Related Experiment Video
Updated: Jul 11, 2026

Laryngeal Mask Airway (LMA) Placement in a Neonatal Patient Simulator Using a Non-Inflatable Supraglottic Airway (SGA)
Published on: July 14, 2023
Neonatal nasal intermittent positive pressure ventilation: a survey of practice in England
L S Owen1, C J Morley, P G Davis
1Royal Women's Hospital, Grattan Street, Carlton, VIC 3053, Australia. louise.owen@rwh.org.au
Background:
Less invasive techniques of respiratory support are increasingly popular.
Objective:
To determine how widespread the use of neonatal nasal intermittent positive airway pressure (NIPPV) has become and describe the range of practice used in NIPPV in England.
Methods:
95 English Neonatal intensive care units were asked to provide information about NIPPV devices, interfaces, indications, guidelines, use of synchronisation, complications, settings and weaning.
Results:
91 (96%) units replied. NIPPV was used by 44/91 (48%) units; few complications were seen. 34/44 (77%) used a synchronising device, 35/44 (80%) used NIPPV for "rescuing" babies for whom continuous positive airway pressure failed-59% routinely after extubation and 16% as a first-line treatment. A wide range of pressure and rate settings were used.
Conclusions:
In England, NIPPV is commonly used, with considerable variability in the techniques applied. The wide range of clinical approaches highlights the paucity of evidence available. More evidence is needed to establish best practice.
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