Document Detail


High frequency oscillatory ventilation in newborns with idiopathic persistent pulmonary hypertension.
MedLine Citation:
PMID:  8882538     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Three consecutive term infants diagnosed as suffering from idiopathic persistent pulmonary hypertension of the newborn (PPHN) were tried on high frequency oscillatory ventilation (HFOV) after failure of conventional mechanical ventilation (CMV). All experienced a significant improvement in oxygenation. All three infants survived. HFOV was utilised in a fourth term infant initially diagnosed as having idiopathic PPHN with an immediate benefit. This infant subsequently died and was found at autopsy to have a lethal congenital maldevelopment of pulmonary microcirculation. No serious adverse effects were encountered with HFOV in contrast to the use of pharmacologic agents where hypotension was a serious problem. A therapeutic trial of HFOV is simple and efficient, and would not cause undue delay in the commencement of other rescue therapy should it prove unsuccessful. We predict HFOV will replace non-specific vasoactive agents as the standard first line alternative to CMV for the treatment of idiopathic PPHN.
Authors:
P C Ng; J Hui; P J Lewindon; K L Cheung; W Wong
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Singapore medical journal     Volume:  36     ISSN:  0037-5675     ISO Abbreviation:  Singapore Med J     Publication Date:  1995 Oct 
Date Detail:
Created Date:  1996-12-11     Completed Date:  1996-12-11     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0404516     Medline TA:  Singapore Med J     Country:  SINGAPORE    
Other Details:
Languages:  eng     Pagination:  517-20     Citation Subset:  IM    
Affiliation:
Department of Paediatrics, Chinese University of Hong Kong, Shatin, NT.
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MeSH Terms
Descriptor/Qualifier:
Female
High-Frequency Ventilation* / methods
Humans
Hypertension, Pulmonary / diagnosis,  physiopathology*,  therapy*
Infant, Newborn
Male
Treatment Outcome

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