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The learning, introducing and effects of a non-invasive respiratory support programme with the infant-flow method in newborns: Polish 2-year experience
Critical Care volume 10, Article number: P48 (2006)
Mechanical ventilation results in an increased risk of pulmonary complications in the newborns treated for respiratory failure in NICUs.
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).
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.
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.
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.
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Swietlinski, J., Bober, K., Gajewska, E. et al. The learning, introducing and effects of a non-invasive respiratory support programme with the infant-flow method in newborns: Polish 2-year experience. Crit Care 10, P48 (2006). https://doi.org/10.1186/cc4395
- Birth Weight
- Mechanical Ventilation
- Respiratory Failure
- Support Programme