title: Nasal intermittent mandatory ventilation versus nasal continuous positive airway pressure for transient tachypnea of newborn: a randomized, prospective study.
abstract: OBJECTIVE
  To evaluate the efficacy of nasal intermittent mandatory ventilation (NIMV) in reducing the duration of respiratory distress compared with nasal continuous positive airway pressure (NCPAP) in transient tachypnea of the newborn (TTN).
  
  
  METHODS
  In this randomized-prospective study, 40 infants with a gestational age ≥ 37 weeks and birth weight ≥ 2000 g with TTN were randomized to either nonsynchronized NIMV (n = 20) or NCPAP (n = 20). The primary end point was the reduction of the duration of respiratory distress. Secondary end points were the duration and level of oxygen supplementation, the incidence of complications such as pneumothorax, pneumonia and respiratory failure requiring entubation.
  
  
  RESULTS
  There were no significant difference in the duration of respiratory support (28.0 ± 19.2 h versus 32.2 ± 23.3 h, p = 0.231), O2 therapy (31.2 ± 15.6 h versus 29.0 ± 19.3 h, p = 0.187), duration of TTN (67.6 ± 36.5 h versus 63.3 ± 39.1 h, p = 0.480) and hospitalization (6.2 ± 2.6 d versus 5.4 ± 2.0 d, p = 0.330) between the groups. The rate of complications were not significantly different between the groups.
  
  
  CONCLUSIONS
  Our study indicates that NIMV is well tolerated and as effective as NCPAP in the treatment of TTN.
authors: Samsun Maternity and Child Health Hospital, Division of Neonatology, Samsun, Turkey. kgamze@hotmail.com
authors: Gamze
authors: G
authors: Demirel
authors: Nurdan
authors: N
authors: Uras
authors: Istemi Han
authors: IH
authors: Celik
authors: Fuat Emre
authors: FE
authors: Canpolat
authors: Ugur
authors: U
authors: Dilmen
mesh_terms: D000328:Adult; D001724:Birth Weight / Q000502:physiology; D045422:Continuous Positive Airway Pressure / Q000009:adverse effects / Q000379:methods*; D005260:Female; D005865:Gestational Age; D006801:Humans; D007231:Infant, Newborn; D007385:Intermittent Positive-Pressure Ventilation / Q000009:adverse effects / Q000379:methods*; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D011247:Pregnancy; D013997:Time Factors; D059245:Transient Tachypnea of the Newborn / Q000453:epidemiology / Q000628:therapy*; D016896:Treatment Outcome; D055815:Young Adult