Document Detail


Measurement of total and compartmental lung volume changes in newborns by optoelectronic plethysmography.
MedLine Citation:
PMID:  19755932     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The study of respiratory mechanics in infants requires a noninvasive accurate measurement of the lung volume changes (DeltaVL). Optoelectronic plethysmography (OEP) allows the assessment of DeltaVL through the measurement of the chest wall surface motion and it has been proved to be accurate in adults. The aim of this study was to apply OEP to newborns and to validate it by comparison to pneumotachography. Twenty term and preterm newborns (GA = 34 +/- 5 wk) in stable condition were studied during 1 to 2 min periods of quiet breathing in supine position. Airway opening flow was measured by applying a facemask connected to a pneumotachograph (PNT) and integrated to provide the DeltaVL. Chest wall volume changes were simultaneously measured by OEP. The tidal volume values measured by pneumotachography and by OEP were compared for each breath. A total of 771 breaths from all patients were considered. Bland-Altmann analysis showed a mean difference of -0.08 mL and a limit of agreement ranging from -2.98 to 2.83 mL. Linear regression analysis demonstrated good correlation between the two techniques (r = 0.95, q = 1.00 mL, m = 0.96). OEP provides accurate measurements of DeltaVL in newborns and may be useful to study respiratory mechanics and breathing patterns during spontaneous breathing and mechanical ventilation.
Authors:
Raffaele L Dellaca'; Maria L Ventura; Emanuela Zannin; Miria Natile; Antonio Pedotti; Paolo Tagliabue
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Pediatric research     Volume:  67     ISSN:  1530-0447     ISO Abbreviation:  Pediatr. Res.     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2009-12-17     Completed Date:  2010-03-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0100714     Medline TA:  Pediatr Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  11-6     Citation Subset:  IM    
Affiliation:
Dipartimento di Bioingegneria, Politecnico di Milano, Milano 20133, Italy. raffaele.dellaca@polimi.it
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MeSH Terms
Descriptor/Qualifier:
Electronics
Humans
Infant, Newborn
Lung Volume Measurements*
Optics and Photonics
Plethysmography / methods*
Comments/Corrections
Comment In:
Pediatr Res. 2010 Jan;67(1):9-10   [PMID:  20010379 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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