Dr Gao Weiwei
Guangdong Province Hospital for Women and Children Health Care, China
Prof. Gao Weiwei has completed her MBBS from SUN YAT-SEN University of Medical Science and PHD from JINAN University. She is the consultant of Neonatal Department, Guangdong Province Hospital for Women and Children Health Care, Professor of Pediatrics, Guangzhou Medical University. Tutor of International postgraduate Paediatric Certificate, Westmead Children’s Hospital Sydney University. Her research interests are respiratory support and lung protection in newborn, particularly in premature and critical ill infants. She has been active in researches for invasive and non-invasive mechanical ventilation
Background and Objective
There are limited data to inform the choice between early treatment with heated humidified high-flow nasal cannulae (HHHFNC) and early treatment with nasal intermittent positive pressure ventilation (NIPPV) as the initial support for preterm infants with respiratory distress syndrome(RDS).The objective was to assess the efficacy and safety of HHHFNC compared with NIPPV for preterm infants with RDS in our NICU.
In this prospective trial, infants, who were born between 28 weeks 0 days to 36 weeks 6 days of gestation, were randomized to HHHFNC or to NIPPV treatment initiated in the neonatal intensive care unit. The primary outcome was the incidence of intubation, defined as the need for intubation within 72 hours or within 7 days.
A total of 208 infants were enrolled in the study. The incidence of intubation did not differ significantly between the two groups. The relative risks (RR) for the primary outcome of incidence of intubation within 72 hours or 7 days were 0.89 (95% CI, 0.37 to 2.11; p=0.79) and 0.00 (95% CI, 0.00 to 0.00), respectively. The rate of bronchopulmonary dysplasia in each of the two groups was similar (RR 1.49; 95% CI, 0.24 to 9.08; p=0.67). The rates of other adverse neonatal outcomes did not differ significantly between the two groups.
HHHFNC is an alternative to NIPPV for the early treatment of respiratory distress in preterm infants.