Özet:

Introduction and Purpose: Non-invasive ventilation provides ventilation support without having to install an artificial airway. It reduces the need for non-invasive ventilation, invasive mechanical ventilation, exhaust replacement and oxygen supplementation in preterms. In this study, we aimed at comparing the success of non-invasive after-born ventilation applications in the prevention of entubation. Method and Requirements: Patients with 32 weeks and six pregnancy ages, non-invasive ventilation, with respiratory distraction syndrome (RDS) in the period between January 2017 and 2019, followed in the third-level newborn intensive care unit, were included in the study. Patients were divided into the Nasal Continuous Positive Airway Pressure (NCPAP) and Nasal Intermittent Positive Pressure Ventilation (NIPPV) groups. The first result was determined as the need for entubation in the postnatal first week. The data is retrospective. In total, 134 patients were taken to work. 85 patients (63.4) were taken to NCPAP, 49 (36.6) to NIPPV mode. When the demographic data was studied, there was no difference between the groups in terms of birth weight, gestation week, gender, form of birth. The non-invasive ventilation failure in the NCPAP group was 40%, 53% in the NIPPV group, and there was no statistical difference between the groups (p=0.14). The Pnömotoraks rate was higher in the NIPPV group, the total mechanical ventilator time was lower. There were no differences between patents in the middle period in terms of patent duktus arteriosis (PDA), intraventricular bleeding (IVC), periventricular locomalysis (PVL), necrotizan enterocolite (NEK). The time in the hospital was similar. NCPAP and NIPPV in our study of non-invasive techniques have not been able to overcome each other in the prevention of entubation, which is the primary result.

Anahtar Kelimeler: