pub.mdw | "Every Breath you take": Evaluating Sound Levels and Acoustic Characteristics of various neonatal Respiratory Support and Ventilation Modalities

cris.virtual.department

University of Music and Performing Arts Vienna

cris.virtual.orcid

0000-0002-3935-3546

dc.contributor.author

Stummer, Sophia

Reuter, Christoph

Czedik-Eysenberg, Isabella

Bertsch, Matthias

Klebermass-Schrehof, Katrin

Berger, Angelika

Bartha-Doering, Lisa

Giordano, Vito

dc.date.accessioned

2025-01-25T16:37:33Z

dc.date.available

2025-01-25T16:37:33Z

dc.date.issued

2024-04-19

dc.description

Background: Early sensory experiences have a significant impact on the later life of preterm infants. The NICU soundscape is profoundly influenced by various modalities of respiratory support or ventilation, which are often mandatory early in the care. The incubator, believed to shield from external noise, is less effective against noise originating inside. The objective of this study was to evaluate the sound levels and characteristics of frequently used respiratory support and ventilation modalities, taking into consideration the developing auditory system of premature infants. Methods: To evaluate sound dynamics inside and outside an incubator during respiratory support/ventilation, experimental recordings were conducted at the Center for Pediatric Simulation Training of the Medical University Vienna. The ventilator used was a FABIAN HFOI®. Results: Jet CPAP (Continuous positive airway pressure), whether administered via mask or prongs, generates significantly higher sound levels compared to High-flow nasal cannula (HFNC) and to High-frequency oscillatory ventilation (HFOV) delivered through an endotracheal tube. Upon evaluating the sound spectrum of jet CPAP support, a spectral peak is observed within the frequency range of 4 to 8 kHz. Notably, this frequency band aligns with the range where the hearing threshold of preterm infants is at its most sensitive. Conclusion: Non-invasive HFNC and invasive HFOV generate lower sound levels compared to those produced by jet CPAP systems delivered via masks or prongs. Moreover, HFNC and HFOV show a reduced acoustic presence within the frequency range where the preterm infant’s hearing is highly sensitive. Therefore, it is reasonable to speculate that the potential for auditory impairment might be more pronounced in preterm infants who require prolonged use of jet CPAP therapy during their time in the incubator.

dc.description.provenance

Submitted by Matthias Bertsch (bertsch@mdw.ac.at) on 2025-01-25T16:37:33Z workflow start=Step: checkcorrectionstep - action:noUserSelectionAction No. of bitstreams: 1 Stummer, Sophie; Reuter, Christoph; Czedik-Eysenberg, Isabella; Bertsch, Matthias; Klebermass-Schrehof, Katrin; Berger, Angelika; Bartha-Doering, Lisa; Giordano, Vito, et al. "Every Breath you take": Evaluating Sound Levels and Acoustic Characteristics of various neonatal Respiratory Support and Ventilation Modalities. Front. Pediatr. Sec. Neonatology,. DOI: 10.3389/fped.2024.1379249: 8802256 bytes, checksum: 1b2d91a8f380d4f0e2a134c772cb3d32 (MD5)

Made available in DSpace on 2025-01-25T16:37:33Z (GMT). No. of bitstreams: 1 Stummer, Sophie; Reuter, Christoph; Czedik-Eysenberg, Isabella; Bertsch, Matthias; Klebermass-Schrehof, Katrin; Berger, Angelika; Bartha-Doering, Lisa; Giordano, Vito, et al. "Every Breath you take": Evaluating Sound Levels and Acoustic Characteristics of various neonatal Respiratory Support and Ventilation Modalities. Front. Pediatr. Sec. Neonatology,. DOI: 10.3389/fped.2024.1379249: 8802256 bytes, checksum: 1b2d91a8f380d4f0e2a134c772cb3d32 (MD5) Previous issue date: 2024

dc.identifier.citation

Stummer, Sophia; Reuter, Christoph; Czedik-Eysenberg, Isabella; Bertsch, Matthias; Klebermass-Schrehof, Katrin; Berger, Angelika; Bartha-Doering, Lisa; Giordano, Vito: "Every Breath you take": Evaluating Sound Levels and Acoustic Characteristics of various neonatal Respiratory Support and Ventilation Modalities. In: Front. Pediatr. Sec. Neonatology (2024). doi.org/10.3389/fped.2024.1379249

dc.identifier.doi

10.3389/fped.2024.1379249

dc.identifier.uri

https://dspace.mdw.ac.at/handle/123456789/19903

dc.language.iso

en

dc.relation.journal

Frontiers in Pediatrics

dc.subject

NICU

noise

preterm infants

CPAP

HFNC

HFOV

dc.title

"Every Breath you take": Evaluating Sound Levels and Acoustic Characteristics of various neonatal Respiratory Support and Ventilation Modalities

dc.type

text::journal::journal article::research article

dcterms.publisher

Frontiers

dspace.entity.type

Publication

mdwlis.publication.firstRelease

false

mdwlis.publication.mdwAttribution

yes

mdwlis.subject.oefosDeKunstzweig

NATURWISSENSCHAFTEN - Physik, Astronomie

HUMANMEDIZIN, GESUNDHEITSWISSENSCHAFTEN - Medizinisch-theoretische Wissenschaften, Pharmazie

GEISTESWISSENSCHAFTEN - Andere Geisteswissenschaften

MUSIK - Interpretation – instrumental

mdwrepo.subject.percentage

20

30

20

30

oaire.citation.endPage

12

oaire.citation.startPage

1

oaire.citation.volume

12

oairecerif.author.affiliation

Medizinische Universität Wien

Universität Wien

University of Music and Performing Arts Vienna

Medizinische Universität Wien