High-frequency oscillatory ventilation with sigh breath increases pneumothorax in neonates born at 22–25 gestational weeks

While sigh breaths during HFOV may facilitate alveolar recruitment in preterm neonates with atelectasis, their use appears to significantly increase the risk of tension pneumothorax. Given the vulnerability of extremely preterm lungs, caution is required when implementing sigh breaths in this population. Further prospective studies are needed to refine ventilation strategies and minimize complications in extremely preterm neonates.

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Publication Details

Journal
BMC Pediatrics
Published
2025-10-22
DOI
https://doi.org/10.1186/s12887-025-06142-1
Primary Topic
Neonatal Respiratory Health Research
Type
article
Field-Weighted Citation Impact
0.00
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article

High-frequency oscillatory ventilation with sigh breath increases pneumothorax in neonates born at 22–25 gestational weeks

Masato Kamitomo, Masaya Kibe, Tomonori Kurimoto, Takuya Tokuhisa et al.
BMC Pediatrics
Neonatal Respiratory Health Research
article

High-frequency oscillatory ventilation with sigh breath increases pneumothorax in neonates born at 22–25 gestational weeks

Masato Kamitomo, Masaya Kibe, Tomonori Kurimoto, Takuya Tokuhisa, Eiji Hirakawa, Takatsugu Maeda, Hiroshi Ohashi, Asataro Yara
article en

Abstract

While sigh breaths during HFOV may facilitate alveolar recruitment in preterm neonates with atelectasis, their use appears to significantly increase the risk of tension pneumothorax. Given the vulnerability of extremely preterm lungs, caution is required when implementing sigh breaths in this population. Further prospective studies are needed to refine ventilation strategies and minimize complications in extremely preterm neonates.

BMC PediatricsVol. 25(1)
Kagoshima City Hospital (JP), Kagoshima Medical Center (JP)
Openalex Percentile: Top 57%
Neonatal Respiratory Health Research
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