Neonatal ventilation strategies and long-term respiratory outcomes.

Abstract:

:Long-term respiratory morbidity is common, particularly in those born very prematurely and who have developed bronchopulmonary dysplasia (BPD), but it does occur in those without BPD and in infants born at term. A variety of neonatal strategies have been developed, all with short-term advantages, but meta-analyses of randomized controlled trials (RCTs) have demonstrated that only volume-targeted ventilation and prophylactic high-frequency oscillatory ventilation (HFOV) may reduce BPD. Few RCTs have incorporated long-term follow-up, but one has demonstrated that prophylactic HFOV improves respiratory and functional outcomes at school age, despite not reducing BPD. Results from other neonatal interventions have demonstrated that any impact on BPD may not translate into changes in long-term outcomes. All future neonatal ventilation RCTs should have long-term outcomes rather than BPD as their primary outcome if they are to impact on clinical practice.

journal_name

Early Hum Dev

journal_title

Early human development

authors

Shetty S,Greenough A

doi

10.1016/j.earlhumdev.2014.08.020

subject

Has Abstract

pub_date

2014-11-01 00:00:00

pages

735-9

issue

11

eissn

0378-3782

issn

1872-6232

pii

S0378-3782(14)00206-0

journal_volume

90

pub_type

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