Title:	Bubble CPAP as first ventilatory choice in extremely premature infants : relation to outcomes and bronchopulmonary dysplasia
Authors:	Shayani, Leva Arani Marães, Vera Regina Fernandes da Silva
metadata.dc.identifier.orcid:	https://orcid.org/0000-0002-9104-7415 https://orcid.org/0000-0001-6605-0308
metadata.dc.contributor.affiliation:	University of Brasilia, Postgraduate Program in Health Sciences and Technologies Hospital Santa Marta University of Brasilia, Postgraduate Program in Health Sciences and Technologies
Assunto::	CPAP Displasia broncopulmonar Recém-nascidos - prematuros
Issue Date:	16-Jul-2024
Publisher:	Elsevier
Citation:	SHAYANI, Leva Arani; MARÃES, Vera Regina Fernandes da Silva. Bubble CPAP as first ventilatory choice in extremely premature infants: relation to outcomes and bronchopulmonary dysplasia. Journal of Neonatal Nursing, v. 30, n. 4, p. 368-374, 2024. DOI: https://doi.org/10.1016/j.jnn.2023.11.009. Disponível em: https://www.sciencedirect.com/science/article/pii/S1355184123002028?via%3Dihub. Acesso em: 10 jul. 2025.
Abstract:	Purpose Propose an admission strategy of very PTNB, for quality improvement and prevent adverse events, and risk of developing bronchopulmonary dysplasia-BPD, vascular, and neurological outcomes. Methods observational prospective cohort study, from 2020 to 2021. All preterms younger than 32 weeks of gestational age were admitted to bCPAP, recorded failure and main outcomes. Results 26 very PTNB (30 weeks+2 days), 6 presented bCPAP failure and intubated. Outcomes: 1 nasal bleeding, 2 septal hyperemia, 1 septal lesion and 1 pneumomediastinum, 5 peri-intraventricular hemorrhages, negative retinopathy of prematurity in those who underwent the examination, 1 death and 2 had a diagnosis of BPD. A positive association was identified with the need for FIO2 greater than 21% and BPD. Conclusions very PTNB can be safely admitted to bCPAP with the implementation of the proposed protocol, provided that the multidisciplinary team is prepared with periodic training. Attention should be given to the proper positioning of the interface and the baby in the bed, in addition to constant monitoring of ventilatory parameters and air temperature. Supplemental oxygen is associated with an increased risk of developing BPD.
metadata.dc.description.unidade:	Faculdade de Ciências e Tecnologias em Saúde (FCTS) – Campus UnB Ceilândia
metadata.dc.description.ppg:	Programa de Pós-Graduação em Ciências e Tecnologias em Saúde
DOI:	https://doi.org/10.1016/j.jnn.2023.11.009
metadata.dc.relation.publisherversion:	https://www.sciencedirect.com/science/article/pii/S1355184123002028?via%3Dihub
Appears in Collections:	Artigos publicados em periódicos e afins

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