Sant'Anna 2015.
Methods | Single centre, randomised controlled cross‐over trial in Canada. |
Participants |
Inclusion criteria: infants < 1250 grams; receiving invasive mechanical ventilation; undergoing first extubation. Exclusion criteria: major congenital anomalies; congenital heart defects; neuromuscular disease; diaphragmatic paralysis or palsy; diagnosed phrenic nerve injury; oesophageal perforation; haemodynamic instability; infants on narcotic or sedative agents. |
Interventions | Total n = 30. Group 1: nCPAP (cross‐over details unclear). Group 2: NIPPV (cross‐over details unclear). Group 3: NIV‐NAVA (cross‐over details unclear). Infants randomised to receive nCPAP, NIPPV or NIV‐NAVA mode of ventilation for 30 minutes on each mode with a 10‐minute washout period. |
Outcomes |
Primary outcome: multiple cardiorespiratory parameters (derived from clinical and ventilator parameters). Secondary outcomes: trigger delay, cycling off delay, number of breaths with premature cycling off, AI, wasted inspiratory efforts, relationship and proportionality between ventilator assist and patient respiratory demand. |
Notes | Results presented at Pediatric Academic Societies 2019; awaiting full publication. |
AI: asynchrony index
BPD: bronchopulomary dysplasia
IL: interleukin
IVH: intraventricular haemorrhage
NAVA: neurally‐assisted ventilatory assist
nCPAP: nasal continuous positive airway pressure
NEC: necrotizing enterocolitis
NIPPV: non‐invasive intermittent positive pressure ventilation
NIV‐NAVA: non‐invasive neurally adjusted ventilatory assist
PIP: peak inspiratory pressure
PEEP: positive end expiratory pressure
PVL: periventricular leukomalacia
RDS: respiratory distress syndrome
ROP: retinopathy of prematurity
SiPAP: synchronised positive airay pressure
TNF: tumour necrosis factor