Use of continuous positive airway pressure in preterm infants: comments and experience from New Zealand.

摘要: * Abbreviations: CPAP = : continuous positive airway pressure • CLD chronic lung disease NICU neonatal intensive care unit VLBW very low birth weight The role of (CPAP) in the preterm newborns with respiratory has long been debated literature, much early interest focused on multicenter study Avery et al.1 This demonstrated a significantly lower incidence (CLD) infants at 28 days life Columbia Presbyterian Medical Center New York, center that used extensively. Despite valid criticisms limitations observational design and lack good quality studies looking versus other support interim, rekindled by, among others, recent Van Marter al.2 again revealed substantially 2 centers Boston, this case 36 weeks' corrected gestational age. Additional analysis showed despite multiple variations details support, (NICU)-specific risk was predominantly associated decision to use mechanical ventilation. A number questions have arisen, many which can be answered best only part, some not all. 1. Is success group reproducible centers? In paper,3 authors report historical cohort results rigorously introducing model into Level 3 (Middlemore Hospital) Auckland, Zealand, previously practiced … Address correspondence Alan M. de Klerk, MBChB, Department Pediatrics, Infants' Children's Hospital Brooklyn Maimonides, 4802 10th Ave, Brooklyn, NY 11219. E-mail:adeklerk{at}maimonidesmed.org