Die Pulmarca-Box in der Neonatologie : Atemhilfe mit kontinuierlich negativem Druck : eine retro- und prospektive Untersuchung

Aim of this study was to evaluate the efficacy of CNEP (continuous negative extrathoracic pressure)-ventilation support in premature infants and newborns by a retrospective (46 patients) and prospective (14 patients) approach. While CPAP (continuos positive airway pressure) is the international gold standard for ventilation support, CNEP as well offers a principle to avoid intubation of the infants. In this study, the so-called "Pulmarca-Box" was used, where the patient rests in a plexiglass box with the head outside.The results were as follows:1. CNEP reduced the required oxygen >20% in 93% of the prospective and 84% of the retrospective patients.2. CNEP reduced breathing work up to 14% (retrospective) and 21% (prospective).3. tcpCO2 was not reduced by CNEP.4. CNEP had to be terminated due to insufficient compliance in 15% of retrospective and 29% of prospective patients.5. 13% and 21%, respectively, had to be intubated after termination of CNEP.6. There was an increase in apnea frequency. We did not observed an increase of skin lesions or pneumothoraces.7. Premature infants with low birth weight <900 g achieved comparable results.In summary, the study underlines the good effect of CNEP therapy in newborns and premature infants and the low complication rate.

Grantor dc:publisher

Publikationsserver der RWTH Aachen University

Year dc:date

2007

Author dc:creator

• Knoll, Maria Antonia

Contributors dc:contributor

• Skopnik, Heino

• info:eu-repo/classification/ddc/610
• Neonatologie
• CPAP
• Assistierte Beatmung
• Medizin
• Pulmarca
• CNEP
• ventilation

Statement dc:rights

• info:eu-repo/semantics/openAccess

Language dc:language

ger

Identifier

https://publications.rwth-aachen.de/search?p=id:%22RWTH-CONV-123854%22

OAI identifier oai:identifier

oai:publications.rwth-aachen.de:62277