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European Journal of Pediatrics
Published in: European Journal of Pediatrics 7/2010

Open Access 01-07-2010 | Review

Clinical practice

Noninvasive respiratory support in newborns

Authors: J. Peter de Winter, Machteld A. G. de Vries, Luc J. I. Zimmermann

Published in: European Journal of Pediatrics | Issue 7/2010

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Abstract

The most important goal of introducing noninvasive ventilation (NIV) has been to decrease the need for intubation and, therefore, mechanical ventilation in newborns. As a result, this technique may reduce the incidence of bronchopulmonary dysplasia (BPD). In addition to nasal CPAP, improvements in sensors and flow delivery systems have resulted in the introduction of a variety of other types of NIV. For the optimal application of these novelties, a thorough physiological knowledge of mechanics of the respiratory system is necessary. In this overview, the modern insights of noninvasive respiratory therapy in newborns are discussed. These aspects include respiratory support in the delivery room; conventional and modern nCPAP; humidified, heated, and high-flow nasal cannula ventilation; and nasal intermittent positive pressure ventilation. Finally, an algorithm is presented describing common practice in taking care of respiratory distress in prematurely born infants.
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Metadata
Title
Clinical practice
Noninvasive respiratory support in newborns
Authors
J. Peter de Winter
Machteld A. G. de Vries
Luc J. I. Zimmermann
Publication date
01-07-2010
Publisher
Springer-Verlag
Published in
European Journal of Pediatrics / Issue 7/2010
Print ISSN: 0340-6199
Electronic ISSN: 1432-1076
DOI
https://doi.org/10.1007/s00431-010-1159-x

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