Continuous positive airway pressure: Scientific and clinical rationale

Current Opinion in Pediatrics

Volumn 20, Issue 2, 2008, Pages 119-124

  Morley, Colin J ^a   Davis, Peter G ^a  

^a ROYAL WOMEN'S HOSPITAL   (Australia)

Author keywords

Continuous positive airways pressure; Infant; Newborn; Respiratory distress syndrome

Indexed keywords

NITRIC OXIDE;

ARTIFICIAL VENTILATION; ASSISTED VENTILATION; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; DELIVERY ROOM; ENDOTRACHEAL INTUBATION; HUMAN; INTERMITTENT POSITIVE PRESSURE VENTILATION; LUNG DYSPLASIA; NASOGASTRIC TUBE; NEWBORN INTENSIVE CARE; POSITIVE END EXPIRATORY PRESSURE; PREMATURITY; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL; RESPIRATORY DISTRESS SYNDROME; RESUSCITATION; REVIEW; TREATMENT OUTCOME;

BRONCHOPULMONARY DYSPLASIA; CONTINUOUS POSITIVE AIRWAY PRESSURE; DELIVERY ROOMS; HUMANS; INFANT, NEWBORN; INFANT, PREMATURE; INTERMITTENT POSITIVE-PRESSURE VENTILATION; NITROUS OXIDE; PHYSICIAN'S PRACTICE PATTERNS; PULMONARY SURFACTANTS; RESUSCITATION; RISK; TREATMENT OUTCOME;

EID: 40549117175     PISSN: 10408703     EISSN: None     Source Type: Journal    
DOI: 10.1097/MOP.0b013e3282f63953     Document Type: Review

References (74)

1. Morley CJ. Continuous distending pressure. Arch Dis Child Fetal Neonatal Ed 1999; 81:F152-F156.
2. Miller MJ, Carlo WA, Martin RJ. Continuous positive airway pressure selectively reduces obstructive apnea in preterm infants. J Pediatr 1985; 106:91-94.
3. Davis P, Jankov R, Doyle L, Henschke P. Randomised controlled trial of nasal continuous positive airway pressure in the extubation of infants weighing 600 to 1250 g. Arch Dis Child Fetal Neonatal Ed 1998; 78:F1-F4.
4. Owen LS, Morley CJ, Davis PG. Neonatal nasal intermittent positive pressure ventilation: what do we know in 2007? Arch Dis Child Fetal Neonatal Ed 2007; 92:F414-F418.
5. Roehr CC, Schmalisch G, Khakban A, et al. Use of continuous positive airway pressure (CPAP) in neonatal units-a survey of current preferences and practice in Germany. Eur J Med Res 2007; 12:139-144.
6. Leone TA, Rich W, Finer NN. A survey of delivery room resuscitation practices in the United States. Pediatrics 2006; 117:e164-e175.
7. Owen LS, Morley CJ, Davis PG. Neonatal nasal intermittent positive pressure ventilation: a survey of practice in England. Arch Dis Child Fetal Neonatal Ed 2007; doi:10.1136/adc.2007.118109
8. De Paoli AG, Davis PG, Faber B, Morley CJ. Devices and pressure sources for administration of nasal continuous positive airway pressure (NCPAP) in preterm neonates. Cochrane Database Syst Rev 2002; 4:CD002977.
9. Davis PG, Henderson-Smart DJ. Nasal continuous positive airways pressure immediately after extubation for preventing morbidity in preterm infants. Cochrane Database Syst Rev 2003; 2:CD000143.
10. Davis PG, Lemyre B, De Paoli AG. Nasal intermittent positive pressure ventilation (NIPPV) versus nasal continuous positive airway pressure (NCPAP) for preterm neonates after extubation. Cochrane Database Syst Rev 2004; 3:CD003212.
11. Lee KS, Dunn MS, Fenwick M, Shennan AT. A comparison of underwater bubble continuous positive airway pressure with ventilator-derived continuous positive airway pressure in premature neonates ready for extubation. Biol Neonate 1998; 73:69-75.
12. Morley CJ, Lau R, De Paoli A, Davis PG. Nasal continuous positive airway pressure: does bubbling improve gas exchange? Arch Dis Child Fetal Neonatal Ed 2005; 90:F343-F344.
13. Pillow JJ, Hillman N, Moss TJ, et al. Bubble continuous positive airway pressure enhances lung volume and gas exchange in preterm lambs. Am J Respir Crit Care Med 2007; 176:63-69.
14. Kahn DJ, Courtney SE, Steele AM, Habib RH. Unpredictability of delivered bubble nasal continuous positive airway pressure role of bias flow magnitude and nares-prong air leaks. Pediatr Res 2007; 62:343-347.
15. Boumecid H, Rakza T, Abazine A, et al. Influence of three nasal continuous positive airway pressure devices on breathing pattern in preterm infants. Arch Dis Child Fetal Neonatal Ed 2007; 92:F298-F300.
16. Ryan CA, Finer NN, Peters KL. Nasal IPPV versus nasal CPAP in apnea of prematurity: a prospective randomised crossover study. Pediatr Res 1989; 25:325A.
17. Garland JS, Nelson DB, Rice T, Neu J. Increased risk of gastrointestinal perforations in neonates mechanically ventilated with either face mask or nasal prongs. Pediatr 1985; 76:406-410.
18. Ali N, Claure N, Alegria X, et al. Effects of noninvasive pressure support ventilation (NI-PSV) on ventilation and respiratory effort in very low birth weight infants. Pediatr Pulmonol 2007; 42:704-710.
19. Aghai ZH, Saslow JG, Nakhla T, et al. Synchronized nasal intermittent positive pressure ventilation (SNIPPV) decreases work of breathing (WOB) in premature infants with respiratory distress syndrome (RDS) compared to nasal continuous positive airway pressure (NCPAP). Pediatr Pulmonol 2006; 41:875-881.
20. Kugelman A, Feferkorn I, Riskin A, et al. Nasal intermittent mandatory ventilation versus nasal continuous positive airway pressure for respiratory distress syndrome: a randomized, controlled, prospective study. J Pediatr 2007; 150:521-526. This randomized trial showed that NIPPV compared with NCPAP deceased the requirement for endotracheal ventilation and the rate of BPD in premature infants with RDS.
21. Bisceglia M, Belcastro A, Poerio V, et al. A comparison of nasal intermittent versus continuous positive pressure delivery for the treatment of moderate respiratory syndrome in preterm infants. Minerva Pediatr 2007; 59:91-95. This RCT showed that, compared with NCPAP, NIPPV reduced the duration of respiratory support.
22. De Paoli AG, Lau R, Davis PG, Morley CJ. Pharyngeal pressure in preterm infants receiving nasal continuous positive airway pressure. Arch Dis Child Fetal Neonatal Ed 2005; 90:F79-F81.
23. Lindner W, Vossbeck S, Hummler H, Pohlandt F. Delivery room management of extremely low birth weight infants: spontaneous breathing or intubation? Pediatrics 1999; 103:961-967.
24. Kamper J, Wulff K, Larsen C, Lindequist S. Early treatment with nasal continuous positive airway pressure in very low-birth-weight infants. Acta Paediatr 1993; 82:193-197.
25. Jacobsen T, Gronvall J, Petersen S, Andersen GE. "Minitouch" treatment of very low-birth-weight infants. Acta Paediatr 1993; 82:934-938.
26. Poets CF, Sens B. Changes in intubation rates and outcome of very low birth weight infants: a population-based study. Pediatr 1996; 98:24-27.
27. Millet V, Lacroze V, Bartoli JM, et al. Early continuous positive pressure in the labor room. Arch Pediatr 1997; 4:15-20.
28. Joris N, Sudre P, Moessinger A. Early application of CPAP in newborns with gestational age below 34 weeks lowers intubation rate and shortens oxygen therapy without altering mortality and morbidity. Schweiz Med Wochenschr 2000; 130:1887-1893.
29. De Klerk AM, De Klerk RK. Nasal continuous positive airway pressure and outcomes of preterm infants. J Paediatr Child Health 2001; 37:161-167.
30. Vanpee M, Walfridsson-Schultz U, Katz-Salamon M, et al. Resuscitation and ventilation strategies for extremely preterm infants: a comparison study between two neonatal centers in Boston and Stockholm. Acta Paediatr 2007; 96:10-16.
31. Aly H, Massaro AN, El Mohandes AA. Can delivery room management impact the length of hospital stay in premature infants? J Perinatol 2006; 26:593-596.
32. Morley CJ, Davis PG, Doyle LW, et al. Nasal CPAP or intubation for very preterm infants at birth: the COIN trial. N Engl J Med 2008; 358:700-708. This international, multicentre RCT of infants of 25-28 weeks' gestation demonstrated that CPAP compared with intubation and ventilation from birth halved the rate of intubation and reduced oxygen dependency at 28 days and time with intubation and ventilation. However, the CPAP group had more pneumothoraces.
33. Suresh GK, Soll RF. Overview of surfactant replacement trials. J Perinatol 2005; 25 (suppl 2):S40-S44.
34. Leone TA, Rich W, Finer NN. Neonatal intubation: success of pediatric trainees. J Pediatr 2005; 146:638-641.
35. O'Donnell CP, Kamlin CO, Davis PG, Morley CJ. Endotracheal intubation attempts during neonatal resuscitation: success rates, duration, and adverse effects. Pediatrics 2006; 117:e16-e21.
36. Mazela J, Merritt TA, Finer NN. Aerosolized surfactants. Curr Opin Pediatr 2007; 19:155-162. This review article summarizes the potential usefulness of aerosolized surfactant and outlines the technical barriers that remain before its widespread application.
37. Lewis JF, Ikegami M, Jobe A, Tabor B. Aerosolized surfactant treatment of preterm lambs. J Appl Physiol 1991; 70:869-876.
38. Kribs A, Pillekamp F, Hunseler C, et al. Early administration of surfactant in spontaneous breathing with nCPAP: feasibility and outcome in extremely premature infants (postmenstrual age
39. Singh SD, Bowe L, Clarke P, et al. Is decreasing pressure or increasing the time off the better strategy in weaning VLBW infants from nasal CPAP? [abstract]. Eur J Pediatr 2006; 165 (suppl 1):50.
40. Soe A, Hodgkinson J, Jani BR, Ducker DA. Nasal continuous positive airway pressure weaning in preterm infants [abstract]. Eur J Pediatr 2006; 165 (suppl 1):50.
41. Probyn ME, Hooper SB, Dargaville PA, et al. Positive end expiratory pressure during resuscitation of premature lambs rapidly improves blood gases without adversely affecting arterial pressure. Pediatr Res 2004; 56:198-204.
42. Crossley KJ, Morley CJ, Allison BJ, et al. Blood gases and pulmonary blood flow during resuscitation of very preterm lambs treated with antenatal betamethasone and/or Curosurf: effect of positive end-expiratory pressure. Pediatr Res 2007; 62:37-42. This study used an animal model of preterm resuscitation that demonstrates the importance of an end-expiratory pressure even after antenatal corticosteroids and postnatal surfactant.
43. Hillman NH, Moss TJ, Kallapur SG, et al. Brief, large tidal volume ventilation initiates lung injury and a systemic response in fetal sheep. Am J Respir Crit Care Med 2007; 176:575-581.
44. Shennan AT, Dunn MS, Ohlsson A, et al. Abnormal pulmonary outcomes in premature infants: prediction from oxygen requirement in the neonatal period. Pediatr 2001; 82:527-532.
45. Davis PG, Thorpe K, Roberts R, et al. Evaluating "old" definitions for the "new" bronchopulmonary dysplasia. J Pediatr 2002; 140:555-560.
46. Ehrenkranz RA, Walsh MC, Vohr BR, et al. Validation of the National Institutes of Health consensus definition of bronchopulmonary dysplasia. Pediatrics 2005; 116:1353-1360.
47. Crowley P, Chalmers I, Keirse MJNC. The effects of corticosteroid administration before preterm delivery: a review of the evidence from controlled trials. Br J Obstet Gynaecol 1990; 97:11-25.
48. Soll RF. Prophylactic natural surfactant extract for preventing morbidity and mortality in preterm infants. Cochrane Database Syst Rev 2000; 2:CD000511.
49. Van Marter LJ, Allred EN, Leviton A, et al. Antenatal glucocorticoid treatment does not reduce chronic lung disease among surviving preterm infants. J Pediatr 2001; 138:198-204.
50. Lemons JA, Bauer CR, Oh W, et al. Very low birth weight outcomes of the National Institute of Child Health and Human Development Neonatal Research Network, January 1995 through December 1996. NICHD Neonatal Research Network. Pediatrics 2001; 107:E1.
51. Avery ME, Tooley WH, Keller JB, et al. Is chronic lung disease in low birth weight infants preventable? A survey of eight centers. Pediatr 1987; 79:26-30.
52. Jonsson B, Katz-Salamon M, Faxelius G, et al. Neonatal care of very low birth weight infants in special care units and neonatal intensive care units in Stockholm. Early nasal continuous positive airway pressure versus mechanical ventilation: gains and losses. Acta Paediatr 1997; 419 (suppl):4-10.
53. Gittermann MK, Fusch C, Gittermann AR, et al. Early nasal continuous positive airway pressure treatment reduces the need for intubation in very low birth weight infants. Eur J Pediatr 1997; 156:384-388.
54. Aly H, Massaro AN, Patel K, El Mohandes AA. Is it safer to intubate premature infants in the delivery room? Pediatrics 2005; 115:1660-1665.
55. Thomson MA. Continuous positive airway pressure and surfactant; combined data from animal experiments and clinical trials. Biol Neonate 2002; 81 (suppl 1):16-19.
56. Ammari A, Suri M, Milisavljevic V, et al. Variables associated with the early failure of nasal CPAP in very low birth weight infants. J Pediatr 2005; 147:341-347.
57. Halliday H. Continuous positive airway pressure. Acta Paediatr 1993; 82:1028.
58. Lundstrom K, Griesen G. Early treatment with nasal CPAP. Acta Paediatr 1993; 82:856.
59. Lundstrom KE. Early nasal continuous positive airway pressure for preterm neonates: the need for randomized trials. Acta Paediatr 2003; 92:1124-1126.
60. Dunn MS, Reilly MC. Approaches to the initial respiratory management of preterm neonates. Paediatr Respir Rev 2003; 4:2-8.
61. Subramaniam P, Henderson-Smart D, Davis P. Prophylactic nasal continuous positive airways pressure for preventing morbidity and mortality in very preterm infants. Cochrane Database Syst Rev 2005; 3:CD001243.
62. Finer NN, Carlo WA, Duara S, et al. Delivery room continuous positive airway pressure/positive end-expiratory pressure in extremely low birth weight infants: a feasibility trial. Pediatrics 2004; 114:651-657.
63. Lindwall R, Blennow M, Svensson M, et al. A pilot study of inhaled nitric oxide in preterm infants treated with nasal continuous positive airway pressure for respiratory distress syndrome. Intensive Care Med 2005; 31:959-964.
64. Shoemaker MT, Pierce MR, Yoder BA, DiGeronimo RJ. High flow nasal cannula versus nasal CPAP for neonatal respiratory disease: a retrospective study. J Perinatol 2007; 27:85-91.
65. Campbell DM, Shah PS, Shah V, Kelly EN. Nasal continuous positive airway pressure from high flow cannula versus infant flow for preterm infants. J Perinatol 2006; 26:546-549.
66. Finer NN. Nasal cannula use in the preterm infant: oxygen or pressure? Pediatrics 2005; 116:1216-1217.
67. Shanmugananda K, Rawal J. Nasal trauma due to nasal continuous positive airway pressure in newborns. Arch Dis Child Fetal Neonatal Ed 2007; 92:F18.
68. Graham PL III, Begg MD, Larson E, et al. Risk factors for late onset gram-negative sepsis in low birth weight infants hospitalized in the neonatal intensive care unit. Pediatr Infect Dis J 2006; 25:113-117.
69. Kopelman AE, Holbert D. Use of oxygen cannulas in extremely low birthweight infants is associated with mucosal trauma and bleeding, and possibly with coagulase-negative staphylococcal sepsis. J Perinatol 2003; 23:94-97.
70. Ronnestad A, Abrahamsen TG, Medbo S, et al. Septicemia in the first week of life in a Norwegian national cohort of extremely premature infants. Pediatrics 2005; 115:e262-e268.
71. Aly H, Herson V. Nasal continuous positive airway pressure and gram-negative sepsis in low-birthweight infants. Pediatr Infect Dis J 2006; 25:663-664.
72. Ho JJ, Subramaniam P, Henderson-Smart DJ, Davis PG. Continuous distending pressure for respiratory distress syndrome in preterm infants. Cochrane Database Syst Rev 2002; 2:CD002271.
73. Turkbay D, Dilmen U, Altug N. Pneumopericardium in a term infant on nasal continuous positive airway pressure. Arch Dis Child Fetal Neonatal Ed 2007; 92:F168.
74. Arioni C, Bellini C, Scopesi F, et al. Pulmonary interstitial emphysema in preterm twins on continuous positive airway pressure. J Matern Fetal Neonatal Med 2006; 19:671-673.