Optimising success of neonatal extubation: Respiratory support

Vincent D Gaertner; Christoph M Rüegger

doi:10.1016/j.siny.2023.101491

Optimising success of neonatal extubation: Respiratory support

Semin Fetal Neonatal Med. 2023 Oct;28(5):101491. doi: 10.1016/j.siny.2023.101491. Epub 2023 Nov 18.

Authors

Vincent D Gaertner¹, Christoph M Rüegger²

Affiliations

¹ Newborn Research, Department of Neonatology, University Hospital and University of Zürich, Zürich, Switzerland; Department of Neonatology, Dr von Hauner Children's Hospital, Ludwig-Maximilians-University Munich, Munich, Germany. Electronic address: vincent.gaertner@med.lmu.de.
² Newborn Research, Department of Neonatology, University Hospital and University of Zürich, Zürich, Switzerland. Electronic address: christoph.rueegger@usz.ch.

PMID: 37993322
DOI: 10.1016/j.siny.2023.101491

Abstract

In this review, we examine lung physiology before, during and after neonatal extubation and propose a three-phase model for the extubation procedure. We perform meta-analyses to compare different modes of non-invasive respiratory support after neonatal extubation and based on the findings, the following clinical recommendations are made.

Keywords: Neonatal extubation; Non-invasive ventilation; Preterm infants; Respiratory support.

Publication types

Meta-Analysis
Review

MeSH terms

Airway Extubation
Humans
Infant, Newborn
Infant, Premature*
Intubation, Intratracheal
Respiratory Distress Syndrome, Newborn*