Rescue nasopharyngeal tube for preterm infants non-responsive to initial ventilation after birth.

ABSTRACT:

Background

Physiological changes during the insertion of a rescue nasopharyngeal tube (NPT) after birth are unclear.

Methods

Observational study of very preterm infants in the delivery room. Data were extracted at predefined timepoints starting with first facemask placement after birth until 5 min after insertion of NPT. End-expiratory lung impedance (EELI), heart rate (HR) and SpO₂/FiO₂-ratio were analysed over time. Changes during the same time span of NIPPV via facemask and NIPPV via NPT were compared.

Results

Overall, 1154 inflations in 15 infants were analysed. After NPT insertion, EELI increased significantly [0.33 AU/kg (0.19-0.57), p < 0.001]. Compared with the mask period, changes in EELI were not significantly larger during the NPT peri

SUBMITTER: Belting C 

PROVIDER: S-EPMC11257935 | biostudies-literature | 2024 Jul

REPOSITORIES: biostudies-literature