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RAM cannula x Hudson cannula efficiency study
Which patients
will be taken to
study !!
lllll
Transport and
Randomization!
(Nazal SIMV)
Surfactant
treatment
Clinical findings (tachycardia, groaning, retractions) of RDS arising in our hospital between
260 / 7-346 / 7 weeks and
• There was no need for intubation in the delivery room and
• Preterm infants without severe congenital anomalies
Patients taken to work will be brought to the unit under the Nazal CPAP from the
delivery room
The unit can be quickly randomized to RAM cannula or short binazal cannula (Hudson)
group
• Noninvasive ventilation with a cannula in which the patient is randomized.
• Patients SLE 2000 will be connected to 5000 ventilators and the settings to be monitored in
nasal SIMV will be as follows.
• PEEP: 6 cm H2O, PIP: 15 cm H2O Speed: 20 / min IT: 0.40
• FiO2: FiO2 will be seted between 0,21-0,50 sPO2 in the range of 90-95%
• Surfactants will be administered at a dose of 100 mg / kg if FiO2> 0.40 is required to maintain a
saturation value of 90% or greater while receiving non-invasive respiratory support for both groups of
patients as described in the RDS management guide.
• A second dose of surfactant will be administered if the patient's FiO2 requirement is still above 0.30 at
postnatal 6th hour.
• Surfactant application will be given by the standard protocol of intubation - surfactant application extubation (INSURE). Entubation time will not exceed a few minutes
• Increased respiratory insufficiency findings (increased tachypnea, groaning, subcostal
intercostal withdrawal) under NID or
Noninvasive
ventilation
failure
Criteria !!
• Oxygen saturation followed by a pulse oximeter despite> 0.50 FiO2 is <90% or
• presence of apnea requiring frequent and positive pressure ventilation with acidosis (pH
<7.20 and PCO2> 60 cmH2O), bradycardia or
• Patients with pulmonary hemorrhage will be admitted to the mechanical ventilator with
acceptance of NIV deficiency as in our standard practice.
• These patients will continue with the initial NIV format when they are expanded
study protochol.pdf (PDF, 72.93 KB)
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