Skip to main content

Table 7 Review of the literature on nasal intermittent positive pressure ventilation (NIPPV) vs. nasal continuous positive airway pressure (NCPAP) for preventing extubation failure

From: Infant flow biphasic nasal continuous positive airway pressure (BP- NCPAP) vs. infant flow NCPAP for the facilitation of extubation in infants' ≤ 1,250 grams: a randomized controlled trial

Study author, Year

Inclusion criteria

Intervention

group

Control

group

Primary outcome

Results

Barrington

2001

BW < 1,251 grams

PNA < 6 wks

NSIMV

(N = 27)

NCPAP

(N = 27)

Extubation failure at 72 hours

4/27 (14%) vs. 12/27 (44%) in the NSIMV vs. NCPAP (P < 0.05)

Median age at extubation (range)

3 (1, 29) vs. 3 (1, 40) days

Friedlich 1999

BW 500-1,500 grams

NP-SIMV (N = 22)

NCPAP (N = 19)

Respiratory failure at

48 hours

1/22 (5%) vs.7/19 (37%) in the NP-SIMV vs. NCPAP group

(P = 0.016)

Median age at extubation (range) 18.5 (1, 120) vs. 21(1, 54) days

Khalaf 2001

GA ≤ 34 weeks, RDS

SNIPPV (N = 34)

NCPAP (N = 30)

Remained extubated at 72 hours

32/34 (94%) vs. 18/30 (60%) in the SNIPPV vs. NCPAP group

(P < 0.01)

Median age at extubation (range) 4 (1, 83) vs. 2.5 (1, 106) days

Morretti

2008

BW < 1,251 grams

PNA < 14 days

NFSIPPV (N = 32)

NCPAP

(N = 31)

Remained extubated at 72 hours

30/32 (94%) vs. 19/31(61%) in the

NFSIPPV vs. NCPAP (P < 0.01)

Median age at extubation (range)

4 (1, 14) vs. 6 (1, 14) days

  1. *BW = Birth weight, CPAP = Continuous positive airway pressure, GA = Gestational age, NCPAP = Nasal continuous positive airway pressure, NSIMV = Nasal synchronized intermittent mandatory ventilation, NFSIPPV = Nasal flow synchronized intermittent positive pressure ventilation, PNA = Post natal age, SNIPPV = Synchronized nasal intermittent positive pressure ventilation