Estudo descritivo: ventilação mecânica não-invasiva em recém-nascidos pré-termo com síndrome do desconforto respiratório
Estudo descritivo: ventilação mecânica não-invasiva em recém-nascidos pré-termo com síndrome do desconforto respiratório
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描述：ventilação mecânica não-invasiva em recem-nascidos pre-termo com síndrome do desconforto respiratório
DOI：
10.5585/conssaude.v8i3.1715
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发表时间：
2009
期刊：
影响因子：
--
通讯作者：
C. A. Moran
中科院分区：
文献类型：
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作者：
C. Oliveira;C. A. Moran
新生儿学中无创通气模式的适应证已被多项研究探讨，以确定使用标准。在此之前，本研究的目的是评估拔管后1小时内无创机械通气模式——气道持续正压通气（CPAP）和间歇性鼻正压通气（N - IPPV）的成功和失败指标。结果显示，拔管后23例随机使用了CPAP，其中14例（61%）成功，9例失败。关于NIPPV的适应证，4例早产儿（RNPTs）接受了NIPPV治疗，其中1例（25%）成功，3例失败。如果基于经验标准，早产儿使用无创通气的适应证考虑到大量早产儿接受了持续正压通气，从而使所用方法取得成功。然而，我们指出有必要进行新的研究，如随机临床试验，以比较无创通气的应用方法。
The indication of ventilation modalities not-invasive in neonatology has been studied for many researches to define a standard for utilization. Ahead of this, the objective of this study was to evaluate the index of success and failure of the ventilation modalities not-invasive mechanics continuous positive pressure in the aerial ways (CPAP) and ventilation for positive pressure intermittent nasal (N-IPPV) during the one after-extubation. The result presented that after extubation 23 had used CPAP randomly, of these 14 (61%) had gotten success and 9 failure. In relation to the indication of the NIPPV, four RNPTs if they had submitted to the NIPPV, being that, one (25%) got success and three failure. The indication for the not-invasive ventilation in RNPT if it based on empirical criteria, considering a great number of RNPTs submitted to the continuous positive pressure, thus resulting in the success of the used method. However, we point out the necessity of new studies, drawn as clinical assay randomizados, for comparison between the methods of application of the not-invasive ventilation.