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RESEARCH PRODUCT
Standardized weaning of infants <32 weeks of gestation from continuous positive airway pressure – a feasibility study
Aslihan Gerhold-ayMaren PlateChristine ArnoldEva MildenbergerJulia WinterAndré Kidszunsubject
MalePediatricsmedicine.medical_specialtyTime Factorsmedicine.medical_treatment03 medical and health sciences0302 clinical medicine030225 pediatricsmedicineHumansWeaning030212 general & internal medicineContinuous positive airway pressureContinuous Positive Airway Pressurebusiness.industryInfant NewbornPostmenstrual AgeInfantObstetrics and GynecologyEvidence-based medicineClinical trialPractice Guidelines as TopicPediatrics Perinatology and Child HealthCohortFeasibility StudiesGestationFemalebusinessVentilator WeaningInfant Prematuredescription
The practice of weaning premature infants from continuous positive airway pressure (CPAP) varies considerably and is usually performed without written standards. In this study, the feasibility of a standardized weaning approach was evaluated. In a quasi-experimental design, data from a prospective, post-intervention cohort (n=41) were compared to data from a pre-intervention cohort (n=36). Standardized weaning was feasible but no significant differences in short-term respiratory outcomes were observed. Weaning from CPAP was achieved at 32.1 ± 1.6 (post-intervention) versus 32.5 ± 2.3 weeks (pre-intervention) postmenstrual age. More rigorous, large-scale clinical trials are necessary before firm recommendations on distinct weaning regimens can be made.
year | journal | country | edition | language |
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2015-11-11 | The Journal of Maternal-Fetal & Neonatal Medicine |