Bubble CPAP as first ventilatory choice in extremely premature infants : relation to outcomes and bronchopulmonary dysplasia

Shayani, Leva Arani; Marães, Vera Regina Fernandes da Silva

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Campo DC	Valor	Idioma
dc.contributor.author	Shayani, Leva Arani	-
dc.contributor.author	Marães, Vera Regina Fernandes da Silva	-
dc.date.accessioned	2025-09-19T14:09:09Z	-
dc.date.available	2025-09-19T14:09:09Z	-
dc.date.issued	2024-07-16	-
dc.identifier.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.	pt_BR
dc.identifier.uri	http://repositorio.unb.br/handle/10482/52468	-
dc.language.iso	eng	pt_BR
dc.publisher	Elsevier	pt_BR
dc.rights	Acesso Restrito	pt_BR
dc.title	Bubble CPAP as first ventilatory choice in extremely premature infants : relation to outcomes and bronchopulmonary dysplasia	pt_BR
dc.type	Artigo	pt_BR
dc.subject.keyword	CPAP	pt_BR
dc.subject.keyword	Displasia broncopulmonar	pt_BR
dc.subject.keyword	Recém-nascidos - prematuros	pt_BR
dc.identifier.doi	https://doi.org/10.1016/j.jnn.2023.11.009	pt_BR
dc.relation.publisherversion	https://www.sciencedirect.com/science/article/pii/S1355184123002028?via%3Dihub	pt_BR
dc.description.abstract1	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.	pt_BR
dc.identifier.orcid	https://orcid.org/0000-0002-9104-7415	pt_BR
dc.identifier.orcid	https://orcid.org/0000-0001-6605-0308	pt_BR
dc.contributor.affiliation	University of Brasilia, Postgraduate Program in Health Sciences and Technologies	pt_BR
dc.contributor.affiliation	Hospital Santa Marta	pt_BR
dc.contributor.affiliation	University of Brasilia, Postgraduate Program in Health Sciences and Technologies	pt_BR
dc.description.unidade	Faculdade de Ciências e Tecnologias em Saúde (FCTS) – Campus UnB Ceilândia	pt_BR
dc.description.ppg	Programa de Pós-Graduação em Ciências e Tecnologias em Saúde	pt_BR
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