{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T03:00:06Z","timestamp":1774926006301,"version":"3.50.1"},"reference-count":17,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,1,24]],"date-time":"2025-01-24T00:00:00Z","timestamp":1737676800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,24]],"date-time":"2025-01-24T00:00:00Z","timestamp":1737676800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Face masks and binasal prongs are commonly used interfaces for applying continuous positive airway pressure (CPAP) in neonatology. We aimed to assess CPAP stability in a randomised controlled in\u00a0vitro study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      In a simulated resuscitation scenario of a 1000\u2010g preterm infant with respiratory distress, 20 operators (10 with\/without neonatology experience) aimed to maintain a CPAP of 5 cmH\n                      <jats:sub>2<\/jats:sub>\n                      O as precisely as possible using face masks or binasal prongs in random order. The primary outcome was the minimum\u2010achieved CPAP at the Y\u2010piece (P\n                      <jats:sub>Y<\/jats:sub>\n                      min). Secondary outcomes included time to target CPAP, CPAP stability and the impact of operator experience.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Binasal prongs enabled more consistent maintenance of the target CPAP of 5 cmH\n                      <jats:sub>2<\/jats:sub>\n                      O than face masks (median [IQR]: P\n                      <jats:sub>Y<\/jats:sub>\n                      min: binasal prongs, 3.74 cmH\n                      <jats:sub>2<\/jats:sub>\n                      O [3.54\u20133.88]) vs. 3.20 cmH\n                      <jats:sub>2<\/jats:sub>\n                      O (2.72\u20133.73), with no significant deviation from the target CPAP. Target CPAP was achieved significantly faster with face masks (2.89\u2009s [1.67\u20135.64] vs. 6.49\u2009s [4.76\u201313.62] [\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05]). No significant differences were observed on the basis of operator experience (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&gt;\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Binasal prongs allow more accurate CPAP maintenance than face masks regardless of the operator's experience, although current clinical studies offer limited evidence on the superiority of nasal interfaces compared with that of face masks.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/apa.17589","type":"journal-article","created":{"date-parts":[[2025,1,24]],"date-time":"2025-01-24T07:54:49Z","timestamp":1737705289000},"page":"1432-1436","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Randomised In\u00a0Vitro Study Investigating\n                    <scp>PEEP<\/scp>\n                    \u2010Stability During Application of\n                    <scp>CPAP<\/scp>\n                    With Binasal Prongs and Face Masks"],"prefix":"10.1111","volume":"114","author":[{"given":"Hanna","family":"Sterzik","sequence":"first","affiliation":[{"name":"Department of Neonatology University Children's Hospital of Tuebingen  Tuebingen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3624-1968","authenticated-orcid":false,"given":"Kriszta","family":"Molnar","sequence":"additional","affiliation":[{"name":"Department of Neonatology University Children's Hospital of Tuebingen  Tuebingen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anette","family":"Stauch","sequence":"additional","affiliation":[{"name":"Center for Peadiatric Clinical Studies (CPCS) University Children's Hospital of Tuebingen  Tuebingen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Wald","sequence":"additional","affiliation":[{"name":"Department of Neonatology, Division of Pediatrics and Adolescent Medicine Paracelsus Medical University Salzburg  Salzburg Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1072-0066","authenticated-orcid":false,"given":"Christian F.","family":"Poets","sequence":"additional","affiliation":[{"name":"Department of Neonatology University Children's Hospital of Tuebingen  Tuebingen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7489-5754","authenticated-orcid":false,"given":"Bianca","family":"Haase","sequence":"additional","affiliation":[{"name":"Department of Neonatology University Children's Hospital of Tuebingen  Tuebingen Germany"},{"name":"Department of Diagnostic and Interventional Radiology University Hospital Tuebingen  Tuebingen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,1,24]]},"reference":[{"issue":"2","key":"e_1_2_13_2_1","article-title":"A Survey of the Union of European Neonatal and Perinatal Societies on Neonatal Respiratory Care in Neonatal Intensive Care Units","volume":"11","author":"Moretti C.","year":"2024","journal-title":"Children (Basel)"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10049-021-00894-w"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2016-312360"},{"key":"e_1_2_13_5_1","article-title":"Nasal Interfaces for Neonatal Resuscitation","volume":"10","author":"Ni Chathasaigh C. 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