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Published Online First: 6 November 2006. doi:10.1136/adc.2006.103762
Archives of Disease in Childhood - Fetal and Neonatal Edition 2007;92:F298-F300
Copyright © 2007 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health.

SHORT REPORT

Influence of three nasal continuous positive airway pressure devices on breathing pattern in preterm infants

Hocine Boumecid1, Thameur Rakza1, Abdel Abazine1, Serge Klosowski2, Régis Matran1,3 and Laurent Storme1,3

1 Department of Perinatology, CHRU, Lille, France
2 Department of Neonatology, CHG, Lens, France
3 Faculty of Medicine, University of Lille II, France

Correspondence to:
Correspondence to:
Dr Laurent Storme
Clinique de Médecine Néonatale, Hôpital Jeanne de Flandre, CHRU de Lille, 59037 Lille cédex, France; lstorme{at}chru-lille.fr

ABSTRACT

The pattern of breathing was studied in 13 premature newborns treated by variable-flow Nasal Continuous Positive Airway Pressure (NCPAP), conventional NCPAP, and nasal cannulae. Compared to constant-flow NCPAP and nasal cannulae, the variable-flow NCPAP increases tidal volume and improves thoraco-abdominal synchrony, suggesting that variable-flow NCPAP provides more effective ventilatory support than conventional NCPAP or nasal cannulae.

Abbreviations: NCPAP, Nasal Continuous Positive Airway Pressure; {Delta}EELV, dynamic elevation of end-expiratory lung volume; EELV, elevation of end-expiratory lung volume


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