Erschienen in:
01.12.2005 | Pediatric Correspondence
Neonatal helmet CPAP: a short-term physiological study
verfasst von:
Daniele Trevisanuto, Nicoletta Doglioni, Vincenzo Zanardo
Erschienen in:
Intensive Care Medicine
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Ausgabe 12/2005
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Excerpt
Sir: We are grateful to Dr. Santuz and colleagues for their comments on our study. We developed the neonatal helmet CPAP to improve the patient-ventilator interface, a crucial aspect in the management of CPAP therapy. For this reason we chose to evaluate the tolerability of the patients in a short-term physiological study with a cross-over design that included within participant comparison. Therefore the suggested “more relevant clinical aspects or potential complications such as level of respiratory distress, oxygen-dependency, rate of apnoea, local damage, air leak, or need for mechanical ventilation” cannot be considered significant end-points using this trial design. Instead, in addition to Neonatal Infant Pain Scale (NIPS), other objective physiological parameters, such as heart rate, blood pressure, oxygenation, and episodes of desaturation seemed to be ameliorate during the neonatal helmet CPAP treatment. …
