Non-invasive respiratory support in premature infants in the delivery room

Linkhoeva S.B.

Saint-Petersburg State Pediatric Medical University, Saint-Petersburg, Russia;
Republic Perinatal Center, Ulan-Ude, Republic of Buryatia, Russia

Aleksandrovich Yu.S.

Saint-Petersburg State Pediatric Medical University under the Ministry of Health of the Russian Federation, 2 Litovskaya str., Saint-Petersburg, 194100, Russia

Pshenisnov K.V.

Saint-Petersburg State Pediatric Medical University under the Ministry of Health of the Russian Federation, 2 Litovskaya str., Saint-Petersburg, 194100, Russia

Chiyenas V.В.

Maternity hospital, Vilnius, Lithuania

Mitkinov O.E.

Republic Perinatal Center, Ulan-Ude, Republic of Buryatia, Russia

Non-invasive respiratory support in premature infants in the delivery room

Authors:

Linkhoeva S.B., Aleksandrovich Yu.S., Pshenisnov K.V., Chiyenas V.В., Mitkinov O.E.

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Journal: Russian Journal of Anesthesiology and Reanimatology. 2020;(2): 65‑71

DOI: 10.17116/anaesthesiology202002165

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To cite this article:

Linkhoeva SB, Aleksandrovich YuS, Pshenisnov KV, Chiyenas VВ, Mitkinov OE. Non-invasive respiratory support in premature infants in the delivery room. Russian Journal of Anesthesiology and Reanimatology. 2020;(2):65‑71. (In Russ.)
https://doi.org/10.17116/anaesthesiology202002165

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Objective. To assess the impact of two modes of non-invasive respiratory support in the delivery room on the outcome of disease. Patients and methods. A prospective randomized study included 32 preterm infants with respiratory distress syndrome at birth born in the Republic Perinatal Centre. Children were divided into two groups depending on the non-invasive ventilation mode in the delivery room: the first group (n=16) — BiPAP (Bilevel positive airway pressure) mode, the second group — NIPPV (Nasal intermittent positive pressure ventilation) mode. Results. Surfactant administration was more common in the 2nd group (68.7% vs 43.7%) without significant differences. Tracheal intubation and convection mechanical ventilation after transferring to the ICU were required in 3 (18.7% of all patients) children of the first group. Mean length of hospital-stay was 41.4 and 42.4 days in the NIPPV and BiPAP groups, respectively (p>0.05). BPD was more common in group I (31.2% and 18.7%, respectively). Conclusion. NIPPV mode of respiratory support in the delivery room reduces the need for traditional mechanical ventilation and incidence of bronchopulmonary dysplasia compared to BIPAP mode.

Keywords:

respiratory distress

premature infants

non-invasive respiratory support

NIPPV

BIPAP

Authors:

Linkhoeva S.B.

Saint-Petersburg State Pediatric Medical University, Saint-Petersburg, Russia;
Republic Perinatal Center, Ulan-Ude, Republic of Buryatia, Russia

Aleksandrovich Yu.S.

Saint-Petersburg State Pediatric Medical University under the Ministry of Health of the Russian Federation, 2 Litovskaya str., Saint-Petersburg, 194100, Russia

Pshenisnov K.V.

Saint-Petersburg State Pediatric Medical University under the Ministry of Health of the Russian Federation, 2 Litovskaya str., Saint-Petersburg, 194100, Russia

Chiyenas V.В.

Maternity hospital, Vilnius, Lithuania

Mitkinov O.E.

Republic Perinatal Center, Ulan-Ude, Republic of Buryatia, Russia

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