High Frequency Jet Ventilation during Initial Management, Stabilization, and Transport of Newborn Infants with Congenital Diaphragmatic Hernia: A Case Series

Autor: Qianshen Zhang, Jason Macartney, Lita Sampaio, Karel O'Brien
Jazyk: angličtina
Rok vydání: 2013
Předmět:
Zdroj: Critical Care Research and Practice, Vol 2013 (2013)
Druh dokumentu: article
ISSN: 2090-1305
2090-1313
DOI: 10.1155/2013/937871
Popis: Objective. To review experience of the transport and stabilization of infants with CDH who were treated with high frequency jet ventilation (HFJV). Study Design. Retrospective chart review was performed of infants with antenatal diagnosis of CDH born between 2004 and 2009, at Mount Sinai Hospital Toronto, Ontario, Canada. Detailed information was abstracted from the charts of all infants who received HFJV. Results. Of the 55 infants, 25 were managed with HFJV at some point during resuscitation and stabilization prior to transport. HFJV was the initial ventilation mode in six cases and nineteen infants were placed on HFJV as rescue therapy. Blood gases procured from the umbilical artery before and/or after the initiation of HFJV. There was a significant difference detected for both PaCO2 (P=0.0002) and pH (P
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