Document Detail

Observation of spontaneous respiratory interaction with artificial ventilation.
MedLine Citation:
PMID:  3279924     Owner:  NLM     Status:  MEDLINE    
To compare the accuracy of clinical observation and detailed respiratory recordings in identifying infants at high risk of developing pneumothoraces 10 infants, with idiopathic respiratory distress syndrome, were studied at three different ventilator rates. All infants with synchronous respiration at fast rates were correctly identified by clinical observation. The clinical signs used to identify 'high risk' interactions--that is, active expiration and asynchronous breathing--were obvious respiratory efforts and a failure of improvement in oxygenation at increased rates. These criteria enabled correct identification of 'high risk' respiratory patterns on 15 (88%) of the 17 study occasions. These clinical criteria were then used as criteria for selective paralysis; no infant developed a pneumothorax during ventilation.
A Greenough; F Greenall
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Archives of disease in childhood     Volume:  63     ISSN:  1468-2044     ISO Abbreviation:  Arch. Dis. Child.     Publication Date:  1988 Feb 
Date Detail:
Created Date:  1988-04-14     Completed Date:  1988-04-14     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0372434     Medline TA:  Arch Dis Child     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  168-71     Citation Subset:  AIM; IM    
Department of Child Health, King's College Hospital, Denmark Hill, London.
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MeSH Terms
Infant, Newborn
Intermittent Positive-Pressure Ventilation*
Pneumothorax / prevention & control
Positive-Pressure Respiration*
Respiratory Distress Syndrome, Newborn / complications,  physiopathology,  therapy*
Risk Factors

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