title: Comparison of High Frequency Positive Pressure Mechanical Ventilation (HFPPV) With Conventional Method in the Treatment of Neonatal Respiratory Failure.
abstract: BACKGROUND
  Respiratory failure is a major problem in neonatal medicine in all over the world and has different causes. Using mechanical ventilation is one of its major treatments.
  
  
  OBJECTIVE
  Different strategies have been expressed in this context, including high frequency mechanical ventilation.
  
  
  METHODS
  This study is a prospective randomized clinical trial conducted on all newborns with respiratory failure hospitalized in the NICU of Tehran vali-asr Hospital during 2009.These patients were divided in to two groups through block Randomization method; conventional mechanical ventilation group and high frequency ventilation group.
  
  
  RESULTS
  Intraventricular hemorrhage (IVH) and air leak (e.g. pneumothorax) were less in HFPPV group than conventional group (P = 0.012 and P = 0.038). The mean time needed for mechanical ventilation was lower in HFPPV group, but this difference was not statistically significant (P = 0.922). Needing to O2 in 28 days of age was almost equal in both groups (P = 0. 99). Mortality, and refractory hypoxia and PVL were lower in HFPPV group, but the difference was not statistically significant (P = 0.301, P = 0. 508, P = 0. 113).
  
  
  CONCLUSIONS
  Treatment of neonatal respiratory failure with high rate mechanical ventilation may reduce some complications.
authors: Materno-Feral and Neonatal Research Center, Valiasr Hospital, Tehran University of Medical Science, Tehran, IR Iran.
authors: Elahe
authors: E
authors: Amini
authors: Fatemeh Sadat
authors: FS
authors: Nayeri
authors: Arezu
authors: A
authors: Hemati
authors: Tahere
authors: T
authors: Esmaeilinia
authors: Firuzeh
authors: F
authors: Nili
authors: Hossein
authors: H
authors: Dalili
authors: Majid
authors: M
authors: Aminnejad
keywords: Infant, Newborn; Respiratory Insufficiency; Ventilation
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