Impact of urine osmolality/urine sodium on the timing of diuretic phase and non-invasive ventilation support: Differences from late preterm to term neonates

he standard treatment for patients with neuromuscular respiratory failure is non-invasive ventilation (NIV) as non-invasive ventilation support-setting (NVS). NVS is administered through a nasal or face mask and/or mouthpiece with the potential to cause nasal ulcers, discomfort, and/or aesthetic issues, resulting in poor compliance. We reported the observation of a 45-year-old woman with limb-girdle muscular dystrophy (LGMD), secondary to Dysferlin deficiency, who was on NVS since 2017 for nocturnal hypoventilation. In 2018, despite nocturnal ventilation, due to weight gain and daytime hypoventilation, a nasal mask was introduced. We initiated daytime intermittent abdominal pressure ventilation (IAPV) to mitigate cosmetic problems, improving in pO2 and decreasing in pCO2 versus baseline (52>84 mmHg, 46>33 mmHg respectively) at 6 (85 mmHg, 42 mmHg) and 18 months (93 mmHg, 38 mmHg), respectively. IAPV was effective, safe, and well-tolerated in our patients who did not tolerate standard daytime NVS with the known interface.

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Analysis of management of non-invasive ventilation support in prehospital care for COPD patients and short-term outcome

Critical Care ◽

10.1186/cc12082 ◽

2013 ◽

Vol 17 (S2) ◽

Cited By ~ 1

Author(s):

J Cuny ◽

G Campagne ◽

P Gosselin ◽

P Goldstein ◽

N Assez ◽

...

Keyword(s):

Prehospital Care ◽

Invasive Ventilation ◽

Short Term ◽

Term Outcome ◽

Non Invasive ◽

Short Term Outcome ◽

Copd Patients ◽

Non Invasive Ventilation ◽

Ventilation Support

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Impact of Delayed Initiation of Non-Invasive Ventilation for Respiratory Distress in Outborn Late-Preterm and Term Neonates

10.21203/rs.3.rs-787747/v1 ◽

2021 ◽

Author(s):

Eui Kyung Choi ◽

Kyu Hee Park ◽

Byung Min Choi

Keyword(s):

Respiratory Distress ◽

Adverse Outcomes ◽

Late Preterm ◽

Oxygen Requirement ◽

Term Neonates ◽

Factors Associated ◽

Non Invasive ◽

Non Invasive Ventilation ◽

Delayed Initiation ◽

The Impact

Abstract The frequency of non-invasive ventilation (NIV) use increased in neonates of all gestational ages with respiratory distress (RD). However, the impact of delayed initiation of NIV support in outborn neonates remains poor understood. The aim of the present study was to identify the impact of delayed initiation of NIV in outborn late-preterm and term neonates. The medical records of 277 infants (gestational age of ≥ 35 weeks) who were received NIV as primary respiratory therapy <24 h of age between 2016 and 2020 were retrospectively reviewed. Among the 190 outborn neonates, the factors associated with respiratory adverse outcomes were investigated. Infants with RD divided into two groups, mild (FiO2 ≤0.3) and moderate-to-severe RD group (FiO2 >0.3), depending on initial oxygen requirement under NIV support. Median time to start of NIV support at tertiary center was 3.5 (2.2–5.0) h. Male sex (odds ratio [OR], 2.9; 95% CI, 1.1–7.7), high oxygen requirement (FiO2 >0.3) (OR, 4.8; 95% CI, 1.5–15.3), and respiratory distress syndrome (OR, 10.4; 95% CI, 3.9–27.8) were the significant factors associated with adverse outcomes. Subgroup analysis revealed that in the moderate-to-severe RD group, delayed initiation of NIV (≥3 h) was significantly associated with pulmonary air leakage (p=0.033).Conclusions: Our study shows that outborn neonates with moderate-to-severe RD who were treated with delayed NIV were associated with an increased likelihood of pulmonary air leakage. Additional prospective studies are needed to establish the optimal timing and methods of NIV support for outborn late-preterm and term infants.

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A review of non-invasive ventilation support in neonates

Paediatrics and Child Health ◽

10.1016/j.paed.2013.05.022 ◽

2014 ◽

Vol 24 (1) ◽

pp. 7-11 ◽

Cited By ~ 4

Author(s):

Raju Narasimhan ◽

Srividyadhari Krishnamurthy

Keyword(s):

Invasive Ventilation ◽

Non Invasive ◽

Non Invasive Ventilation ◽

Ventilation Support

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The combination of atrial fibrillation and obstructive sleep apnea — is there a connection?

Russian Journal of Cardiology ◽

10.15829/1560-4071-2018-12-119-124 ◽

2018 ◽

pp. 119-124 ◽

Cited By ~ 1

Author(s):

G. G. Arutyunyan ◽

M. V. Agaltsov ◽

K. V. Davtyan ◽

O. M. Drapkina

Keyword(s):

Atrial Fibrillation ◽

Obstructive Sleep Apnea ◽

Sleep Apnea ◽

Mutual Influence ◽

Early Postoperative Period ◽

Invasive Ventilation ◽

Non Invasive ◽

Non Invasive Ventilation ◽

Obstructive Sleep ◽

Ventilation Support

The review discusses the issue of the mutual influence of combination of atrial fibrillation (AF) and obstructive sleep apnea (OSA). In individuals with a combination of these pathologies, OSA can influence the easier realization of AF. The presence of respiratory disturbances in sleep reduces the effectiveness of all types of AF treatment (antiarrhythmic, surgical, electrical cardioversion). It is shown, that the treatment of OSA by the method of non-invasive ventilation support (CPAP-therapy) improves the results of catheter treatment of AF in the early postoperative period.

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