Document Detail


Efficacy of early piston-type high-frequency oscillatory ventilation in infants with respiratory distress syndrome.
MedLine Citation:
PMID:  11477734     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We investigated whether the combination of surfactant replacement therapy and early application of high-frequency oscillatory ventilation (HFOV) was more effective in patients with respiratory distress syndrome (RDS) than late application of HFOV and conventional mechanical ventilation (CMV). To determine this, we retrospectively reviewed the cases of 126 neonates with RDS who received surfactant replacement therapy within 4 hr after birth. Patients were grouped into those who received HFOV immediately after birth (HFOV group), those who initially were ventilated by CMV and subsequently received HFOV (CMV/HFOV group), and those who did not receive HFOV (CMV group). Changes in respiratory system compliance (Crs), arterial-alveolar oxygen gradient (a/ApO(2)), and mean airway pressure (MAP) were compared. Infants who received HFOV were less mature than those who received CMV. The a/ApO(2) measured immediately after birth before surfactant replacement therapy was significantly lower in the HFOV and CMV/HFOV group than in the CMV group. After 72 hr, the Crs in the HFOV group was higher than in any other group and was significantly higher than the CMV/HFOV group at 48 and 120 hr. These results suggest that initiating HFOV in combination with surfactant replacement therapy immediately after birth provides effective ventilatory support for infants with RDS.
Authors:
T Sakai; T Kamohara; S Aiba; T Yoshioka; A Itinohe; H Chiba; T Watanabe; K Iinuma
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Pediatric pulmonology     Volume:  32     ISSN:  8755-6863     ISO Abbreviation:  Pediatr. Pulmonol.     Publication Date:  2001 Aug 
Date Detail:
Created Date:  2001-07-30     Completed Date:  2001-09-20     Revised Date:  2006-03-28    
Medline Journal Info:
Nlm Unique ID:  8510590     Medline TA:  Pediatr Pulmonol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  168-74     Citation Subset:  IM    
Copyright Information:
Copyright 2001 Wiley-Liss, Inc.
Affiliation:
Department of Pediatrics, Tohoku University School of Medicine, Sendai, Japan. tsakai@ped.med.tohoku.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Equipment Design
Female
High-Frequency Ventilation / instrumentation*,  methods
Humans
Infant, Newborn
Male
Respiratory Distress Syndrome, Newborn / therapy*
Respiratory Function Tests
Retrospective Studies
Surface-Active Agents / therapeutic use
Chemical
Reg. No./Substance:
0/Surface-Active Agents

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