Does a brief trial of endotracheal CPAP before extubation increase the work of breathing in preterm infants?

A brief period of endotracheal continuous positive airway pressure (ETT-CPAP) can predict extubation outcome but longer periods are associated with increased work of breathing and extubation failure. In ventilated preterm infants, brief ETT-CPAP does not increase the work of breathing and can be use...

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Published inEarly human development Vol. 157; p. 105368
Main Authors Vervenioti, Aggeliki, Dassios, Theodore, Sinopidis, Xenophon, Dimitriou, Gabriel
Format Journal Article
LanguageEnglish
Published Ireland Elsevier B.V 01.06.2021
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Summary:A brief period of endotracheal continuous positive airway pressure (ETT-CPAP) can predict extubation outcome but longer periods are associated with increased work of breathing and extubation failure. In ventilated preterm infants, brief ETT-CPAP does not increase the work of breathing and can be used to predict the outcome of extubation. •A brief period of endotracheal continuous positive airway pressure (ETT-CPAP) can predict extubation outcome in preterms.•ETT-CPAP could potentially increase the work of breathing.•ETT-CPAP before extubation does not increase the work of breathing compared to low rate synchronised mechanical ventilation.
Bibliography:ObjectType-Article-1
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ISSN:0378-3782
1872-6232
DOI:10.1016/j.earlhumdev.2021.105368