Research Article

Comparison of Airway Pressure Release Ventilation to High-Frequency Oscillatory Ventilation in Neonates with Refractory Respiratory Failure

Table 3

Infants grouped by corrected gestational age (CGA) at failure (>37 weeks).

APRV () rescueHFOV () rescue value

Patient characteristicsGA at birth (wk)33.6 (27.0-38.0)37.6 (34.1-38.9)0.04
CGA at failure (wk)40.9 (39.9-43.6)39.0 (38.1-40.1)<0.001
Birth weight (g)0.05
Weight at failure (g)0.004
CGA at discharge (wk)45.7 (39.4-50.0)43.1 (41.7-45.8)0.85
Pneumothorax (%)0 (0)1 (4)0.22
Survival (%)28 (76)18 (72)0.74

Patient status at failure of SIMVPIP (cmH2O)0.92
Measured PEEP (cmH2O)0.24
Ventilator rate0.99
Ventilator MPaw (cmH2O)0.74
pH0.02
pCO2 (mmHg)0.79
Base excess<0.001
FiO2 (%)0.45
Heart rate0.76
Respiratory rate0.22
BP MAP (mmHg)0.08

Patient status at rescueVentilator MPaw (cmH2O)0.71
pH<0.001
pCO2 (mmHg)0.92
Base excess<0.001
FiO2 (%)0.22
Heart rate0.47
BP MAP (mmHg)0.048

Values for both APRV and HFOV at the time of the second blood gas after rescue. PIP: peak inspiratory pressure; PEEP: positive end-expiratory pressure; pCO2: partial pressure of carbon dioxide; FiO2: fractional inspired oxygen; BP MAP: blood pressure mean arterial pressure; MPaw: mean airway pressure. Data expressed as median with interquartile range () or .