Noninvasive Respiratory Support and Feeding in the Neonate Background Preterm neonates are at risk for respiratory illness including respiratory distress syndrome (RDS) and bronchopulmonary dysplasia (BPD). Recent advancements in neonatal medicine have introduced less invasive forms of respiratory support for neonates with RDS and BPD, including continuous positive airway pressure (CPAP) and humidified “high-flow” therapy via nasal cannula ... Article
Article  |   July 31, 2017
Noninvasive Respiratory Support and Feeding in the Neonate
Author Affiliations & Notes
  • Keith Hirst
    Department of Pediatric Newborn Medicine, Brigham and Women's Hospital, Boston, MA
  • Pamela Dodrill
    Department of Communicative Disorders, The University of Alabama, Tuscaloosa, AL
  • Memorie Gosa
    Respiratory Therapy, Brigham and Women's Hospital, Boston, MA
  • Disclosures
    Disclosures ×
  • Financial: Keith Hirst has no relevant financial interests related to the content of this article. Pamela Dodrill has no relevant financial interests related to the content of this article. Memorie Gosa has no relevant financial interests related to the content of this article.
    Financial: Keith Hirst has no relevant financial interests related to the content of this article. Pamela Dodrill has no relevant financial interests related to the content of this article. Memorie Gosa has no relevant financial interests related to the content of this article.×
  • Nonfinancial: Keith Hirst has no relevant nonfinancial interests related to the content of this article. Pamela Dodrill has no relevant nonfinancial interests related to the content of this article. Memorie Gosa has no relevant nonfinancial interests related to the content of this article.
    Nonfinancial: Keith Hirst has no relevant nonfinancial interests related to the content of this article. Pamela Dodrill has no relevant nonfinancial interests related to the content of this article. Memorie Gosa has no relevant nonfinancial interests related to the content of this article.×
Article Information
Swallowing, Dysphagia & Feeding Disorders / Part 3
Article   |   July 31, 2017
Noninvasive Respiratory Support and Feeding in the Neonate
Perspectives of the ASHA Special Interest Groups, July 2017, Vol. 2, 82-92. doi:10.1044/persp2.SIG13.82
History: Received March 15, 2017 , Revised April 27, 2017 , Accepted April 30, 2017
Perspectives of the ASHA Special Interest Groups, July 2017, Vol. 2, 82-92. doi:10.1044/persp2.SIG13.82
History: Received March 15, 2017; Revised April 27, 2017; Accepted April 30, 2017

Background Preterm neonates are at risk for respiratory illness including respiratory distress syndrome (RDS) and bronchopulmonary dysplasia (BPD). Recent advancements in neonatal medicine have introduced less invasive forms of respiratory support for neonates with RDS and BPD, including continuous positive airway pressure (CPAP) and humidified “high-flow” therapy via nasal cannula (HFNC). There is limited evidence documenting the impact of these respiratory supports on neonatal swallowing function.

Objective This article presents the results of a structured literature review that sought to determine the evidence to support the practice of feeding neonates in the neonatal intensive care unit (NICU) by mouth while on CPAP or HFNC.

Methods A systematic search of PubMed was completed to identify relevant, peer-reviewed literature reporting original data that addressed the identified objective.

Results Five studies were identified that related to oral feeding and/or swallowing while on CPAP or HFNC in neonates.

Conclusions Given the limited evidence available to support the practice of feeding neonates in the NICU by mouth while on CPAP or HFNC, and the potential for adverse respiratory events related to the underlying respiratory disease, the authors urge caution with this practice, and highlight the urgent need for further research in this area.

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