Reduce morbidity of premature infants with innovative ventilation strategies
Over the past decade, significant advances in the understanding of pulmonary aeration, respiratory drive and non-invasive respiratory management of preterm infants have helped to further reduce morbidity in even extremely preterm and very low birth weight infants1. In addition, increased early use of non-invasive ventilation (NIV) in neonatology can lead to a reduced number of ventilator induced lung injuries (VILI) and aid prevention of adverse complications associated with prolonged hospital stays and intubation2,3,4. Learn more about NIV for preemies' below.
Start with non-invasive ventilation
Basics of NIV
Dr. Tobias Trips from the Traunstein Hospital in Germany explains the basics of neonatal non-invasive ventilation (NIV). He talks about the requirements for using this technology and all of the current applications. Furthermore, he explains the rotation strategy of the different NIV interfaces to reduce painful skin breakdowns and ulcerations. Dr. Trips also discusses indicators for NIV use. Which cases could benefit from NIV treatment? What are the advantages and disadvantages of NIV treatment? Which should be taken into consideration before starting therapy?
Bubble CPAP is an innovative way of supporting babies who have suffer from severe respiratory distress. According to studies, Bubble CPAP supports not only the breathing efforts of babies but also to help recruit alveoli. Find out more about the basic operation and the importance of Bubble CPAP in our interview with Bogale Worku (MD), Professor of Paediatrics and Child Health and Executive Director of the Ethiopian Paediatrics Society.
Methods and trends in NIV
There are several trends in the field of non-invasive ventilation (NIV) for premature infants. Dr. Trips, from the Traunstein Hospital in Germany, talks about these developments and connects them to new methods and technologies such as High Flow Therapy, BubbleCPAP and the possibility of stabilising premature infants during NIV with the LISA method (Less Invasive Surfactant Application).
Protective ventilation strategies
Premature babies need a nurturing environment to help them grow and develop. This includes minimal disturbing influences and pleasant stimuli in moderation. In this video, Dr. Trips explains, from his point of view, how non-invasive ventilation (NIV) can improve developmental care practices for premature babies.
Interested to find out more about clinical information and advice on neonatal non-invasive ventilation?
Prof. Charles Christoph Roehr discusses the current development process of non-invasive ventilation therapies, both from a theoretical and a practical standpoint.
Introduction - The premature newborn and its specific challenges
Non-Invasive respiratory support for neonates
Future developments in non-invasive respiratory support of neonates
Discover our solutions for non-invasive ventilation
The Dräger Babylog family is applicable to all forms of non-invasive ventilation therapy, including CPAP and oxygen therapy. The demand flow principle of Babylog allows for a stable pressure application even in situations of large and variable leakages. The device supports manual and prolonged breaths as a recruitment tool during the non-invasive ventilation. Additionally, the ventilator offers integrated high flow therapy. In paediatric patient categories, all supported and triggered modes are available.
Roehr CC. Non-invasive respiratory support for neonates. Drägerwerk AG & Co. KGaA. 2018: 9: 9105201.
Fischer HS, Bührer C. Avoiding endotracheal ventilation to prevent bronchopulmonary dysplasia: a meta-analysis. Pediatrics. 2013; 132: e1351-60.
Roehr CC, Proquitté H, Hammer H, Wauer RR, Morley CJ, Schmalisch G. Positive effects of early continuous positive airway pressure on pulmonary function in extremely premature infants: results of a subgroup analysis of the COIN trial. Arch Dis Child Fetal Neonatal Ed. 2011; 96: F371-3.
Schmölzer GM, Kumar M, Pichler G, Aziz K, O’Reilly M, Cheung PY. Non-invasive versus invasive respiratory support in preterm infants at birth: systematic review and meta-analysis. BMJ. 2013; 347: f5980.