Document Detail


Randomised study comparing extent of hypocarbia in preterm infants during conventional and patient triggered ventilation.
MedLine Citation:
PMID:  11124917     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: To determine whether patient triggered ventilation (PTV) leads to greater exposure to significant hypocarbia than conventional ventilation (CMV) in premature infants during the first 72 hours of life. METHODS: Infants of 32 weeks gestation or less were included. Randomisation yielded 74 infants on PTV and 68 infants on CMV. Arterial PaCO(2) measurements were taken four hourly for the first 72 hours of life. RESULTS: The mean PaCO(2) levels on days 1, 2, and 3 were not significantly different between the two groups. The proportion of infants with PaCO(2) levels of 3.33 kPa or less did not differ between PTV and CMV infants. Mean percentages of infants with this level of hypocarbia at any time were 31.4%, 18.9%, 8.8% on days 1, 2, and 3 respectively. Cumulative hypocarbia, below a 3.33 kPa threshold, was 0.0084 kPa.h (PTV) versus 0.0263 kPa.h (CMV) per hour ventilated during the first 24 hours (p = 0.259). Risk factors associated with hypocarbia on day 1 were peak inspiratory pressure below 14 cm H(2)O (odds ratio 4.79) as well as FiO(2) below 0.30 (odds ratio 3.42). CONCLUSION: Exposure to hypocarbia (PaCO(2) 3.33 kPa or below) was not significantly different between PTV and CMV infants during the first 72 hours of life. Hypocarbia was common in both groups on day 1 and to a lesser extent on day 2. Infants with the least requirements for ventilatory support were at highest risk of hypocarbia on day 1 of life. Preterm infants with mild hyaline membrane disease require a more aggressive approach to weaning on both modes of ventilation, followed by extubation to limit the risk of hypocarbia.
Authors:
K Luyt; D Wright; J H Baumer
Related Documents :
23359457 - Non-invasively derived respiratory severity score and oxygenation index in ventilated n...
25105867 - Air pollution and infant mortality: a natural experiment from power plant desulfurization.
23587297 - Determining an anthropometric surrogate measure for identifying low birth weight babies...
15495117 - Long versus short inspiratory times in neonates receiving mechanical ventilation.
20027267 - Towards reduction of maternal and perinatal mortality in rural burkina faso: communitie...
25169157 - Interaction between maternal prepregnancy body mass index and gestational weight gain s...
Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Archives of disease in childhood. Fetal and neonatal edition     Volume:  84     ISSN:  1359-2998     ISO Abbreviation:  Arch. Dis. Child. Fetal Neonatal Ed.     Publication Date:  2001 Jan 
Date Detail:
Created Date:  2001-01-30     Completed Date:  2001-02-22     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  9501297     Medline TA:  Arch Dis Child Fetal Neonatal Ed     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  F14-7     Citation Subset:  AIM; IM    
Affiliation:
Child Health Department, Derriford Hospital, Derriford Road, Plymouth PL6 8DH, Devon, UK. kluyt@doctors.org.uk
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Analysis of Variance
Female
Humans
Hypocapnia / etiology*
Infant, Newborn
Infant, Premature, Diseases / therapy*
Male
Odds Ratio
Regression Analysis
Respiration, Artificial / adverse effects*,  methods
Respiratory Distress Syndrome, Newborn / therapy*
Risk Factors
Statistics, Nonparametric
Ventilator Weaning / methods
Comments/Corrections

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


Previous Document:  Randomised controlled trial of oral vitamin A supplementation in preterm infants to prevent chronic ...
Next Document:  Dermatoglyphic patterns, very low birth weight, and blood pressure in adolescence.