{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T11:57:50Z","timestamp":1775476670641,"version":"3.50.1"},"reference-count":41,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2018,1,30]],"date-time":"2018-01-30T00:00:00Z","timestamp":1517270400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Respir Care"],"published-print":{"date-parts":[[2018,4]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND:<\/jats:title>\n                    <jats:p>Nasal prongs are frequently used to deliver noninvasive CPAP in bronchiolitis, especially in the youngest children. A helmet interface is an alternative that might be comparable to nasal prongs. We sought to compare these interfaces.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>We performed a prospective, randomized, crossover, single-center study in an 8-bed multidisciplinary pediatric ICU in a university hospital. Infants age &lt;3 months who were consecutively admitted to the pediatric ICU during a bronchiolitis epidemic season and fulfilled inclusion criteria were recruited. Subjects were randomly allocated to receive CPAP via a helmet or nasal prongs for 60 min. The subjects were then placed on the other CPAP system for another 60-min period (helmet then nasal prongs [H-NP] or nasal prongs then helmet [NP-H]). Measurements were taken at 30, 60, 90, and 120 min. Failure was defined as the need for further respiratory support.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>\n                      Sixteen subjects were included, with 9 in the H-NP group and 7 in the NP-H group. CPAP significantly reduced respiratory distress, showing no differences between the H-NP and NP-H groups in terms of improving the Modified Wood's Clinical Asthma Score from 4.8 \u00b1 1 to 3 \u00b1 0.9 and 2.7 \u00b1 1.7 points at 60 min and 120 min in the H-NP group, respectively, and from 4.2 \u00b1 0.9 to 2.8 \u00b1 0.9 and to 2.9 \u00b1 0.9 at 60 min and 120 min, respectively, in the NP-H group. Sedatives were used in only 3 subjects (2 in the NP-H group,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .77). The failure rate was similar in both groups (3 of 9 subjects vs 3 of 7 subjects,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .70). No significant differences were seen for heart rate, breathing frequency, F\n                      <jats:sub>\n                        IO\n                        <jats:sub>2<\/jats:sub>\n                      <\/jats:sub>\n                      , or transcutaneous oxygen saturation response.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS:<\/jats:title>\n                    <jats:p>Our results suggest that CPAP delivered by nasal prongs and CPAP delivered by helmet are similar in terms of efficacy in young infants with acute bronchiolitis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4187\/respcare.05840","type":"journal-article","created":{"date-parts":[[2018,1,30]],"date-time":"2018-01-30T20:10:42Z","timestamp":1517343042000},"page":"455-463","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":13,"title":["Helmet Versus Nasal-Prong CPAP in Infants With Acute Bronchiolitis"],"prefix":"10.1177","volume":"63","author":[{"given":"Juan","family":"Mayordomo-Colunga","sequence":"first","affiliation":[{"name":"Pediatric Intensive Care Unit, Department of Pediatrics, Hospital Universitario Central de Asturias, University of Oviedo, Oviedo, Spain."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Corsino","family":"Rey","sequence":"additional","affiliation":[{"name":"Pediatric Intensive Care Unit, Department of Pediatrics, Hospital Universitario Central de Asturias, University of Oviedo, Oviedo, Spain."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alberto","family":"Medina","sequence":"additional","affiliation":[{"name":"Pediatric Intensive Care Unit, Department of Pediatrics, Hospital Universitario Central de Asturias, University of Oviedo, Oviedo, Spain."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pablo","family":"Mart\u00ednez-Camblor","sequence":"additional","affiliation":[{"name":"Geisel School of Medicine at Dartmouth, Dartmouth College, Hanover, New Hampshire, and with the Universidad Aut\u00f3noma de Chile, Santiago, Chile."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana","family":"Vivanco-Allende","sequence":"additional","affiliation":[{"name":"Pediatric Intensive Care Unit, Department of Pediatrics, Hospital Universitario Central de Asturias, University of Oviedo, Oviedo, Spain."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andr\u00e9s","family":"Concha","sequence":"additional","affiliation":[{"name":"Pediatric Intensive Care Unit, Department of Pediatrics, Hospital Universitario Central de Asturias, University of Oviedo, Oviedo, Spain."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2018,1,30]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2014-2742"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2005.091231"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-008-1201-x"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.22533"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-004-2267-8"},{"issue":"1","key":"e_1_3_3_7_2","first-page":"CD002977","article-title":"Devices and pressure sources for administration of nasal continuous positive airway pressure (NCPAP) in preterm neonates","author":"De Paoli AG","year":"2008","unstructured":"De Paoli AG, , Davis PG, , Faber B, , Morley CJ. Devices and pressure sources for administration of nasal continuous positive airway pressure (NCPAP) in preterm neonates. Cochrane Database Syst Rev, 2008;(1):CD002977.","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2009-3357"},{"issue":"4","key":"e_1_3_3_9_2","first-page":"502","article-title":"Treatment of acute hypoxemic respiratory failure with continuous positive airway pressure delivered by a new pediatric helmet in comparison with a standard full face mask: a prospective pilot study","volume":"11","author":"Chidini G","year":"2010","unstructured":"Chidini G, , Calderini E, , Pelosi P. Treatment of acute hypoxemic respiratory failure with continuous positive airway pressure delivered by a new pediatric helmet in comparison with a standard full face mask: a prospective pilot study. 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