PO-0735 Nasal Hfov With Binasal Prongs Is Effective And Feasable In Elbw Newborns

IntroductionNoninvasive ventilation with nasal CPAP (n-CPAP), or nasalintermittant positive pressure ventilation (n-IPPV) is becoming standard ofcare in preterm. Limited experience has been reported withnasal high frequency oscillatory ventilation (n-HFOV). We present 2 newbornstreated by n-HFOV app...

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Bibliographic Details
Published in:Archives of disease in childhood 2014-10, Vol.99 (Suppl 2), p.A496
Main Authors: Aktas, S, Unal, S, Ergenekon, E, Turkyilmaz, C, Hirfanoglu, I, Atalay, Y
Format: Article
Language:English
Subjects:
Emphysema
Gestation
Infants
Mechanical ventilation
Neonates
Pneumothorax
Pregnancy
Pressure
Radiography
Respiratory distress syndrome
Respiratory therapy
Sepsis
Surfactants
Ventilation
Ventilators
Young Children
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Summary:IntroductionNoninvasive ventilation with nasal CPAP (n-CPAP), or nasalintermittant positive pressure ventilation (n-IPPV) is becoming standard ofcare in preterm. Limited experience has been reported withnasal high frequency oscillatory ventilation (n-HFOV). We present 2 newbornstreated by n-HFOV applied with binasal prongs (Ram cannula Neotech) and DraegerBabylog 8000+ ventilator.Cases1. A 900 gr. 28 weeks gestation infant was intubated, given surfactant and ventilated by volume guarantee pressure-support ventilation for RDS. On 2nd day HFOV was started due to worsening respiratory status. On 11th day patient was extubated to n-HFOV and continued for 4 days followed by n-IPPV/n-CPAP.2. A 830 gr. 28 weeks gestation infant was resuscitated in the delivery room. RDS and pulmonary interstitial emphysema was detected on radiography and surfactant was given. At 12 h pneumothorax occurred necessitating thoracal tube insertion and HFOV. Conventional ventilation was tried several times without success. HFOV continued for 46 days then baby was extubated to n-HFOV. Patient required reintubation after 4 days due to sepsis.Abstract PO-0735 Table 1Respiratory support and blood gas data of 2 patients are presented. Case 1 Case 2 HFOnHFO 4 hnHFO 24 hHFOnHFO 4 hnHFO 24 hPH7.277.317.257.327.247.26PCO25347.545.730.835.536.6PO263.561.710058.86759.1FiO2275030303030Amplitude70100100858585MAP101313101010Conclusionn-HFOV with binasal prongs could be an alternative for preterms after prolonged HFOV.
ISSN:0003-9888
1468-2044
DOI:10.1136/archdischild-2014-307384.1375