Advanced approaches in the treatment of neonatal respiratory distress syndrome using non-invasive respiratory support
https://doi.org/10.21292/2078-5658-2020-17-5-71-79
Abstract
The article analyzes literature data on modern methods of non-invasive respiratory support for premature newborns with respiratory distress syndrome. The article describes positive and negative aspects of the contemporary methods and devices of non-invasive lung ventilation widely used as a starting method of respiratory therapy in obstetrics units of any level, including children with extremely and very low birth weight. The choice of the device and management tactics often depends on the facilities and financial situation of medical units as well as on the experience of medical professionals using specialized equipment.
About the Authors
V. E. Ryumin
Ural Research Institute of Maternity and Childhood
Russian Federation
Russian Federation
Vladislav E. Ryumin Full-time Postgraduate Student of Intensive Care Department for Newborns
1, Repina St., Yekaterinburg, 620028.
Phone/Fax: +7 (343) 371‒87‒68, +7 (343) 371‒10‒57; +7 (343) 371‒87‒73
S. V. Kinzhalova
Ural Research Institute of Maternity and Childhood
Russian Federation
Russian Federation
Svetlana V. Kinzhalova Doctor of Medical Sciences, Associate Professor, Head of Intensive and Critical Care Department
1, Repina St., Yekaterinburg, 620028.
Phone/Fax: +7 (343) 371‒87‒68, +7 (343) 371‒10‒57; +7 (343) 371‒87‒73
G. N. Chistyakova
Ural Research Institute of Maternity and Childhood
Russian Federation
Russian Federation
Guzel N. Chistyakova Doctor of Medical Sciences, Professor, Head of Research Department of Immunology and Microbiology
1, Repina St., Yekaterinburg, 620028.
Phone: +7 (343) 371‒42‒60
I. I. Remizova
Ural Research Institute of Maternity and Childhood
Russian Federation
Russian Federation
Irina I. Remizova Candidate of Biological Sciences, Senior Researcher of Research Department of Immunology, Microbiology, Pathomorphology and Cytodiagnostics
1, Repina St., Yekaterinburg, 620028.
Phone: +7 (343) 371‒28‒30
K. P. Shakirova
Ural Research Institute of Maternity and Childhood
Russian Federation
Russian Federation
Ksenia P. Shakirova Anesthesiologist and Emergency Physician of Newborns Anesthesiology and Intensive Care Department, Postgraduate Student
1, Repina St., Yekaterinburg, 620028.
Phone: +7 (343) 371‒63‒50
References
1. Аleksandrovich Yu.S., Pshenisnov K.V. Intensivnaya terapiya novorozhdennykh. Rukovodstvo dlya vrachey.[Intensive therapy of newborns. Doctors' guidelines]. St. Peterburg, Izd-vo N-L Publ., 2013, pp. 672.
2. Аntonov А.G., Ionov O.V., Borisevich O.А. et al. Modern respiratory therapy in critically ill premature infants. Pediatriya, 2011, no. 1, pp. 12-14. (In Russ.)
3. Baranov А.А., Namazov-Baranova L.S., Davydova I.V. Sovremennye podkhody k profilaktike, diagnostike i lecheniyu bronkholegochnoy displazii. [Contemporary approaches to prevention, diagnostics and treatment of bronchopulmonary dysplasia]. Moscow, Pediatr Publ., 2013, pp. 176.
4. Mezhinskiy S.S., Karpova А.L., Mostovoiy А.V. et al. Review of the European Consensus Guidelines for the Management of Newborns with Respiratory Distress Syndrome - 2019. Neonatologiya. Novosti. Mneniya. Obuchenie, 2019, vol. 7, no. 3 (25), pp. 46‒58. (In Russ.) https://doi.org/10.24411/2308-2402-2019-13006.
5. Mostovoy А.V., Karpova А.L. The use of CPAP therapy in neonatology: from basics to complex. Detskie Bolezni Serdtsa i Sosudov, 2015, no. 4, pp. 13-22. (In Russ.)
6. Mostovoy А.V., Sapun O.I., Аleksandrovich Yu.S. Effect of the timing of surfactant administration on outcomes in low and extremely low birth weight infants. Anesteziologiya i Reanimatologiya, 2009, no. 1, pp. 43-46. (In Russ.)
7. Printsipy vedeniya novorozhdennykh s respiratornym distress-sindromom: Metod. rek. pod red. N. N. Volodina. [Principles of management of newborns with respiratory distress syndrome: guidelines edited by N.N. Volodina]. Moscow, 2016. pp. 32.
8. Aggarwal A., Baker C.S., Evans T. et al. G-CSF and IL-8 but not GM-CSF correlate with severity of pulmonary neutrophilia in acute respiratory distress syndrome. Eur. Respir. J., vol. 15, no. 5, pp. 895–901. doi:10.1034/j.1399-3003.2000.15e14.x.
9. Aly H., Massaro A.N., Patel K., El-Mohandes A.A. Is it safer to intubate premature infants in the delivery room? Pediatrics, 2005, vol. 115, no. 6, pp. 1660–1665. https://doi.org/10.1542/peds.2004-2493.
10. Ammari A., Suri M., Milisavljevic V. et al. Variables associated with the early failure of nasal CPAP in very low birth weight infants. J. Pediatrics, 2005, vol. 147, no. 3, pp. 341–347. https://doi.org/10.1016/j.jpeds.2005.04.062.
11. Carvalho C.G., Silveira R., Neto E.C. et al. Plasma cytokine levels fall in preterm newborn infants on nasal CPAP with early respiratory distress. PloS one, 2015, vol. 10, no. 3, pp. e0120486. https://doi.org/10.1371/journal.pone.0120486.
12. Courtney S.E., Pyon K.H., Saslow J.G. et al. Lung recruitment and breathing pattern during variable versus continuous flow nasal continuous positive airway pressure in premature infants: an evaluation of three devices. Pediatrics, 2001, vol. 107, no. 2, pp. 304–308. https://doi.org/10.1542/peds.107.2.304.
13. Dargaville P.A., Aiyappan A., De Paoli A.G. et al. Continuous positive airway pressure failure in preterm infants: incidence, predictors and consequences. Neonatology, 2013, vol. 104, no. 1, pp. 8–14. https://doi.org/10.1159/000346460.
14. Davis P.G., Henderson-Smart D.J. Nasal continuous positive airways pressure immediately after extubation for preventing morbidity in preterm infants. Cochrane Database of Systematic Reviews, 2003, CD000143. https://doi.org/10.1002/14651858.CD000143.
15. Davis P.G., Morley C.J., Owen L.S. Non-invasive respiratory support of preterm neonates with respiratory distress: continuous positive airway pressure and nasal intermittent positive pressure ventilation. Seminars In Fetal & Neonatal Medicine, 2009, vol. 14, no. 1, pp. 14–20. https://doi.org/10.1016/j.siny.2008.08.003.
16. De Jaegere A.P., van der Lee J.H., Canté C. et al. Early prediction of nasal continuous positive airway pressure failure in preterm infants less than 30 weeks gestation. Acta Paediatrica, 2012, vol. 101, no. 4, pp. 374–379. https://doi.org/10.1111/j.1651-2227.2011.02558.x.
17. De Paoli A.G., Davis P.G., Faber B. et al. Devices and pressure sources for administration of nasal continuous positive airway pressure (NCPAP) in preterm neonates. The Cochrane Database of Systematic Reviews, no. 4, 2002, CD002977. https://doi.org/10.1002/14651858.CD002977.
18. Donn S.M., Sinha S.K. Minimising ventilator induced lung injury in preterm infants. Archives of Disease in Childhood. Fetal and Neonatal Edition, 2006, vol. 91, no. 3, pp. F226–F230. https://doi.org/10.1136/adc.2005.082271.
19. Fanelli V., Vlachou A., Ghannadian S. et al. Acute respiratory distress syndrome: new definition, current and future therapeutic options. J. Thoracic Dis., 2013, vol. 5, no. 3, pp. 326–334. https://doi.org/10.3978/j.issn.2072-1439.2013.04.05.
20. Finer N.N., Carlo W.A., Walsh M.C. et al. Early CPAP versus surfactant in extremely preterm infants. New Engl. J. Med., 2010, vol. 362, no. 21, pp. 1970–1979. https://doi.org/10.1056/NEJMoa0911783.
21. Fischer H.S., Bührer C. Avoiding endotracheal ventilation to prevent bronchopulmonary dysplasia: a meta-analysis. Pediatrics, 2013, vol. 132, no. 5, pp. e1351-e1360. https://doi.org/10.1542/peds.2013-1880.
22. Fuchs H., Lindner W., Leiprecht A. et al. Predictors of early nasal CPAP failure and effects of various intubation criteria on the rate of mechanical ventilation in preterm infants of < 29 weeks gestational age. Archives of Disease in Childhood. Fetal and Neonatal Edition, 2011, vol. 96, no. 5, pp. F343–F347. https://doi.org/10.1136/adc.2010.205898.
23. Goldsmith J.P., Karotkin E.H. Assisted ventilation of the neonate. 5th Edition, Saunders. 2010, 656 pp.
24. González-López A., Astudillo A., García-Prieto E. et al. Inflammation and matrix remodeling during repair of ventilator-induced lung injury. American Journal of Physiology, Lung Cell. Molecular Physiol., 2011, vol. 301, no. 4, pp. L500–L509. https://doi.org/10.1152/ajplung.00010.2011.
25. Gortner L., Misselwitz B., Milligan D. et al. Rates of bronchopulmonary dysplasia in very preterm neonates in Europe: results from the MOSAIC cohort. Neonatology, 2011, vol. 99, no. 2, pp. 112–117. https://doi.org/10.1159/000313024.
26. Gregory G.A., Kitterman J.A., Phibbs R.H. et al. Treatment of the idiopathic respiratory-distress syndrome with continuous positive airway pressure. New Engl. J. Med., 1971, vol. 284, no. 24, pp. 1333–1340. https://doi.org/10.1056/NEJM197106172842401.
27. Gupta S., Sinha S.K., Tin W. et al. A randomized controlled trial of post-extubation bubble continuous positive airway pressure versus Infant Flow Driver continuous positive airway pressure in preterm infants with respiratory distress syndrome. J. Pediatr., 2009, vol. 154, no. 5, pp. 645-650.
28. Harding R., Hooper S. B. Regulation of lung expansion and lung growth before birth. J. Applied Physiology, 1996, vol. 81, no. 1, pp. 209–224. https://doi.org/10.1152/jappl.1996.81.1.209.
29. Jobe A.H. The new bronchopulmonary dysplasia. Cur. Opin. Pediatr., 2011, vol. 23, no. 2, pp. 167–172. https://doi.org/10.1097/MOP.0b013e3283423e6b.
30. Kamath-Rayne B.D., Rozance P.J., Goldenberg R.L. et al. Antenatal corticosteroids beyond 34 weeks gestation: What do we do now? Am. J. Obstet. Gynecol., 2016, vol. 21, pp. S0002–S9378.
31. Kattwinkel J., Perlman J.M., Aziz K. et al. Part 15: neonatal resuscitation: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation, 2010, vol. 122, no. 18 (suppl. 3), pp. S909–S919. https://doi.org/10.1161/CIRCULATIONAHA.110.971119.
32. Kieran E.A., Twomey A.R., Molloy E.J. et al. Randomized trial of prongs or mask for nasal continuous positive airway pressure in preterm infants. Pediatrics, 2012, vol. 130, no. 5, pp. e1170–e1176. https://doi.org/10.1542/peds.2011-3548.
33. Koh Y. Update in acute respiratory distress syndrome. J. Intens. Care, 2014, vol. 2, no. 1, pp. 2. https://doi.org/10.1186/2052-0492-2-2.
34. Kuzmenko G.N., Chemodanov V.V., Nazarov S.B. The clinical significance of disorders of regulation of endothelial function in the development of respiratory distress syndrome in premature infants. Pediatriya. Zhurnal im G. N. Speranskogo, 2008, vol. 87, no. 1, pp. 3-9.
35. Kyser K.L., Morriss F.H., Bell E.F. et al. Improving survival of extremely preterm infants born between 22 and 25 weeks of gestation. Obstetrics and Gynecology, 2012, vol. 119, no. 4, pp. 795–800. https://doi.org/10.1097/AOG.0b013e31824b1a03.
36. Moresco L., Calevo M.G., Baldi F. et al. Epinephrine for transient tachypnea of the newborn. The Cochrane Database of Systematic Reviews, 2016, no. 5, CD011877. https://doi.org/10.1002/14651858.CD011877.pub2.
37. Morley C.J., Davis P.G., Doyle L.W. et al. Nasal CPAP or intubation at birth for very preterm infants. The New England Journal of Medicine, 2008, vol. 358, no. 7, pp. 700–708. https://doi.org/10.1056/NEJMoa072788.
38. Morty R.E. Recent advances in the pathogenesis of BPD. Seminars in Perinatology, 2018, vol. 42, no. 7, pp. 404–412. https://doi.org/10.1053/j.semperi.2018.09.001.
39. Ozsurekci Y., Aykac K. Oxidative stress related diseases in newborns. Oxidative medicine and cellular longevity. 2016, https://doi.org/10.1155/2016/2768365.
40. Pandit P.B., Courtney S.E., Pyon K.H. et al. Work of breathing during constant- and variable-flow nasal continuous positive airway pressure in preterm neonates. Pediatrics, 2001, vol. 108, no. 3, pp. 682–685. https://doi.org/10.1542/peds.108.3.682.
41. Parker J.C., Hernandez L.A., Peevy K.J. Mechanisms of ventilator-induced lung injury. Crit. Care Med., 1993, vol. 21, no. 1, pp. 131–143. https://doi.org/10.1097/00003246-199301000-00024.
42. Paul S., Rao S., Kohan R. et al. Poractant alfa versus beractant for respiratory distress syndrome in preterm infants: a retrospective cohort study. J. Paediatr. Child Health, 2013, vol. 49, no. 10, pp. 839–844. https://doi.org/10.1111/jpc.12300.
43. Polin R.A., Carlo W.A. Committee on Fetus and Newborn, & American Academy of Pediatrics. Surfactant replacement therapy for preterm and term neonates with respiratory distress. Pediatrics, 2014, vol. 133, no. 1, pp. 156‒163. https://doi.org/10.1542/peds.2013-3443.
44. Ranieri V.M., Rubenfeld G.D., Thompson B.T. et al.. Acute respiratory distress syndrome: the Berlin Definition. JAMA, 2012, vol. 307, no. 23, pp. 2526‒2533. https://doi.org/10.1001/jama.2012.5669.
45. Rocha G., Flôr-de-Lima F., Proença E. et al. Failure of early nasal continuous positive airway pressure in preterm infants of 26 to 30 weeks gestation. Journal of Perinatology: Official Journal of the California Perinatal Association, 2013, vol. 33, no. 4, pp. 297–301. https://doi.org/10.1038/jp.2012.110.
46. Sakonidou S., Dhaliwal J. The management of neonatal respiratory distress syndrome in preterm infants (European Consensus Guidelines-2013 update. Archives of Disease in Childhood. Education and Practice Edition, vol. 100, no. 5, pp. 257–259. https://doi.org/10.1136/archdischild-2014-306642.
47. Sandri F., Plavka R., Ancora G. et al. CURPAP Study Group Prophylactic or early selective surfactant combined with nCPAP in very preterm infants. Pediatrics, 2010, vol. 125, no. 6, pp. 1402–1409. https://doi.org/10.1542/peds.2009-2131.
48. Sweet D.G., Carnielli V., Greisen G. et al. European Consensus Guidelines on the management of respiratory distress syndrome – 2019 update. Neonatology, 2019, vol. 115, no. 4, pp. 432‒450. https://doi.org/10.1159/000499361.
49. Tokioka H., Nagano O., Ohta Y. et al. Pressure support ventilation augments spontaneous breathing with improved thoracoabdominal synchrony in neonates with congenital heart disease. Anesth. Analg., 1997, vol. 85, no. 4, pp. 789–793. https://doi.org/10.1097/00000539-199710000-00013.
50. Trembath A., Hornik C.P., Clark R. et al. Comparative Effectiveness of 3 Surfactant Preparations in Premature Infants. J. Pediatr., 2013, no. 163, pp. 955–960. https://doi.org/10.1016/j.jpeds.2013.04.053.
51. Zhang L., Cao H.Y., Zhao S. et al. Effect of exogenous pulmonary surfactants on mortality rate in neonatal respiratory distress syndrome: A network meta-analysis of randomized controlled trials. Pulm. Pharmacol. Ther., 2015, no. 34, pp. 46-54. https://doi.org/10.1016/j.pupt.2015.08.005.
Review
For citations:
Ryumin V.E., Kinzhalova S.V., Chistyakova G.N., Remizova I.I., Shakirova K.P. Advanced approaches in the treatment of neonatal respiratory distress syndrome using non-invasive respiratory support. Messenger of ANESTHESIOLOGY AND RESUSCITATION. 2020;17(5):71-79. (In Russ.) https://doi.org/10.21292/2078-5658-2020-17-5-71-79
Email this article 