This observational study evaluates the impact of respiratory management modifications implemented in our institution on the intubation rates and the death or Bronchopulmonary Dysplasia (BPD) outcome.
Less invasive respiratory management has been implemented in most neonatal units as well as lung protective ventilatory strategies when intubation is required in order to minimize ventilator induced lung injury. In our institution a new ventilatory protocol including less invasive surfactant administration, Synchronized nasal positive pressure ventilation and early rescue High frequency ventilation has been implemented during 2013-14. Hypothesis: New less invasive and lung protective strategies to prevent lung injury had been effective in reducing intubation rates.
Study Type
OBSERVATIONAL
Enrollment
600
Cristina Ramos-Navarro
Madrid, Spain
BRONCHOPULMONARY DySPLASIA
Diagnosis of moderate-severe bronchopulmonary dysplasia (physiological definition)
Time frame: 36 weeks of postmenstrual age.
mortality
death
Time frame: before discharge
Mechanical ventilation
requirement of mechanical ventilation
Time frame: during hospitalization
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