High frequency oscillatory ventilation: Initial experience in 22 patients
Autor: | D Johnston, Hochmann M, B Timms |
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Rok vydání: | 1995 |
Předmět: |
Male
Pediatrics medicine.medical_specialty Hyaline Membrane Disease Partial Pressure medicine.medical_treatment High-Frequency Ventilation Cohort Studies Ductus arteriosus Tidal Volume medicine Humans Prospective Studies Prospective cohort study Survival rate Bronchopulmonary Dysplasia Mechanical ventilation Pulmonary Gas Exchange business.industry Infant Newborn Retinopathy of prematurity Infant Low Birth Weight medicine.disease Respiration Artificial Respiratory Function Tests Treatment Outcome medicine.anatomical_structure Barotrauma Pulmonary Emphysema Bronchopulmonary dysplasia Respiratory failure Pediatrics Perinatology and Child Health Necrotizing enterocolitis Intensive Care Neonatal Female Respiratory Insufficiency business Infant Premature |
Zdroj: | Journal of Paediatrics and Child Health. 31:297-301 |
ISSN: | 1440-1754 1034-4810 |
Popis: | Objectives: To report the outcome of a consecutive cohort of neonates treated with high frequency oscillatory ventilation (HFOV). Methodology Prospective cohort study of 22 neonates failing conventional mechanical ventilation (CMV) between October 1992 and August 1993. Outcomes evaluated were in-hospital survival rate, comorbidities including patent ductus arteriosus (PDA), cerebroventricular haemorrhages (CVH), necrotizing enterocolitis (NEC), bronchopulmonary dysplasia (BPD) and retinopathy of prematurity (ROP), and acute changes in respiratory status. Results Eighteen of 22 (81.8%) survived. Of the four children who died, one did not respond to HFOV and died within 24 h of treatment. Two died of respiratory failure complicated by pulmonary haemorrhage. The remaining infant responded to HFOV but later developed severe NEC while on minimal CMV and died at 2 weeks of age. Three subjects were ≥34 weeks' gestation; each responded well to HFOV with no substantial comorbidity. Of the remaining 19 infants |
Databáze: | OpenAIRE |
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