Aim:

We aimed to compare the efficacy of synchronized intermittent mandatory ventilation (SIMV) with non-synchronised intermittent mandatory ventilation (NIMV) in the treatment of respiratory failure of newborns who have transient tachypnea (TTN) and their short term results.

Materials and Methods:

This study was carried out prospectively. For the treatment of respiratory failure in patients who had been diagnosed with TTN and had respiratory failure, SIMV and NIMV support was randomly applied. In patient groups receiving SIMV and NIMV, respiratory rate, oxygen saturation, blood gas parameters and ventilator support duration, tachypnea duration and short term complications were recorded at the outset and at the first hour of ventilator treatment.

Results:

No significant difference was determined in terms of demographical features, mechanical ventilator support duration, tachypnea duration, mechanical ventilator complications and mortality between the groups. Also there was no considerable difference between the groups with regard to oxygen saturations and blood gas parameters checked prior to attachment to the mechanical ventilation and at the first hour of mechanical ventilation support. Respiratory rate was (73.72±6.74/min and 69.65±4.93/min; p=0.022) at the first hour of mechanical ventilation support and average respiratory rate checked during the support was (67.44±4.27/minute vs 64.73±3.13/min; p=0.025) and it was established as significantly higher in the NIMV group than the SIMV group.

Conclusion:

We determined that NIMV support was as efficient as SIMV support in the treatment of respiratory failure in patients with TTN together with respiratory failure and it did not lead to an increase in the complications. New studies are required to use NIMV effectively and confidently in the treatment of respiratory failure in babies with TTN.

Keywords: Newborn, tachypnea, mechanical ventilation