Document Detail

Alveolar recruitment in the delivery room.
MedLine Citation:
PMID:  22313342     Owner:  NLM     Status:  Publisher    
Abstract Most preterm babies with a gestational age less than 23-27 wks need a respiratory support in the delivery room; the aim of ventilation is to create and maintain a functional residual capacity; to facilitate gas exchange and to minimize acute lung injury. The application of a continuous positive airway pressure from the first breaths helps in obtaining a lung volume stabilization. Efficacy and safety of the application of a sustained lung inflation at birth is still under careful evaluation. The prompt increase of the hearth rate and oxygen saturation in the preliminary studies at the moment available in the literature are signs of the good efficacy of the manoeuvre but the effects of the sustained lung inflation on oxygenation and hemodynamics are undetermined. When preterm infants need respiratory assistance in the delivery room, respiratory function monitoring is desirable to apply adequate and gentle resuscitation manoeuvres. Clinical large trials taking place in the delivery room are needed but they are also extremely difficult to be designed and performed.
G Lista; F Castoldi; F Cavigioli; S Bianchi; P Fontana
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-2-7
Journal Detail:
Title:  The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians     Volume:  -     ISSN:  1476-4954     ISO Abbreviation:  -     Publication Date:  2012 Feb 
Date Detail:
Created Date:  2012-2-8     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101136916     Medline TA:  J Matern Fetal Neonatal Med     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Division of Neonatology, "V.Buzzi" Children's Hospital, ICP, Milan, Italy.
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