Evidence map›Paper›PMID 24378898›Full record

ArticlePediatric research2014

High-frequency nasal ventilation for 21 d maintains gas exchange with lower respiratory pressures and promotes alveolarization in preterm lambs.

Donald M Null, Jeremy Alvord, Wendy Leavitt, Albert Wint, Mar Janna Dahl, Angela P Presson, Robert H Lane, Robert J DiGeronimo, Bradley A Yoder, Kurt H Albertine

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Pediatric research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02543125 (Nasal High Frequency Oscillatory Versus Nasal Intermittent Positive Pressure Ventilation in Neonate After Extubation), which is not on this map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
4.3field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02543125 naunknown statusnot on this mapstarted 2016, after this paper: background citation

Nasal High Frequency Oscillatory Versus Nasal Intermittent Positive Pressure Ventilation in Neonate After Extubation

TypeinterventionalSponsorGao WeiWeiRan2016 to 2016Enrolled75ConditionsRespiratory InsufficiencyArmsNIPPV, NHFOV
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 68 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Bronchopulmonary dysplasia: its relationship to invasive modes of ventilation and the magnitude of respiratory support.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  6. Postnatal growth restriction impairs rat lung structure and function.Anatomical record (Hoboken, N.J. : 2007) · 2025
    Article
  7. Article
  8. Review
  9. Article
  10. Mesenchymal stromal cell extracellular vesicles improve lung development in mechanically ventilated preterm lambs.American journal of physiology. Lung cellular and molecular physiology · 2024
    Article
  11. Article
  12. Review
  13. Article
  14. Early extubation to noninvasive respiratory support of former preterm lambs improves long-term respiratory outcomes.American journal of physiology. Lung cellular and molecular physiology · 2021
    Article
  15. Article
  16. Article
  17. Review
  18. Former-preterm lambs have persistent alveolar simplification at 2 and 5 months corrected postnatal age.American journal of physiology. Lung cellular and molecular physiology · 2018
    Article
  19. Article
  20. [Research advances in noninvasive high-frequency oscillatory ventilation in neonates].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2017
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Donald M NullDivision of Neonatology, Department of Pediatrics, University of Utah, Salt Lake City, Utah.
Jeremy AlvordDivision of Neonatology, Department of Pediatrics, University of Utah, Salt Lake City, Utah.
Wendy LeavittDivision of Neonatology, Department of Pediatrics, University of Utah, Salt Lake City, Utah.
Albert WintDivision of Neonatology, Department of Pediatrics, University of Utah, Salt Lake City, Utah.
Mar Janna DahlDivision of Neonatology, Department of Pediatrics, University of Utah, Salt Lake City, Utah.
Angela P PressonDivision of Epidemiology, University of Utah, Salt Lake City, Utah.
Robert H LaneDivision of Neonatology, Department of Pediatrics, University of Utah, Salt Lake City, Utah.
Robert J DiGeronimoDivision of Neonatology, Department of Pediatrics, University of Utah, Salt Lake City, Utah.
Bradley A YoderDivision of Neonatology, Department of Pediatrics, University of Utah, Salt Lake City, Utah.
Kurt H Albertine1] Division of Neonatology, Department of Pediatrics, University of Utah, Salt Lake City, Utah [2] Department of Internal Medicine, University of Utah, Salt Lake City, Utah; [3] Department of Neurobiology and Anatomy, University of Utah, Salt Lake City, Utah.
University of Utah · US

Funding

UNIVERSITY OF UTAH CENTER FOR CLINICAL AND TRANSLATIONAL SCIENCE-UL1: BPCAUL1RR025764 · NCRR · UNIVERSITY OF UTAH · PI MCCLAIN, DONALD A. · 2008 to 2011
$19.4M
University of Utah Center for Clinical and Translational Science-UL1UL1TR000105 · NCATS · UNIVERSITY OF UTAH · PI MCCLAIN, DONALD A. · 2012 to 2013
$5.1M
Short-Term Training: Students in Health Professional SchoolsT35HL007744 · NHLBI · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI RONDINA, MATTHEW THOMAS, TRISTANI-FIROUZI, MARTIN · 1993 to 2025
$3.1M
VITAMIN A EFFECTS ON ALVEOLAR FORMATION IN PRETERM/FETALR01HL062875 · NHLBI · UNIVERSITY OF UTAH · PI ALBERTINE, KURT H · 1999 to 2009
$2.5M
Epigenetics participate in neonatal CLDR01HL110002 · NHLBI · UNIVERSITY OF UTAH · PI ALBERTINE, KURT H · 2011 to 2015
$2.3M
NCATS NIH HHS 8UL1 TR000105NCATS NIH HHS UL1 TR000105NCRR NIH HHS UL1 RR025764NHLBI NIH HHS HL007744NHLBI NIH HHS HL062875NHLBI NIH HHS HL110002NHLBI NIH HHS R01 HL062875NHLBI NIH HHS R01 HL110002NHLBI NIH HHS T35 HL007744
6 · The paper itself

Abstract

backgroundShort-term high-frequency nasal ventilation (HFNV) of preterm neonates provides acceptable gas exchange compared to endotracheal intubation and intermittent mandatory ventilation (IMV). Whether long-term HFNV will provide acceptable gas exchange is unknown. We hypothesized that HFNV for up to 21 d would lead to acceptable gas exchange at lower inspired oxygen (O2) levels and airway pressures compared to intubation and IMV.

methodsPreterm lambs were exposed to antenatal steroids and treated with perinatal surfactant and postnatal caffeine. Lambs were intubated and resuscitated by IMV. At ~3 h of age, half of the lambs were switched to noninvasive HFNV. Support was for 3 or 21 d. By design, Pao2 and Paco2 were not different between groups.

resultsAt 3 d (n = 5) and 21 d (n = 4) of HFNV, fractional inspired O2 (FiO2), peak inspiratory pressure (PIP), mean airway, intratracheal, and positive end-expiratory pressures, oxygenation index, and alveolar-arterial gradient were significantly lower than matched periods of intubation and IMV. Pao2/FiO2 ratio was significantly higher at 3 and 21 d of HFNV compared to matched intubation and IMV. HFNV led to better alveolarization at 3 and 21 d.

conclusionLong-term HFNV provides acceptable gas exchange at lower inspired O2 levels and respiratory pressures compared to intubation and IMV.

Indexed as

Animals, NewbornNoseRespirationAnimalsHigh-Frequency VentilationPulmonary AlveoliSheep

Identifiers

PMID24378898
PMCPMC3961520
OpenAlexW2062194371

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.