David N. Matlock

Positioning of Diaphragm Electrical Activity Catheter in Premature Infants

Jennifer Beck, Paul Bauer, Sherwin S. Chan, Sherry E. Courtney et autres

Background: Neurally-adjusted ventilatory assist (NAVA) is a mode of ventilation that uses the electrical activity of the diaphragm (EA di ) to synchronize and to control delivered pressure. EA di is measured with a naso-/orogastric feeding tube, containing an array of sensors. …

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Can postnatal steroids or initial mode of respiratory support really impact lung function at adulthood in preterm survivors?

Shivanthan Shanthikumar, David N. Matlock, David G. Tingay, Sherry E. Courtney

Globally, around 15 millions infants are born prematurely each year and due to improvements in perinatal care most now survive to hospital discharge. 1 This means that there is a large, and ever-expanding population of children, adolescents and now adults who are …

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Feasibility of synchronized high flow nasal cannula

David N. Matlock, Jennifer Beck, Cong Lu, Danqiong Wang et autres

Abstract Background A high‐flow nasal cannula (cHFNC) delivers flow continuously (during inspiration and expiration). Using the diaphragm electrical activity (Edi), synchronizing HFNC could be an alternative (cycling high/low flow on inspiration/expiration, respectively). The objective of this study was to demonstrate the feasibility …

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Beyond Standard Care: Addressing Non-responsive Respiratory Distress in Preterm Neonates

M. S. Rashed, Laura Gonzalez‐Krellwitz, Adam Ross, K. Agoramurthi et autres

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The Diaphragmatic Initiated Ventilatory Assist (DIVA) trial: study protocol for a randomized controlled trial comparing rates of extubation failure in extremely premature infants undergoing extubation to non-invasive neurally adjusted ventilatory assist versus non-synchronized nasal intermittent positive pressure ventilation

David N. Matlock, Sarah J. Ratcliffe, Sherry E. Courtney, Haresh Kirpalani et autres

Abstract Background Invasive mechanical ventilation contributes to bronchopulmonary dysplasia (BPD), the most common complication of prematurity and the leading respiratory cause of childhood morbidity. Non-invasive ventilation (NIV) may limit invasive ventilation exposure and can be either synchronized or non-synchronized (NS). Pooled data …

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Tidal volume delivery during nasal intermittent positive pressure ventilation: infant cannula vs. nasal continuous positive airway pressure prongs

Ashley Lynch, David N. Matlock, Chary Akmyradov, Michael D. Weisner et autres

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The effect of bethanechol on tracheobronchomalacia in preterm infants with bronchopulmonary dysplasia: a retrospective cohort study

C. Preston Pugh, Chary Akmyradov, Sherry E. Courtney, Amit Agarwal et autres

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Dynamic computed tomography for evaluation of tracheobronchomalacia in premature infants with bronchopulmonary dysplasia

C. Preston Pugh, Sumera Aziz Ali, Amit Agarwal, David N. Matlock et autres

INTRODUCTION: Dynamic computed tomography (dCT) gives real-time physiological information and objective descriptions of airway narrowing in tracheobronchomalacia (TBM). There is a paucity of literature in the evaluation of TBM by dCT in premature infants with bronchopulmonary dysplasia (BPD). The aim of this …

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The Go Sheet: Evaluation and Implementation of a Tool for Mass Neonatal Transport

Sarah Perez, Jennifer Andrews, Mai-Anh Vuong-Dac, Shasha Bai et autres

Minimal tools are available to assist with disaster-related mass transport of hospitalized neonates.We describe the validation of a tool to safely transport neonates during a disaster.The Go Sheet was designed to quickly relay information required for patient care on arrival at a …

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Ventilatory Strategies in Infants with Established Severe Bronchopulmonary Dysplasia: A Multicenter Point Prevalence Study

Robin L. McKinney, Natalie Napolitano, Jonathan C. Levin, Matthew J. Kielt et autres

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Implementing a Weaning Protocol for Noninvasive Respiratory Support in Neonates Decreases Overuse and , Length of Stay

David N. Matlock, Sarah Perez, Heather A Borchert, Betty Proffitt et autres

BACKGROUND: As part of efforts to decrease length of hospital stay, a protocol for weaning noninvasive respiratory support was implemented using quality improvement methodology. The objective of this study was to determine whether protocol implementation decreased the time to wean to no …

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Work of Breathing in Premature Neonates: Noninvasive Neurally-Adjusted Ventilatory Assist versus Noninvasive Ventilation

David N. Matlock, Shasha Bai, Michael D. Weisner, Norman Comtois et autres

BACKGROUND: We tested whether work of breathing in premature newborns estimated by phase angle (θ) by using respiratory inductance plethysmography is decreased during neurally-adjusted ventilatory assist (NAVA) noninvasive ventilation (NIV) versus NIV alone. METHODS: NAVA NIV and NIV were applied in random …

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