Review Article
Volume 17 Issue 2 - 2021
Basics of Mechanical Ventilation in Neonatal Care: Types, Modes, and Modalities
Hani Abdullah Al Hashmi1*, Musaab Ibrahim Alhawas2, Bayan Abdullah Almehmadi3, Ahmed Mohammed Khan4, Ghada Fareed Qutub5, Saad Mahmoud Tobaigi6, Ali Jassim Alnasser7, Abdullah Saeed Alghamdi8, Hussain Abdalaal Alabdalaal9, Sarah Ali Barayan10, Hadi Masoud Balhareth11 and Thikra Abdullah Alzahrani12
1King Abdulaziz Hospital – Jeddah, Saudi Arabia
2Maternity And Children Hospital, Al-Ahsa, Saudi Arabia
3Al-Rashidiyah Primary Health Care Center, Saudi Arabia
4Alnoor Specialist Hospital, Saudi Arabia
5Umm Al Qura University, Saudi Arabia
6Batterjee Medical College, Saudi Arabia
7King Faisal University, Saudi Arabia
8Ajyad Emergency Hospital, Saudi Arabia
9King Faisal General Hospital In Al Ahsa, Saudi Arabia
10University Of Szeged, Saudi Arabia
11King Abdulaziz Hospital, Saudi Arabia
12Al Aziziyah Children Hospital, Saudi Arabia
*Corresponding Author: Hani Abdullah Al Hashmi, Pediatric Consultant, Allergist and Immunologist, King Abdulaziz Hospital, Jeddah, Saudi Arabia.
Received: January 11, 2021; Published: January 20, 2021


Introduction: Mechanical ventilation provided lifesaving support for infants with respiratory failure and improved neonatal survival, especially for preterm infants with immature lung function. There are many concepts, modes and modalities that render MV a tricky and sophisticated tool, especially for residents and physicians early in their careers. Adequate use of MV requires an understanding of basic physiologic and pathophysiologic features of respiration, gas exchange, ventilation, and lung disease as long as the available modes and modalities.

Aim of the Work: This review focuses on the indication of MV in neonate, available modes and modalities of mechanical ventilation, and the advantages and disadvantages of these modes and modalities.

Methods: We have conducted a thorough search of medical literature databases regarding mechanical ventilation in neonates. All studies until November 2020 were screened and included, when relevant.

Conclusion: There is two broad types of ventilator used in the neonatal intensive care unit (NICU): conventional mechanical ventilation (CMV) and high-frequency ventilation (HFV). Conventional mechanical ventilation could be classified by modalities to pressure-control or volume-control ventilation, and by modes to mandatory or synchronized ventilation. Either of the modalities can be used with either of modes. Pressure-limited ventilators are associated with instability in tidal volume that may harm the immature lungs of preterm. Volume-targeted ventilators is considered more advanced and safe. They are able to provide more consistent tidal volume during neonatal mechanical ventilation, which is associated with lower risk of lung injury compared with pressure-limited ventilation.

Keywords: Mechanical Ventilation; Neonate; NICU


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Citation: Hani Abdullah Al Hashmi., et al. “Basics of Mechanical Ventilation in Neonatal Care: Types, Modes, and Modalities”. EC Microbiology 17.2 (2021): 179-186.

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