Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
2003-7-28
pubmed:abstractText
Subatmospheric concentrations of oxygen are used in the preoperative and postoperative care of infants with hypoplastic left heart syndrome (HLHS). This technique increases the pulmonary vascular resistance (PVR) and thereby improves systemic blood flow. There have been no controlled studies of this therapy in humans. Changes in aortic blood flow patterns, suggesting improved systemic circulation after administration of nitrogen, have been shown by Doppler ultrasound. Video segments are included in the electronic version of this article to demonstrate the immediate circulatory effects of therapy. No significant long-term effects on PVR have been found. A clear understanding of the anatomy, physiology, and therapeutic maneuvers used to balance pulmonary blood flow and systemic blood flow is essential for caregivers of infants with HLHS. Infants receiving subatmospheric concentrations of oxygen require meticulous nursing care to detect early changes in the relative vascular resistance and to monitor for the hemodynamic effects of medical and nursing interventions.
pubmed:commentsCorrections
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Aug
pubmed:issn
1536-0903
pubmed:author
pubmed:issnType
Print
pubmed:volume
2
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
177-86
pubmed:dateRevised
2007-11-15
pubmed:meshHeading
pubmed-meshheading:12881932-Atmospheric Pressure, pubmed-meshheading:12881932-Blood Gas Analysis, pubmed-meshheading:12881932-Cardiac Surgical Procedures, pubmed-meshheading:12881932-Female, pubmed-meshheading:12881932-Follow-Up Studies, pubmed-meshheading:12881932-Hemodynamics, pubmed-meshheading:12881932-Humans, pubmed-meshheading:12881932-Hypoplastic Left Heart Syndrome, pubmed-meshheading:12881932-Infant, Newborn, pubmed-meshheading:12881932-Intensive Care Units, Neonatal, pubmed-meshheading:12881932-Male, pubmed-meshheading:12881932-Monitoring, Physiologic, pubmed-meshheading:12881932-Neonatal Nursing, pubmed-meshheading:12881932-Nursing Assessment, pubmed-meshheading:12881932-Oxygen, pubmed-meshheading:12881932-Oxygen Inhalation Therapy, pubmed-meshheading:12881932-Postoperative Period, pubmed-meshheading:12881932-Pulmonary Gas Exchange, pubmed-meshheading:12881932-Risk Assessment, pubmed-meshheading:12881932-Treatment Outcome
pubmed:year
2002
pubmed:articleTitle
The physiologic basis for and nursing considerations in the use of subatmospheric concentrations of oxygen in HLHS.
pubmed:affiliation
University of Arkansas for Medical Sciences College of Nursing, Departments of Cardiology and Pediatric Cardiovascular Surgery, Arkansas Children's Hospital, Little Rock, AR, USA. GreenAngelaL@uams.edu
pubmed:publicationType
Journal Article, Review