Continuous positive airway pressure: Physiology and comparison of devices

Seminars in Fetal and Neonatal Medicine

Volumn 21, Issue 3, 2016, Pages 204-211

  Gupta, Samir ^a   Donn, Steven M ^b  

^a UNIVERSITY HOSPITAL OF NORTH TEES   (United Kingdom)

^b UNIVERSITY OF MICHIGAN   (United States)

Author keywords

Bubble CPAP; Continuous positive airway pressure (CPAP); Device; Infant Flow driver; Preterm; Ventilation

Indexed keywords

BREATHING PATTERN; BUBBLE CPAP DEVICE; CARDIOVASCULAR EFFECT; CONTINUOUS FLOW CPAP DEVICE; CPAP DEVICE; ENDOTRACHEAL TUBE; EXTUBATION; GAS FLOW; HUMAN; LIFE SUPPORT EQUIPMENT; LUNG COMPLIANCE; LUNG MECHANICS; MOUTH; MOUTH POSITION; NASAL PRONG; NASOPHARYNGEAL TUBE; NEONATAL VENTILATOR; NOSE INJURY; NOSE SEPTUM INJURY; OUTCOME ASSESSMENT; PATIENT MONITORING; POSITIVE END EXPIRATORY PRESSURE; PREMATURITY; RANDOMIZED CONTROLLED TRIAL (TOPIC); RESPIRATORY DRIVE; RESPIRATORY FAILURE; RESPIRATORY FUNCTION; RESPIRATORY THERAPEUTIC DEVICE; REVIEW; UPPER RESPIRATORY TRACT; VARIABLE FLOW CPAP DEVICE; WORK OF BREATHING; COMPARATIVE STUDY; DEVICES; NEWBORN; PATHOPHYSIOLOGY; PROCEDURES; RESPIRATORY INSUFFICIENCY; RESPIRATORY SYSTEM;

CONTINUOUS POSITIVE AIRWAY PRESSURE; HUMANS; INFANT, NEWBORN; INFANT, PREMATURE; RESPIRATORY INSUFFICIENCY; RESPIRATORY SYSTEM;

EID: 84959309393     PISSN: 1744165X     EISSN: 18780946     Source Type: Journal    
DOI: 10.1016/j.siny.2016.02.009     Document Type: Review

References (46)

1. [1] Courtney, S.E., Barrington, K.J., Continuous positive airway pressure and noninvasive ventilation. Clin Perinatol 34 (2007), 73–92.
2. [2] Bhutani, V.K., Development of respiratory system. 2nd ed., 2006, Mosby/Elsevier, Philadelphia.
3. [3] Hammer, J., Nasal CPAP in preterm infants – does it work and how?. Intensive Care Med 27 (2001), 1689–1691.
4. [4] Miller, M.J., Carlo, W.A., Martin, R.J., Continuous positive airway pressure selectively reduces obstructive apnea in preterm infants. J Pediatr 106 (1985), 91–94.
5. [5] Miller, M.J., DiFiore, J.M., Strohl, K.P., Martin, R.J., Effects of nasal CPAP on supraglottic and total pulmonary resistance in preterm infants. J Appl Physiol 68 (1990), 141–146.
6. [6] De Paoli, A.G., Lau, R., Davis, P.G., Morley, C.J., Pharyngeal pressure in preterm infants receiving nasal continuous positive airway pressure. Archs Dis Child Fetal Neonatal Ed 90 (2005), F79–F81.
7. [7] Griffiths, G.B., Noworaj, A., Mortola, J.P., End-expiratory level and breathing pattern in the newborn. J Appl Physiol 55:1 Pt 1 (1983), 243–249.
8. [8] Locke, R., Greenspan, J.S., Shaffer, T.H., Rubenstein, S.D., Wolfson, M.R., Effect of nasal CPAP on thoracoabdominal motion in neonates with respiratory insufficiency. Pediatr Pulmonol 11 (1991), 259–264.
9. [9] Courtney, S.E., Pyon, K.H., Saslow, J.G., Arnold, G.K., Pandit, P.B., Habib, R.H., Lung recruitment and breathing pattern during variable versus continuous flow nasal continuous positive airway pressure in premature infants: an evaluation of three devices. Pediatrics 107 (2001), 304–308.
10. [10] Elgellab, A., Riou, Y., Abbazine, A., Truffert, P., Matran, R., Lequien, P., et al. Effects of nasal continuous positive airway pressure NCPAP on breathing pattern in spontaneously breathing premature newborn infants. Intensive Care Med 27 (2001), 1782–1787.
11. [11] Magnenant, E., Rakza, T., Riou, Y., Elgellab, A., Matran, R., Lequien, P., et al. Dynamic behavior of respiratory system during nasal continuous positive airway pressure in spontaneously breathing premature newborn infants. Pediatr Pulmonol 37 (2004), 485–491.
12. [12] Mulrooney, N., Champion, Z., Moss, T.J., Nitsos, I., Ikegami, M., Jobe, A.H., Surfactant and physiologic responses of preterm lambs to continuous positive airway pressure. Am J Resp Crit Care Med 171 (2005), 488–493.
13. [13] Moa, G., Nilsson, K., Zetterstrom, H., Jonsson, L.O., A new device for administration of nasal continuous positive airway pressure in the newborn: an experimental study. Crit Care Med 16 (1988), 1238–1242.
14. [14] Benveniste, D., Pedersen, J.E., A valve substitute with no moving parts, for artificial ventilation in newborn and small infants. Br J Anaesth 40 (1968), 464–470.
15. [15] Gregory, G.A., Kitterman, J.A., Phibbs, R.H., Tooley, W.H., Hamilton, W.K., Treatment of the idiopathic respiratory-distress syndrome with continuous positive airway pressure. N Engl J Med 284 (1971), 1333–1340.
16. [16] Lee, K.S., Dunn, M.S., Fenwick, M., Shennan, A.T., A comparison of underwater bubble continuous positive airway pressure with ventilator-derived continuous positive airway pressure in premature neonates ready for extubation. Biol Neonate 73 (1998), 69–75.
17. [17] Davis, P., Davies, M., Faber, B., A randomised controlled trial of two methods of delivering nasal continuous positive airway pressure after extubation to infants weighing less than 1000 g: binasal Hudson versus single nasal prongs. Archs Dis Child Fetal Neonatal Ed 85 (2001), F82–F85.
18. [18] Roukema, H., O'Brian, K., Nesbitt, K., A crossover trial of Infant Flow (IF) continuous positive airway pressure (CPAP) versus nasopharyngeal (NP) CPAP in the extubation of babies ≤1250 grams birth weight [abstract 1874]. Pediatr Res, 45, 1999, 318A.
19. [19] Mazzella, M., Bellini, C., Calevo, M.G., 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. Archs Dis Child Fetal Neonatal Ed 85 (2001), F86–F90.
20. [20] De Paoli, A.G., Davis, P.G., Faber, B., Morley, C.J., Devices and pressure sources for administration of nasal continuous positive airway pressure (NCPAP) in preterm neonates. Cochrane Database Syst Rev(1), 2008, CD002977.
21. [21] Kieran, E.A., Twomey, A.R., Molloy, E.J., Murphy, J.F., O'Donnell, C.P., Randomized trial of prongs or mask for nasal continuous positive airway pressure in preterm infants. Pediatrics 130 (2012), e1170–e1176.
22. [22] De Paoli, A.G., Morley, C.J., Davis, P.G., Lau, R., Hingeley, E., In vitro comparison of nasal continuous positive airway pressure devices for neonates. Archs Dis Child Fetal Neonatal Ed 87 (2002), F42–F45.
23. [23] Morley, C.J., Lau, R., De, P.A., Davis, P.G., Nasal continuous positive airway pressure: does bubbling improve gas exchange?. Archs Dis Child Fetal Neonatal Ed 90 (2005), F343–F344.
24. [24] Pillow, J.J., Travadi, J.N., Bubble CPAP: is the noise important? An in vitro study. Pediatr Res 57 (2005), 826–830.
25. [25] Pillow, J.J., Hillman, N., Moss, T.J., 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 176 (2007), 63–69.
26. [26] Kahn, D.J., Courtney, S.E., Steele, A.M., Habib, R.H., Unpredictability of delivered bubble nasal continuous positive airway pressure role of bias flow magnitude and nares-prong air leaks. Pediatr Res 62 (2007), 343–347.
27. [27] Klausner, J.F., Lee, A.Y., Hutchison, A.A., Decreased imposed work with a new nasal continuous positive airway pressure device. Pediatr Pulmonol 22 (1996), 188–194.
28. [28] Pandit, P.B., Courtney, S.E., Pyon, K.H., Saslow, J.G., Habib, R.H., Work of breathing during constant- and variable-flow nasal continuous positive airway pressure in preterm neonates. Pediatrics 108 (2001), 682–685.
29. [29] Courtney, S.E., Aghai, Z.H., Saslow, J.G., Pyon, K.H., Habib, R.H., Changes in lung volume and work of breathing: a comparison of two variable-flow nasal continuous positive airway pressure devices in very low birth weight infants. Pediatr Pulmonol 36 (2003), 248–252.
30. [30] Courtney, S.E., Aghai, Z.H., Saslow, J.G., Pyon, K.H., Habib, R.H., Work of breathing (WOB) during nasal continuous positive airway pressure (NCPAP): a pilot study of bubble vs. variable-flow (VF) NCPAP. PAS, 53, 2003, 2039.
31. [31] Liptsen, E., Aghai, Z.H., Pyon, K.H., Saslow, J.G., 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 25 (2005), 453–458.
32. [32] Adams, J.A., Osiovich, H., Goldberg, R.N., Suguihara, C., Bancalari, E., Hemodynamic effects of continuous negative extrathoracic pressure and continuous positive airway pressure in piglets with normal lungs. Biol Neonate 62 (1992), 69–75.
33. [33] Narendran, V., Donovan, E.F., Hoath, S.B., Warner, B.B., Streichen, J.J., Jobe, A.H., Comparison between early bubble CPAP and conventional CPAP in reducing the incidence of chronic lung disease. PAS, 51, 2002, 1960.
34. [34] Pelligra, P., Abdellatif, M.A., Lee, S.K., Comparison of clinical outcomes between two modes of CPAP delivery: underwater bubble versus conventional ventilator-derived. E-PAS, 59, 2006, 475.
35. [35] Massaro, A.N., Abdel-Haq, I., Aly, H.Z., Underwater seal bubble CPAP versus ventilator-derived CPAP: does mode of delivery make a difference in clinical outcome?. PAS, 57, 2005, 2053.
36. [36] McEvoy, C.T., Colaizy, T., Crichton, C., Frietag, B., Gilhooly, J., Pillers, D.M., et al. Randomized trial of early bubble continuous positive airway pressure (BCPAP) versus conventional CPAP (CCPAP): effect on pulmonary function in preterm infants. PAS, 55, 2004, 2988.
37. [37] 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 59 (2013), 113–119.
38. [38] Mazmanyan, P., Mellor, K., Dore, C.J., Modi, N., A randomised controlled trial of flow driver and bubble continuous positive airway pressure in preterm infants in a resource-limited setting. Archs Dis Child Fetal Neonatal Ed 101 (2016), 16–20.
39. [39] Bhatti, A., Khan, J., Murki, S., Sundaram, V., Saini, S.S., Kumar, P., Nasal Jet-CPAP (variable flow) versus bubble-CPAP in preterm infants with respiratory distress: an open label, randomized controlled trial. J Perinatol 35 (2015), 935–940.
40. [40] Sun, S.C., Tien, H.C., Banabas, S., Randomised controlled trial of two methods of nasal CPAP (NCPAP): flow driver vs conventional CPAP [abstract 1898]. Pediatr Res, 45, 1999, 322A.
41. [41] Stefanescu, B.M., Murphy, W.P., Hansell, B.J., Fuloria, M., Morgan, T.M., Aschner, J.L., A randomized, controlled trial comparing two different continuous positive airway pressure systems for the successful extubation of extremely low birth weight infants. Pediatrics 112 (2003), 1031–1038.
42. [42] Gupta, N., Saini, S.S., Murki, S., Kumar, P., Deorari, A., Continuous positive airway pressure in preterm neonates: an update of current evidence and implications for developing countries. Indian Pediatr 52 (2015), 319–328.
43. [43] Wilson, B.J. Jr., Becker, M.A., Linton, M.E., Donn, S.M., Spontaneous minute ventilation predicts readiness for extubation in mechanically ventilated preterm infants. J Perinatol 18:6Pt 1 (1998), 436–439.
44. [44] Yong, S.C., Chen, S.J., Boo, N.Y., 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. Archs Dis Child Fetal Neonatal Ed 90 (2005), F480–F483.
45. [45] Alsop, L., Cook, J., Gupta, S., Nasal injuries in preterm infants: comparison of the infant flow driver to bubble CPAP. PAS, 2008 4456.4.
46. [46] Jatana, K.R., Oplatek, A., Stein, M., Phillips, G., Kang, D.R., Elmaraghy, C.A., Effects of nasal continuous positive airway pressure and cannula use in the neonatal intensive care unit setting. Arch Otolaryngol Head Neck Surg 136 (2010), 287–291.