HOMEPRODUCTSCOMPANYCONTACTFAQResearchDictionaryPharmaSign Up FREE or Login

Continuous positive airway pressure with helmet versus mask in infants with bronchiolitis: an RCT.

AbstractBACKGROUND:
Noninvasive continuous positive airway pressure (CPAP) is usually applied with a nasal or facial mask to treat mild acute respiratory failure (ARF) in infants. A pediatric helmet has now been introduced in clinical practice to deliver CPAP. This study compared treatment failure rates during CPAP delivered by helmet or facial mask in infants with respiratory syncytial virus-induced ARF.
METHODS:
In this multicenter randomized controlled trial, 30 infants with respiratory syncytial virus-induced ARF were randomized to receive CPAP by helmet (n = 17) or facial mask (n = 13). The primary endpoint was treatment failure rate (defined as due to intolerance or need for intubation). Secondary outcomes were CPAP application time, number of patients requiring sedation, and complications with each interface.
RESULTS:
Compared with the facial mask, CPAP by helmet had a lower treatment failure rate due to intolerance (3/17 [17%] vs 7/13 [54%], P = .009), and fewer infants required sedation (6/17 [35%] vs 13/13 [100%], P = .023); the intubation rates were similar. In successfully treated patients, CPAP resulted in better gas exchange and breathing pattern with both interfaces. No major complications due to the interfaces occurred, but CPAP by mask had higher rates of cutaneous sores and leaks.
CONCLUSIONS:
These findings confirm that CPAP delivered by helmet is better tolerated than CPAP delivered by facial mask and requires less sedation. In addition, it is safe to use and free from adverse events, even in a prolonged clinical setting.
AuthorsGiovanna Chidini, Marco Piastra, Tiziana Marchesi, Daniele De Luca, Luisa Napolitano, Ida Salvo, Andrea Wolfler, Paolo Pelosi, Mirco Damasco, Giorgio Conti, Edoardo Calderini
JournalPediatrics (Pediatrics) Vol. 135 Issue 4 Pg. e868-75 (Apr 2015) ISSN: 1098-4275 [Electronic] United States
PMID25780074 (Publication Type: Comparative Study, Journal Article, Multicenter Study, Randomized Controlled Trial)
CopyrightCopyright © 2015 by the American Academy of Pediatrics.
Topics
  • Bronchiolitis, Viral (diagnosis, therapy)
  • Continuous Positive Airway Pressure (instrumentation)
  • Female
  • Head Protective Devices
  • Humans
  • Infant
  • Italy
  • Male
  • Masks
  • Prospective Studies
  • Respiratory Insufficiency (diagnosis, therapy)
  • Respiratory Syncytial Virus Infections (diagnosis, therapy)
  • Treatment Failure

Join CureHunter, for free Research Interface BASIC access!

Take advantage of free CureHunter research engine access to explore the best drug and treatment options for any disease. Find out why thousands of doctors, pharma researchers and patient activists around the world use CureHunter every day.
Realize the full power of the drug-disease research graph!


Choose Username:
Email:
Password:
Verify Password:
Enter Code Shown: