Comparative study on effects of volume-controlled ventilation and pressure-limited ventilation for neonatal respiratory distress syndrome
| Autor: | Sang Geel Lee, Jae Jin Kim, Mun Jung Hwang |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2010 |
| Předmět: |
Mechanical ventilation
Neonatal respiratory distress syndrome Respiratory distress business.industry medicine.medical_treatment lcsh:RJ1-570 lcsh:Pediatrics Peak inspiratory pressure medicine.disease Pediatrics Hypoxemia Low birth weight Anesthesia Pediatrics Perinatology and Child Health medicine Breathing medicine.symptom business Tidal volume |
| Zdroj: | Korean Journal of Pediatrics, Vol 53, Iss 1, Pp 21-27 (2010) |
| ISSN: | 2092-7258 1738-1061 |
| Popis: | Purpose:In contrast with traditional time-cycled, pressure-limited ventilation, during volume-controlled ventilation, a nearly constant tidal volume is delivered with reducing volutrauma and the episodes of hypoxemia. The aim of this study was to compare the efficacy of pressure-regulated, volume controlled ventilation (PRVC) to Synchronized intermittent mandatory ventilation (SIMV) in VLBW infants with respiratory distress syndrome (RDS). Methods : 34 very low birth weight (VLBW) infants who had RDS were randomized to receive either PRVC or SIMV with surfactant administration : PRVC group (n=14) and SIMV group (n=20). We compared peak inspiratory pressure (PIP), duration of mechanical ventilation, and complications associated with ventilation, respectively with medical records. Results:There were no statistical differences in clinical characteristics between the groups. After surfactant administration, PIP was significantly lower during PRVC ventilation for 48hrs and accumulatevive value of decreased PIP was higher during PRVC ventilation for 24hrs (P |
| Databáze: | OpenAIRE |
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