Sustained inflation: The lung recruitment maneuvers for neonates

Paediatr Respir Rev. 2020 Nov:36:142-150. doi: 10.1016/j.prrv.2019.09.010. Epub 2019 Nov 21.

Abstract

Establishing effective respiration is vital in the transition from fetal to neonatal life. Respiratory support mainly facilitates and creates functional residual capacity and maintains adequate gas exchange. Sustained inflation (SI) delivers prolonged inflation and rapidly creates and establishes the functional residual capacity. The use of SI in preterm infants in the delivery room is still controversial. The optimum settings of SI remain unknown. Animal studies and clinical reports have demonstrated the advantages and disadvantages of SI. In this article, the current literature was reviewed to examine the efficacy of SI in infants.

Keywords: Neonatal resuscitation; Respiratory support; Sustained inflation; T-piece resuscitator.

Publication types

  • Review

MeSH terms

  • Animals
  • Functional Residual Capacity*
  • Humans
  • Infant, Newborn
  • Infant, Premature
  • Positive-Pressure Respiration / instrumentation
  • Positive-Pressure Respiration / methods*
  • Pulmonary Gas Exchange*
  • Respiratory Distress Syndrome, Newborn / therapy*
  • Resuscitation / methods

Supplementary concepts

  • Respiratory Distress Syndrome In Premature Infants