Continuous positive airway pressure in preterm neonates: An update of current evidence and implications for developing countries

Indian Pediatrics

Volumn 52, Issue 4, 2015, Pages 319-328

  Gupta, Neeraj ^a   Saini, Shiv Sajan ^b   Murki, Srinivas ^c   Kumar, Praveen ^b   Deorari, Ashok ^a  

^a ALL INDIA INSTITUTE OF MEDICAL SCIENCES   (India)

^b POSTGRADUATE INSTITUTE OF MEDICAL EDUCATION AND RESEARCH   (India)

^c Fernandez Hospital Hyderabad   (India)

Author keywords

Continuous positive airway pressure; Mechanical ventilation; Neonate; Noninvasive ventilation

Indexed keywords

SURFACTANT;

ARTIFICIAL VENTILATION; ASSISTED VENTILATION; COCHRANE LIBRARY; COST EFFECTIVENESS ANALYSIS; DELIVERY ROOM; DEVELOPING COUNTRY; HUMAN; MEDLINE; NASAL CANNULA; NEWBORN APNEA; NONINVASIVE VENTILATION; POSITIVE END EXPIRATORY PRESSURE; POSITIVE END EXPIRATORY PRESSURE VENTILATOR; PREMATURITY; PUBLICATION; QUESTIONNAIRE; RESPIRATORY DISTRESS SYNDROME; REVIEW; WEANING; NEWBORN; RESPIRATORY DISTRESS SYNDROME, NEWBORN;

CONTINUOUS POSITIVE AIRWAY PRESSURE; DEVELOPING COUNTRIES; HUMANS; INFANT, NEWBORN; INFANT, PREMATURE; RESPIRATORY DISTRESS SYNDROME, NEWBORN;

EID: 84928994638     PISSN: 00196061     EISSN: 09747559     Source Type: Journal    
DOI: 10.1007/s13312-015-0632-z     Document Type: Review

References (76)

1. 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.
2. Buckmaster AG, Arnolda GR, Wright IM, Henderson-Smart DJ. CPAP use in babies with respiratory distress in Australian special care nurseries. J Paediatr Child Health. 2007;43:376–82.
3. Kiran S, Murki S, Pratap OT, Kandraju H, Reddy A. Nasal continuous positive airway pressure therapy in a nontertiary neonatal unit: Reduced need for up-transfers. Indian J Pediatr. 2014 Jun 21. [Epub ahead of print].
4. Ho JJ, Henderson-Smart DJ, Davis PG. Early versus delayed initiation of continuous distending pressure for respiratory distress syndrome in preterm infants. Cochrane Database Syst Rev. 2002;2:CD002975.
5. Morley CJ, Davis PG, Doyle LW, Brion LP, Hascoet JM, Carlin JB; COIN Trial Investigators. Nasal CPAP or intubation at birth for very preterm infants. N Engl J Med. 2008;358:700–8.
6. SUPPORT Study Group of the Eunice Kennedy Shriver NICHD Neonatal Research Network, Finer NN, Carlo WA, Walsh MC, Rich W, Gantz MG, Laptook AR, et al. Early CPAP versus surfactant in extremely preterm infants. N Engl J Med. 2010;362:1970–9.
7. Dunn MS, Kaempf J, de Klerk A, de Klerk R, Reilly M, Howard D; Vermont Oxford Network DRM Study Group. Randomized trial comparing 3 approaches to the initial respiratory management of preterm neonates. Pediatrics. 2011;128:1069–76.
8. Verder H, Agertoft L, Albertsen P, Christensen NC, Curstedt T, Ebbesen F, et al. Surfactant treatment of newborn infants with respiratory distress syndrome primarily treated with nasal continuous positive air pressure. A pilot study. Ugeskr Laeger. 1992;154:2136–9.
9. Stevens TP, Harrington EW, Blennow M, Soll RF. Early surfactant administration with brief ventilation vs selective surfactant and continued mechanical ventilation for preterm infants with or at risk for respiratory distress syndrome. Cochrane Database Syst Rev. 2007;4:CD003063.
10. Verder H, Robertson B, Greisen G, Ebbesen F, Albertsen P, Lundstrom K, et al. Surfactant therapy and nasal continuous positive airway pressure for newborns with respiratory distress syndrome. Danish-Swedish Multicenter Study Group. N Engl J Med. 1994;331: 1051–5.
11. Reininger A, Khalak R, Kendig JW, Ryan RM, Stevens TP, Reubens L, et al. Surfactant administration by transient intubation in infants 29 to 35 weeks’ gestation with respiratory distress syndrome decreases the likelihood of later mechanical ventilation: A randomized controlled trial. J Perinatol. 2005;25:703–8.
12. Sandri F, Plavka R, Ancora G, Simeoni U, Stranak Z, Martinelli S, et al; CURPAP Study Group. Prophylactic or early selective surfactant combined with nCPAP in very preterm infants. Pediatrics. 2010;125:1402–9.
13. Rojas-Reyes MX, Morley CJ, Soll R. Prophylactic versus selective use of surfactant in preventing morbidity and mortality in preterm infants. Cochrane Database Syst Rev. 2012;3:CD000510.
14. Polin RA, Carlo WA; Committee on Fetus and Newborn; American Academy of Pediatrics. Surfactant replacement therapy for preterm and term neonates with respiratory distress. Pediatrics. 2014;133:156–63.
15. Rojas MA, Lozano JM, Rojas MX, Laughon M, Bose CL, Rondon MA, et al; Colombian Neonatal Research Network. Very early surfactant without mandatory ventilation in premature infants treated with early continuous positive airway pressure: a randomized, controlled trial. Pediatrics. 2009;123:137–42.
16. Kandraju H, Murki S, Subramanian S, Gaddam P, Deorari A, Kumar P. Early routine versus late selective surfactant in preterm neonates with respiratory distress syndrome on nasal continuous positive airway pressure: A randomized controlled trial. Neonatology. 2013;103:148–54.
17. 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.
18. Goldsmith JP. Continuous positive airway pressure and conventional mechanical ventilation in the treatment of meconium aspiration syndrome. J Perinatol. 2008;28: S49–55.
19. Priya B, Murki S. CPAP for Meconium Aspiration Syndrome: Predictors of Failure. In: Thakre R, Pejaver RK. editors. Proceedings of VI Annual Convention of Neonatology Chapter of Indian Academy of Pediatrics: IAP Neocon 2013 Abstracts. Ahmedabad, India: IAP Neonatal Chapter India; 2013. p.12.
20. Davis PG, Morley CJ. Non-invasive respiratory support: An alternative to mechanical ventilation in preterm infants. In: Bancalari E (ed). The Newborn Lung. Neonatology questions and new controversies. 1st edn. Philadelphia: Saunders 2008: p. 361–76.
21. Buzzella B, Claure N, D’Ugard C, Bancalari E. A randomized controlled trial of two nasal continuous positive airway pressure levels after extubation in preterm infants. J Pediatr. 2014;164:46–51.
22. Bowe L, Clarke P. Current use of nasal continuous positive airways pressure in neonates. Arch Dis Child Fetal Neonatal Ed. 2005;90:F92–3.
23. Singh SD, Robinson MJ, Clarke P, Bowe L, Smith J, Glover K, et al. Nasal CPAP weaning of VLBW infants: Is decreasing CPAP pressure or increasing time off the better strategy? Results of a randomized controlled trial. Early Hum Dev. 2007;83:125–37.
24. Jardine LA, Inglis GD, Davies MW. Strategies for the withdrawal of nasal continuous positive airway pressure (NCPAP) in preterm infants. Cochrane Database Syst Rev. 2011;2:CD006979.
25. Abdel-Hady H, Shouman B, Aly H. Early weaning from CPAP to high flow nasal cannula in preterm infants is associated with prolonged oxygen requirement: A randomized controlled trial. Early Hum Dev. 2011;87: 205–8.
26. Todd DA, Wright A, Broom M, Chauhan M, Meskell S, Cameron C et al. Methods of weaning preterm babies <30 weeks gestation off CPAP: A multicentre randomised controlled trial. Arch Dis Child Fetal Neonatal Ed. 2012;97:F236–40.
27. O’Donnell SM, Curry SJ, Buggy NA, Moynihan MM, Sebkova S, Janota J, et al. The NOFLO trial: Low-flow nasal prongs therapy in weaning nasal continuous positive airway pressure in preterm infants. J Pediatr. 2013;163: 79–83.
28. 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.
29. Pillow JJ, Hillman N, Moss TJ, Polglase G, Bold G, Beaumont C, et al. Bubble continuous positive airway pressure enhances lung volume and gas exchange in preterm lambs. Am J Respir Crit Care Med. 2007;176: 63–9.
30. Tagare A, Kadam S, Vaidya U, Pandit A, Patole S. A pilot study of comparison of BCPAP vs VCPAP in preterm infants with early onset respiratory distress. J Trop Pediatr. 2010;56:191–4.
31. Courtney SE, Pyon KH, Saslow JG, Arnold GK, Pandit PB, Habib RH. Lung recruitment and breathing pattern during variable versus continuous flow nasal continuous positive airway pressure in premature infants: an evaluation of three devices. Pediatrics. 2001;107:304–8.
32. Yadav S, Thukral A, Sankar MJ, Sreenivas V, Deorari AK, Paul VK, et al. Bubble vs conventional continuous positive airway pressure for prevention of extubation failure in preterm very low birth weight infants: A pilot study. Indian J Pediatr. 2012;79:1163–68.
33. Tagare A, Kadam S, Vaidya U, Pandit A, Patole S. Bubble CPAP versus ventilator CPAP in preterm neonates with early onset respiratory distress–A randomized controlled trial. J Trop Pediatr. 2013;59:113–9.
34. Moa G, Nilsson K, Zetterström H, Jonsson LO. A new device for administration of nasal continuous positive airway pressure in the newborn: an experimental study. Crit Care Med. 1988;16:1238–42.
35. Klausner JF, Lee AY, Hutchison AA. Decreased imposed work with a new nasal continuous positive airway pressure device. Pediatr Pulmonol. 1996;22:188–94.
36. Ahluwalia JS, White DK, Morley CJ. Infant flow driver or single prong nasal continuous positive airway pressure: short-term physiological effects. Acta Paediatr. 1998;87:325–7.
37. Courtney SE, Pyon KH, Saslow JG, Arnold GK, Pandit PB, Habib RH. Lung recruitment and breathing pattern during variable versus continuous flow nasal continuous positive airway pressure in premature infants: an evaluation of three devices. Pediatrics. 2001;107:304–8.
38. Pandit PB, Courtney SE, Pyon KH, Saslow JG, Habib RH. Work of breathing during constant- and variable-flow nasal continuous positive airway pressure in preterm neonates. Pediatrics. 2001;108:682–5.
39. Mazzella M, Bellini C, Calevo MG, Campone F, Massocco D, Mezzano P, et al. A randomised control study comparing the Infant Flow Driver with nasal continuous positive airway pressure in preterm infants. Arch Dis Child Fetal Neonatal Ed. 2001;85:F86–90.
40. Liptsen E, Aghai ZH, Pyon KH, Saslow JG, Nakhla T, Long J, et al. Work of breathing during nasal continuous positive airway pressure in preterm infants: a comparison of bubble vs variable-flow devices. J Perinatol. 2005;25:453–8.
41. Boumecid H, Rakza T, Abazine A, Klosowski S, Matran R, Storme L. Influence of three nasal continuous positive airway pressure devices on breathing pattern in preterm infants. Arch Dis Child Fetal Neonatal Ed. 2007;92: F298–300.
42. Pantalitschka T, Sievers J, Urschitz MS, Herberts T, Reher C, Poets CF. Randomised crossover trial of four nasal respiratory support systems for apnoea of prematurity in very low birthweight infants. Arch Dis Child Fetal Neonatal Ed. 2009;94:F245–8.
43. Yagui AC, Vale LA, Haddad LB, Prado C, Rossi FS, Deutsch AD, et al. Bubble CPAP versus CPAP with variable flow in newborns with respiratory distress: a randomized controlled trial. J Pediatr (Rio J). 2011;87: 499–504.
44. Bober K, OEwietliñski J, Zejda J, Kornacka K, Pawlik D, Behrendt J, et al. A multicenter randomized controlled trial comparing effectiveness of two nasal continuous positive airway pressure devices in very-low-birth-weight infants. Pediatr Crit Care Med. 2012;13:191–6.
45. Kirchner L, Wald M, Jeitler V, Pollak A. In vitro comparison of noise levels produced by different CPAP generators. Neonatology. 2012;10:95–100.
46. Huckstadt T, Foitzik B, Wauer RR, Schmalisch G. Comparison of two different CPAP systems by tidal breathing parameters. Intensive Care Med. 2003;29: 1134–40.
47. Stefanescu BM, Murphy WP, Hansell BJ, Fuloria M, Morgan TM, Aschner JL. A randomized, controlled trial comparing two different continuous positive airway pressure systems for the successful extubation of extremely low birth weight infants. Pediatrics. 2003;112;1031–8.
48. Gupta S, Sinha SK, Tin W, Donn SM. A randomized controlled trial of post-extubation bubble continuous positive airway pressure versus infant flow driver continuous positive airway pressure in preterm infants with respiratory distress syndrome. J Pediatr. 2009;154:645–50.
49. Bhatti A, Khan J, Murki S, Sundaram V, Saini SS, Kumar P. Jet Continuous positive airway pressure versus bubble continuous positive airway pressure in preterm babies with respiratory distress: A randomized controlled trial. E-PAS. 2014:4680.5
50. Manley BJ, Dold SK, Davis PG, Roehr CC. High-flow nasal cannulae for respiratory support of preterm infants: a review of the evidence. Neonatology. 2012;102:300–8.
51. Yoder BA, Stoddard RA, Li M, King J, Dirnberger DR, Abbasi S. Heated, humidified high-flow nasal cannula versus nasal cpap for respiratory support in neonates. Pediatrics. 2013;131:e1482–90.
52. Collins CL, Holberton JR, Barfield C, Davis PG. A randomized controlled trial to compare heated humidified high-flow nasal cannulae with nasal continuous positive airway pressure postextubation in premature infants. J Pediatr. 2013;162:949–54.
53. Klingenberg C, Pettersen M, Hansen EA, Gustavsen LJ, Dahl IA, Leknessund A, et al. Patient comfort during treatment with heated humidified high flow nasal cannulae versus nasal continuous positive airway pressure: A randomised cross-over trial. Arch Dis Child Fetal Neonatal Ed. 2014;99:F134–7.
54. Manley BJ, Owen LS, Doyle LW, Andersen CC, Cartwright DW, Pritchard MA, et al. High-flow nasal cannulae in very preterm infants after extubation. N Engl J Med. 2013;369:1425–33.
55. 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. 2008;1:CD002977.
56. Mazzella M, Bellini C, Calevo MG, Campone F, Massocco D, Mezzano P, et al. A randomised control study comparing the Infant Flow Driver with nasal continuous positive airway pressure in preterm infants. Arch Dis Child Fetal Neonatal Ed. 2001;85:F86–90.
57. Rego MA, Martinez FE. Comparison of two nasal prongs for application of continuous positive airway pressure in neonates. Pediatr Crit Care Med. 2002;3:239–43.
58. Yong SC, Chen SJ, Boo NY. Incidence of nasal trauma associated with nasal prong versus nasal mask during continuous positive airway pressure treatment in very low birthweight infants: A randomised control study, Arch Dis Child Fetal Neonatal Ed. 2005;90:F480–83.
59. Kieran EA, Twomey AR, Molloy EJ, Murphy JF, O’Donnell CP. Randomized trial of prongs or mask for nasal continuous positive airway pressure in preterm infants. Pediatrics. 2012;130:1170–6.
60. Chandrasekaran A, Sachdeva A, Sankar MJ, Agarwal R, Deorari AK, Paul VK. Nasal mask versus nasal prongs in the delivery of continuous positive airway pressure in preterm infants–An open label randomized controlled trial. E-PAS. 2014:2936.512.
61. Horton D, Durand D. Use of a new nasal cannula to deliver nasal ventilation to NICU patients. Open forum abstracts; Journal of respiratory care 2012.
62. Nzegwu NI, Mack T, DellaVentura R, Dunphy L, Koval N, Levit O, et al. Systematic use of the RAM nasal cannula in the Yale-New Haven Children’s Hospital Neonatal Intensive Care Unit: A quality improvement project. J Matern Fetal Neonatal Med. 2014 Jun 30:1–4. [Epub ahead of print].
63. Ancora G, Maranella E, Grandi S, Pierantoni L, Guglielmi M, Faldella G. Role of bilevel positive airway pressure in the management of preterm newborns who have received surfactant. Acta Paediatr. 2010;99:1807–11.
64. Lista G, Castoldi F, Fontana P, Daniele I, Cavigioli F, Rossi S, et al. Nasal continuous positive airway pressure (CPAP) versus bi-level nasal CPAP in preterm babies with respiratory distress syndrome: A randomised control trial. Arch Dis Child Fetal Neonatal Ed. 2010;95:F85–9.
65. O’Brien K, Campbell C, Brown L, Wenger L, Shah V. Infant flow biphasic nasal continuous positive airway pressure (BP- NCPAP) vs infant flow NCPAP for the facilitation of extubation in infants’ <1,250 grams: A randomized controlled trial. BMC Pediatr. 2012;12:43–51.
66. Sea-PAP. A Lifesaving Innovation for Infant Respiratory Distress. Available from: http://www.seattlechildrens.org/research/developmental-therapeutics/labsprograms/neonatal-respiratory-support-technologies-team/sea-PAP/ Accessed June 25, 2014.
67. Diblasi RM, Zignego JC, Smith CV, Hansen TN, Richardson CP. Effective gas exchange in paralyzed juvenile rabbits using simple, inexpensive respiratory support devices. Pediatr Res. 2010;68:526–30.
68. Thomas CW, Meinzen-Derr J, Hoath SB, Narendran V. Neurodevelopmental outcomes of extremely low birth weight infants ventilated with continuous positive airway pressure vs mechanical ventilation. Indian J Pediatr. 2012;79:218–23.
69. Vaucher YE, Peralta-Carcelen M, Finer NN, Carlo WA, Gantz MG, Walsh MC; SUPPORT Study Group of the Eunice Kennedy Shriver NICHD Neonatal Research Network. Neurodevelopmental outcomes in the early CPAP and pulse oximetry trial. N Engl J Med. 2012;367:2495–504.
70. Report of the National Neonatal Perinatal Database. NNF India, 2002–2003.
71. Kumar A, Bhat BV. Epidemiology of respiratory distress of newborns. Indian J Pediatr. 1996;63:93–8.
72. Daga S, Mhatre S, Borhade A, Khan D. Home-made continuous positive airways pressure device may reduce mortality in neonates with respiratory distress in lowresource setting. J Trop Pediatr. 2014;60:343–7.
73. Hendriks H, Kirsten GF, Voss M, Conradie H. Is continuous positive airway pressure a feasible treatment modality for neonates with respiratory distress syndrome in a rural district hospital? J Trop Pediatr. 2014;60:348–51.
74. Kawaza K, Machen HE, Brown J, Mwanza Z, Iniguez S, Gest A, et al. Efficacy of a low-cost bubble CPAP system in treatment of respiratory distress in a neonatal ward in Malawi. PLoS One. 2014;9:e86327.
75. Martin S, Duke T, Davis P. Efficacy and safety of bubble CPAP in neonatal care in low and middle income countries: a systematic review. Arch Dis Child Fetal Neonatal Ed. 2014;99:F495–504.
76. Kamath BD, Macguire ER, McClure EM, Goldenberg RL, Jobe AH. Neonatal mortality from respiratory distress syndrome: lessons for low-resource countries. Pediatrics. 2011;127:1139–46.