RT Journal Article
SR Electronic
T1 Neonatal Respiratory Support: 2019 Year in Review
JF Respiratory Care
FD American Association for Respiratory Care
SP respcare.07720
DO 10.4187/respcare.07720
A1 Craig R Wheeler
A1 Craig D Smallwood
YR 2020
UL http://rc.rcjournal.com/content/early/2020/03/24/respcare.07720.abstract
AB Respiratory support of the critically ill neonate has steadily shifted from invasive to noninvasive forms of support. There have recently been a number of important advances in our understanding of the changes to neonatal resuscitation practices as they pertain to clinically important outcomes, mechanisms of gas exchange for high-flow nasal cannula, and best use of noninvasive ventilation and predicting response. Although the proportion of infants requiring intubation and mechanical ventilation has decreased, the most severely ill often still require intubation and ventilation. Recently, volume-targeted ventilation, high-frequency ventilation, and different methods of assessing weaning and extubation have been investigated. This review summarizes a number of important advances that have been made in the management of prematurity and neonatal respiratory distress syndrome.