Neuroscience and Psychiatry: Open Access

Pediatric Pulmonology Journals

 Over the last three decades our view on mechanical ventilation of premature infants has changed significantly. Despite the rising interest and a spotlight to non-invasive modes of ventilation, patients with the very best risk for poor pulmonary outcomes still require invasive ventilation. Synchronized- and patient-triggered ventilation has become a typical of care in premature infants. It remains unclear if one way of triggering of breath is superior to another. With the new emerging technologies like NAVA top quality  clinical trials are essential to deal with the benefits of 1 mode of breath triggering over the opposite . Existing data support the utilization of volume-targeted modes of ventilation over pressure-limited in premature infants. Despite these data, current surveys outside of the US fail to point out that volumetargeted ventilation has become the most mode of ventilation within the NICUs. Well-designed survey study addressing the question why it is not used more widely would be very helpful. High frequency ventilation still remains a viable option to conventional ventilation. Although it's not superior to pressure-limited ventilation as a primary mode, the info support that it are often used safely. Lack of trials comparing HFV to volume-targeted ventilation makes the selection even more complicated. Multiple techniques exist to shorten the length of invasive mechanical ventilation. Use of synchronized ventilation, volume-targeted ventilation and post-extubation CPAP leads to shortening length of ventilation and prevention of re-intubation. Although permissive hypercapnea and targeting lower oxygen saturation might be beneficial for reduction of ventilation length and improving pulmonary outcomes they ought to be used with caution thanks to concern of long-term neuro developmental complications. Invasive Mechanical Ventilation in Premature Infants: Where can we Stand Today?: Sergei Roumiantsev journal of Pulmonary & Respiratory Medicine welcomes articles associated with "Pediatric pulmonology journals"  

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