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  • Poster presentation
  • Open Access

The learning, introducing and effects of a non-invasive respiratory support programme with the infant-flow method in newborns: Polish 2-year experience

  • 1,
  • 2,
  • 3,
  • 4,
  • 5 and
  • 2
Critical Care200610 (Suppl 1) :P48

https://doi.org/10.1186/cc4395

  • Published:

Keywords

  • Birth Weight
  • Mechanical Ventilation
  • Respiratory Failure
  • Pneumothorax
  • Support Programme

Introduction

Mechanical ventilation results in an increased risk of pulmonary complications in the newborns treated for respiratory failure in NICUs.

Aim

This abstract reports on our 2-year experience with the application programme of the infant flow (IF) method in infants (in 67 neonatal centres in Poland between 1 August 2003 and 30 April 2005).

Methods

We reviewed collected data of 1321 newborns (male/female 799/522; range of gestational age 22–45 weeks; birth weight 480–4950 g). The indications for treatment were categorized into three classes: RDS, weaning and other.

Results

The IF method enabled us to avoid intubation in these groups in 77.8%, 61.2% and 77.9%, respectively. The lowest rate of complications compared with the two other groups was in the RDS group (Table 1). Low gestational age was associated with a statistically significantly lower rate of successes than higher gestational age: 62.7 and 83%. A similar effect was seen while comparing success rates of newborns by weight: 60.7 and 82.4%. The incidence of pneumothorax was 1.1%. Among extrapulmonary complications PDA occurred in 12.8%; ROP 11.9%; IVH 7.4%; PVL 3.6% of infants. Occurrence of local complications was infrequent, as shown in Table 2.
Table 1

(abstract P48)

Indication

BPD

CLD

ROP

IVH

PVL

PDA

RDS

7.6%

3.5%

4.4%

3.7%

1.8%

4.0%

Weaning

42.2%

26.9%

25.6%

15.3%

7.6%

29.1%

Other

35.1%

16.5%

19.7%

9.2%

4.6%

21.1%

Table 2

(abstract P48)

Year

RDS

Weaning

Other

2003

4/64 (6.2%)

8/97 (8.2%)

3/23 (13.0%)

2004

43/386 (11.1%)

18/129 (14.0%)

5/69 (7.2%)

2005

47/318 (14.8%)

18/81 (22.2%)

2/62 (3.2%)

Conclusion

The results strongly suggest that the IF method is effective and clinically valuable. Some typical problems consistent with the 'learning curve' phenomenon were observed during the study.

Authors’ Affiliations

(1)
The Children's Memorial Health Institute, Warsaw, Poland
(2)
Medical University of Silesia, Katowice, Poland
(3)
Medical University, Wrocław, Poland
(4)
Medical College Jagiellonian University, Cracow, Poland
(5)
University of Medical Sciences, Poznań, Poland

Copyright

© BioMed Central Ltd 2006

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