Advances in ventilation strategies for infants in the NICU have led to increased survival of extremely preterm infants. More than 75% of infants born at less than or equal to 27 weeks’ gestation require initial mechanical ventilation for survival due to developmental immaturity of their lungs and respiratory drive. Various ventilators using different technologies and involving multiple management strategies are available for use in this population. Centers across the world have successfully used conventional, high-frequency oscillatory and high-frequency jet ventilation to manage respiratory failure in extremely preterm infants. This review explores the existing evidence for each mode of ventilation and the importance of individualizing ventilator management strategies when caring for extremely preterm infants.
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October 2022
Articles|
October 01 2022
Ventilator Management in Extremely Preterm Infants
Timothy G. Elgin, DO, MSc;
Timothy G. Elgin, DO, MSc
*Stead Family Department of Pediatrics, University of Iowa, Iowa City, IA
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Jennifer N. Berger, DO;
Jennifer N. Berger, DO
†Neonatal Medicine, Children's Minnesota, Minneapolis, MN
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Brady A. Thomas, MD;
Brady A. Thomas, MD
*Stead Family Department of Pediatrics, University of Iowa, Iowa City, IA
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Tarah T. Colaizy, MD;
Tarah T. Colaizy, MD
*Stead Family Department of Pediatrics, University of Iowa, Iowa City, IA
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Jonathan M. Klein, MD
Jonathan M. Klein, MD
*Stead Family Department of Pediatrics, University of Iowa, Iowa City, IA
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Neoreviews (2022) 23 (10): e661–e676.
Citation
Timothy G. Elgin, Jennifer N. Berger, Brady A. Thomas, Tarah T. Colaizy, Jonathan M. Klein; Ventilator Management in Extremely Preterm Infants. Neoreviews October 2022; 23 (10): e661–e676. https://doi.org/10.1542/neo.23-10-e661
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