Table 2. Results.
Elective use (n = 25) | nCPAP failure (n = 53) | p-Value | ||||
---|---|---|---|---|---|---|
GA (wk) (median; IQR) | 25.7; 25.0–26.6 | 27.5; 26.1–28.7 | 0.001 | |||
Weight at birth (g) (median; IQR) | 680; 500–860 | 930; 745–1,150 | 0.002 | |||
Days of life (median; IQR) | 39; 17–60 | 11; 5.5–24 | 0.022 | |||
Prenatal corticosteroids, n (%) | 19 (76) | 45 (84.9) | 0.517 | |||
Rate of intubation at delivery, n (%) | 18 (72) | 23 (43.4) | 0.061 | |||
Surfactant, n (%) | 22 (88) | 46 (86.8) | 0.356 | |||
Days of MV prior to SNIPPV use (median; IQR) | 60; 28–192 | 5; 0–72 | <0.001 | |||
Duration (h) of SNIPPV support (median; IQR) | 96; 48–132 | 48; 10–84 | 0.033 | |||
Air leaks, n (%) | 1 (4)a | 4 (7.5)b | 0.551 | |||
Nasal injury, n (%) | 0 | 1 (1.9)c | 0.489 | |||
Pathologic cranial ultrasound,d n (%) | 1 (4)1 | 4 (7.5) | 0.551 | |||
Successe | 23(92) | 35 (66) | 0.014 | |||
Previous nCPAP extubation failure (n = 12) | Ventilator-dependent patients (n = 13) | Apnea (n = 23) | Hypoxemia (n = 15) | Respiratory acidosis (n = 15) | ||
11 (91.7) | 12 (92.3) | 15 (62.5) | 9 (60) | 11 (73.3) | 0.081 |
Abbreviations: GA, gestational age; IQR, interquartile range; MV, mechanical ventilation; nCPAP, nasal continuous distended pressure; SNIPPV, synchronized nasal intermittent positive pressure ventilation.
Previous to SNIPPV use.
Previous to SNIPPV use.
Resolved with topical care, no iMV was needed.
Intraventricular hemorrhage grade 3 or 4 based on Papile's classification or persistent periventricular leukomalacia (more than 15 days).
No iMV in the next 72 h.