strong>ed breathing from 4-46 cm H2O.We usually do not use lower pressures.
Nasal intermittent mandatoryventilation (NIMV)The setting of NIMV during the time the infant requires NRSare adjusted to maintain the goals of adequate oxygenationand ventilation (permissive hypercapnia).Oxygenation is maintained by FiO2 and mean airway pressure(inspiratorytime [IT], peak inspiratory pressure [PIP] andCPAP level), and ventilation by the <strong>respiratory</strong> rate, expiratorytime, PIP, and maintaining adequate CPAP, according to therules of conventional endotracheal ventilation.Yet, this routine was not tested in controlled trials.
Page 3 and 4: NRS - Indications NRS has been used
Page 5 and 6: IntroductionOwen (ArchDis Child Fet
Page 7 and 8: Nasal continuous positiveairway pre
Page 9 and 10: PEEP during NIMV No study has inves
Page 11 and 12: Rate and Flow on NIMVThe optimal ra
Page 13 and 14: NIMV- Ventilator settings(KugelmanA
Page 15 and 16: Nasal flowIts use is popular becaus
Page 17 and 18: NCOn the basis of studies with VLBW
Page 19 and 20: HFNC Kubicka et al (Pediatrics.2008
Page 21 and 22: Suggested protocol and rationalefor
Page 23 and 24: HFNCRecently, Quinteros et al (SPR,
Page 25: Ventilator settingsadjustments duri
Page 29 and 30: Nasal flow-HFNCOxygen should be mon
Page 31 and 32: Criteria for failure of nasal suppo
Page 33 and 34: Short term side effectsNRS seems to
Page 35 and 36: Early NCPAP and NEC in preterminfan
Page 37 and 38: Discomfort NRS may irritate the inf
Page 39 and 40: Oral CPAP following nasalinjury. (C
Page 41 and 42: Physiological parametersAND Discomf
Page 43 and 44: Bubble CPAPBubble CPAP, , is accomp
Page 45 and 46: Synchronized NIMV Finally, there ar
Page 47 and 48: Key points for NRS nursing careacco
Page 49 and 50: Key points for NRS nursing careacco
Page 51 and 52: Weaning from non-invasiverespirator
Page 53 and 54: Weaning NRS The preferred method of
Page 55 and 56: Neopuff (Morley. Arch Dis Child Fet
Page 57 and 58: NASAL VENTILATION INOUTLYING NICUsE
Page 59 and 60: NASAL VENTILATION-ExperienceThe use
Page 61: Thank you !!!!!

invasive respiratory support

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?