Nasal high‐flow therapy decreased electrical activity of the diaphragm in preterm infants during the weaning phase

A1 Originalartikel i en vetenskaplig tidskrift (referentgranskad)


Interna författare/redaktörer


Publikationens författare: Arata Oda, Vilhelmiina Parikka, Liisa Lehtonen, Ivan Porres, Hanna Soukka
Förläggare: Wiley
Publiceringsår: 2018
Tidskrift: Acta Paediatrica
Volym: 108
Nummer: 2
Artikelns första sida, sidnummer: 253
Artikelns sista sida, sidnummer: 257
eISSN: 1651-2227


Abstrakt

Aim: We evaluated whether nasal high-flow therapy was better than no respiratory support during the weaning phase in preterm infants.

Methods: The study was conducted in the neonatal intensive care unit of the Turku University Hospital between September 2014 and August 2015. Preterm infants who were alternating between nasal high-flow therapy and unassisted breathing were enrolled. Electrical activity of the diaphragm (EAdi) was recorded and compared during three-hour time periods for each option.

Results: We studied eight infants at a median gestational age of 31 weeks. The EAdi peak was lower during nasal high-flow therapy when compared to no respiratory support (6.1 mV vs 7.1 mV, p = 0.02), but the EAdi minimum was similar with and without respiratory support. Neural respiratory rate (62 vs 68 per minute, p = 0.02) and the frequency of sighs (27.8 vs 37.9 per hour, p = 0.03) were lower during nasal high-flow therapy than no respiratory support.

Conclusion: Nasal high-flow therapy reduced diaphragm activation in our cohort when compared to no respiratory support, as indicated by the lower Edi peak. An increase in the respiratory rate and the sigh frequency without respiratory support also suggests that nasal
high-flow therapy provided support during the weaning phase.


Senast uppdaterad 2019-21-11 vid 03:09