Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1
pubmed:dateCreated
2002-12-3
pubmed:abstractText
Infant diaphragm function may be adversely affected in a variety of disorders and conditions. Key to establishing an accurate diagnosis are appropriate control data. The aim of this study was to determine the effect of maturation on diaphragm function, using a nonvolitional test. Diaphragm function was assessed by measuring the transdiaphragmatic pressure (Pdi) generated by magnetic stimulation of the phrenic nerves. Ballon catheters were positioned in the lower third of the esophagus and stomach. Esophageal (Pes) and gastric (Pgas) pressure changes were measured using differential pressure transducers. The pressure signals were amplified and displayed in real time on a computer (running Labview trade mark software) and Pdi derived by online subtraction of Pes from Pgas. Twenty-nine infants (14 born preterm), at a median gestational age of 37 (range, 25-42) weeks, were studied at a median postconceptional age (PCA) of 39 (range, 32-44) weeks. At time of measurement, none had respiratory problems or were hyperinflated (functional residual capacity ranged from 23-35 mL/kg). The preterm infants had significantly lower transdiaphragmatic pressures responses following median left (4.0, range 2.5-6.8 cmH(2)O vs. 4.8, range 2.8-7.2 cmH(2)O) and median right phrenic nerve stimulation (3.6, range 2.6-4.8 cmH(2)O vs. 4.3, range 2.7-6.8 cmH(2)O) (P < 0.05) than term infants. Following left and right phrenic nerve stimulation, Pdi correlated significantly with gestational age (r = 0.4, P < 0.05, and r = 0.4, P < 0.05, respectively) and PCA (r = 0.37, P = 0.05, and r = 0.56, P < 0.01, respectively). We conclude that gestational age at birth and postconceptional age at time of measurements must be taken into account when interpreting the results of infant diaphragm function tests.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Jan
pubmed:issn
8755-6863
pubmed:author
pubmed:copyrightInfo
Copyright 2003 Wiley-Liss, Inc.
pubmed:issnType
Print
pubmed:volume
35
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
17-22
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed:year
2003
pubmed:articleTitle
Influence of maturation on infant diaphragm function assessed by magnetic stimulation of phrenic nerves.
pubmed:affiliation
Department of Child Health, Guy's, King's and St. Thomas' School of Medicine, King's College Hospital, London, UK.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't