Evidence map›Paper›PMID 40715424›Full record

ArticlePediatric research2026

Imposed work of breathing of 16 neonatal CPAP-devices using different mechanisms of CPAP generation.

Hanna Sterzik, Joerg Arand, Christoph E Schwarz, Matthias Kumpf, Martin Wald, Angela Kribs, Wanda Lauth, Maximilian Gross, Christian F Poets, Bianca Haase

Erratum issuedAbstract readEvaluation Study
In one paragraph

Article in Pediatric research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

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No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Hanna SterzikDepartment of Neonatology, University Children's Hospital, Tübingen, Germany.
Joerg ArandDepartment of Neonatology, University Children's Hospital, Tübingen, Germany.
Christoph E SchwarzDepartment of Neonatology, University Children's Hospital, Tübingen, Germany. Christoph.schwarz@med.uni-heidelberg.de.ORCID http://orcid.org/0000-0003-0975-1575
Matthias KumpfDepartment of Pediatric Cardiology, Pulmonology and Intensive Care Medicine, University Children's Hospital, Tübingen, Germany.
Martin WaldDivision of Neonatology, Department of Pediatrics and Adolescent Medicine, Paracelsus Medical University Salzburg, Salzburg, Austria.
Angela KribsDepartment of Neonatology, Children's and Adolescents' Hospital, University Hospital of Cologne, Faculty of Medicine, University of Cologne, Köln, Germany.
Wanda LauthTeam Biostatistics and Big Medical Data, IDA Lab Salzburg, Paracelsus Medical University Salzburg, Salzburg, Austria.
Maximilian GrossDepartment of Neonatology, University Children's Hospital, Tübingen, Germany.
Christian F PoetsDepartment of Neonatology, University Children's Hospital, Tübingen, Germany.
Bianca HaaseDepartment of Neonatology, University Children's Hospital, Tübingen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesFailure of continuous positive airway pressure (CPAP) in preterm infants may result from respiratory exhaustion, potentially also evoked by the CPAP device's imposed work of breathing (iWOB). This study investigated in-vitro the iWOB of 16 CPAP-devices in four simulated neonatal scenarios with focus on the impact of different mechanisms of CPAP-generation.

methodsA neonatal lung model and 3D-printed nasopharyngeal dummies (representing a 1000 g preterm and a 3000 g term infant, settings: preterm/term: V

resultsDuring 9300 simulated breaths, iWOB differed widely across investigated devices. The lowest inspiratory iWOB were observed in Bubble CPAP, variable-flow devices and constant-flow devices with turbine (0.04/0.15-0.17 mJ/breath for preterm/term model resp. 0.07/0.24-0.33 mJ/breath). Devices with mechanical regulation and with constant resistance require higher inspiratory effort and are therefore not relevant in the low iWOB group. The highest iWOB (0.41/2.92 mJ/breath at 5 cmH

conclusionsThe magnitude of iWOB varied considerably between devices. This should be considered, to optimize non-invasive respiratory support in neonates. IMPACT: This bench study detected differences in the imposed work of breathing (iWOB) between 16 different CPAP devices. In addition to existing literature, the present study contributes to a more comprehensive understanding of iWOB and the influence of CPAP generation due to the large number of CPAP devices investigated. If the identified differences are confirmed in clinical practice, this could streamline decision-making in CPAP device selection.

Indexed as

Continuous Positive Airway PressureInfant, PrematureNasopharynxWork of BreathingComputer SimulationEquipment DesignHumansInfant, NewbornModels, AnatomicModels, BiologicalPrinting, Three-Dimensional

Identifiers

PMID40715424
PMCPMC13021497

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