ArticleJournal of perinatology : official journal of the California Perinatal Association2017
Effect of nasal continuous positive airway pressure on the pharyngeal swallow in neonates.
Article in Journal of perinatology : official journal of the California Perinatal Association, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it, 63 citations in OpenAlex.
- Oral feeding for infants and children receiving nasal continuous positive airway pressure and high flow nasal cannula: a systematic review.BMC pediatrics · 2021Pooled it
- Oral Feeding and Aspiration Risk in Preterm Infants Receiving Nasal High-Flow Respiratory Support: A Cross-Sectional Study.Dysphagia · 2026Article
- Enteral feeding in pediatric patients with bronchiolitis requiring non-invasive support via nasal interface.Pediatric research · 2025Article
- Identifying Paediatric Populations with Increased Risk for Oropharyngeal Dysphagia in Acute and Critical Care Settings: A Scoping Review.Dysphagia · 2025Article
- Oral Feeding of NICU Infants: A Global Survey of Current Practices and the Potential of Cold Milk Feeding Intervention.Nutrients · 2025Article
- Feeding Infants on Noninvasive Respiratory Support: Practice at One Academic Medical Center.American journal of speech-language pathology · 2025Article
- The budget impact of patterned frequency-modulated oral stimulation to promote non-nutritive sucking in preterm infants in the United States.Frontiers in pediatrics · 2025Article
- Oral feeding practices in medically complex infants receiving prolonged high-flow nasal cannula support: A retrospective cohort study.Journal of paediatrics and child health · 2024Article
- Introduction of oral feeding in premature infants on high flow nasal cannula in a level IV neonatal intensive care unit: a quality improvement initiative.Journal of perinatology : official journal of the California Perinatal Association · 2024Article
- Feeding and Swallowing Outcomes in Children Who Use Long-Term Ventilation: A Scoping Review.Dysphagia · 2024Article
- Feeding and swallowing outcomes of children receiving long-term ventilation: A scoping review protocol.PloS one · 2024Article
- A Survey of Feeding Practices During High-Flow Nasal Cannula Oxygen Therapy.Respiratory care · 2023Article
- Treatment of Pediatric Patients With High-Flow Nasal Cannula and Considerations for Oral Feeding: A Review of the Literature.Perspectives of the ASHA special interest groups · 2022Article
- Study of Orofacial Function in Preschool Children Born Prematurely.Children (Basel, Switzerland) · 2022Article
- Feeding Problems and Long-Term Outcomes in Preterm Infants-A Systematic Approach to Evaluation and Management.Children (Basel, Switzerland) · 2021Review
- The Influence of Airflow Via High-Flow Nasal Cannula on Duration of Laryngeal Vestibule Closure.Dysphagia · 2021Article
- Safety of Bottle-Feeding Under Nasal Respiratory Support in Preterm Lambs With and Without Tachypnoea.Frontiers in physiology · 2021Article
- Rehabilitation in Pediatric Heart Failure and Heart Transplant.Frontiers in pediatrics · 2021Review
- Oral-feeding guidelines for preterm neonates in the NICU: a scoping review.Journal of perinatology : official journal of the California Perinatal Association · 2021Article
- The effects of oral feeding while on nasal continuous positive airway pressure (NCPAP) in preterm infants.Journal of perinatology : official journal of the California Perinatal Association · 2020Article
Corrections and comments
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Authors and funding
9 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveFeeding neonates orally while on nasal continuous positive airway pressure (nCPAP) is a common practice. We hypothesize that pressurized airflow provided by nCPAP will alter the swallowing mechanism in neonates, increasing the risk of aspiration during oral feeding. STUDY
designInfants receiving nCPAP with a RAM cannula and tolerating at least 50% of their feeding orally were included in the study (one term; six preterm infants). Each participant underwent a videofluoroscopic swallow study while on nCPAP and off nCPAP. A non-parametric signed-rank test was used for paired data.
resultThe incidence of deep penetration (P=0.03) and aspiration (P=0.01) decreased significantly off-nCPAP compared with on-nCPAP. However, the incidence of mild penetration (P=0.65) and nasopharyngeal reflux (P=0.87) remained the same under both conditions.
conclusionOral feeding while on-nCPAP significantly increases the risk of laryngeal penetration and tracheal aspiration events. We recommend caution when initiating oral feedings on nCPAP.
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Registered trials
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