Reference : Ventilation Practices in the Neonatal Intensive Care Unit: A Cross-Sectional Study.
Scientific journals : Article
Human health sciences : Pediatrics
http://hdl.handle.net/2268/71477
Ventilation Practices in the Neonatal Intensive Care Unit: A Cross-Sectional Study.
English
van Kaam, Anton H. [Emma Children's Hospital, Academic Medical Center, Amsterdam, NL > Neonatology > > >]
Rimensberger, Peter C. [University Hospital of Geneva, Switzerland > Pediatrics > Pediatric and Neonatal Intensive Care > >]
Borensztajn, Dorine [Emma Children's Hospital, Academic Medical Center, Amsterdam, NL > Neonatology > > >]
De Jaegere, Anne P. [Emma Children's Hospital, Academic Medical Center, Amsterdam, NL > Neonatology > > >]
the Neovent Study Group [> >]
Rigo, Vincent mailto [Université de Liège - ULg > > Néonatologie CHR >]
Nov-2010
Journal of Pediatrics
Mosby
157
5
767-71.e1-3.
Yes (verified by ORBi)
International
0022-3476
1097-6833
St Louis
MO
[en] Mechanical Ventilation ; Newborn ; NICU
[en] Objective: To assess current ventilation practices in newborn infants.
Study design: We conducted a 2-point cross-sectional study in 173 European neonatal intensive care units, including 535 infants (mean gestational age 28 wks and birth weight 1024 g). Patient characteristics, ventilator settings and measurements were collected bedside from endotracheally ventilated infants.
Results: 457 (85%) of the patients were conventionally ventilated. Time cycled pressure limited (TCPL) ventilation was used in 59% of these patients, most often combined with synchronized intermittent mandatory ventilation (51%). Newer conventional ventilation modes like volume targeted and pressure support ventilation were used in, respectively, 9% and 7% of the patients. The mean tidal volume, measured in 84% of the conventionally ventilated patients, was 5.7±2.3 ml/kg. The mean positive end-expiratory pressure (PEEP) was 4.5±1.1 cmH2O and rarely exceeded 7 cmH2O.
Conclusions: TCPL ventilation is the most commonly used mode in neonatal ventilation. Tidal volumes are usually targeted between 4–7 ml/kg and PEEP between 4–6 cmH2O. Newer ventilation modes are only used in a minority of patients.
Researchers ; Professionals
http://hdl.handle.net/2268/71477
10.1016/j.jpeds.2010.05.043
http://www.jpeds.com/article/S0022-3476(10)00470-1/abstract#appseca1
List of Neovent Sudy Group members available at www.jpeds.com

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