Noninvasive Ventilation in the Delivery Room for the Preterm Infant

Research output: Contribution to journalArticle

Abstract

A decade ago, preterm infants were prophylactically intubated and mechanically ventilated starting in the delivery room; however, now the shift is toward maintaining even the smallest of neonates on noninvasive respiratory support. The resuscitation of very low gestational age neonates continues to push the boundaries of neonatal care, as the events that transpire during the golden minutes right after birth prove ever more important for determining long-term neurodevelopmental outcomes. Continuous positive airway pressure (CPAP) remains the most important mode of noninvasive respiratory support for the preterm infant to establish and maintain functional residual capacity and decrease ventilation/perfusion mismatch. However, the majority of extremely low gestational age infants require face mask positive pressure ventilation during initial stabilization before receiving CPAP. Effectiveness of face mask positive pressure ventilation depends on the ability to detect and overcome mask leak and airway obstruction. In this review, the current evidence on devices and techniques of noninvasive ventilation in the delivery room are discussed.

Original languageEnglish (US)
Pages (from-to)e489-e499
JournalNeoReviews
Volume20
Issue number9
DOIs
StatePublished - Sep 1 2019

Fingerprint

Delivery Rooms
Noninvasive Ventilation
Masks
Premature Infants
Continuous Positive Airway Pressure
Positive-Pressure Respiration
Gestational Age
Newborn Infant
Functional Residual Capacity
Airway Obstruction
Resuscitation
Ventilation
Perfusion
Parturition
Equipment and Supplies

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Noninvasive Ventilation in the Delivery Room for the Preterm Infant. / Weydig, Heather Miller; Ali, Noorjahan; Kakkilaya, Venkatakrishna.

In: NeoReviews, Vol. 20, No. 9, 01.09.2019, p. e489-e499.

Research output: Contribution to journalArticle

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