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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
1996-7-23
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pubmed:abstractText |
A multiple-breath nitrogen washout system designed to measure lung volume in mechanically ventilated infants was validated by assessing three performance criteria: 1) accuracy of lung volume measurements in the presence of an endotracheal tube leak was assessed by comparing the measurements of functional residual capacity (FRC) in a mechanical lung model with and without airway leak; 2) in vivo accuracy was assessed in rabbits by comparing FRC measurements obtained by this system with measurements obtained by helium dilution; and 3) in vivo precision was assessed by analyzing measurements of FRC obtained in replicate measurements at different times in ventilator-dependent premature infants with hyaline membrane disease. The average difference between the measurements of FRC in a mechanical lung model with airway leak and without leak was 3.0 +/- 9.4% (mean +/- SD, P > 0.2), and no difference was greater than 20%. There was a significant correlation between the measurements of FRC in rabbits by nitrogen washout and by helium dilution (r = 0.93, P < 0.0001), and 65.4% of the paired measurements were within 20% of their average. The 95% limits of agreement within pairs of measurements by the two techniques ranged from -4.0 to + 6.5 mL/kg. FRC measured by helium dilution was slightly higher (1.3 +/- 2.7 mL/kg, P < 0.01) than FRC measured by nitrogen washout, and positive end-expiratory pressure was a significant predictor of this difference (P < 0.0001). The regression between the individual FRC measurements obtained in premature infants and the average of the other replicates was significant (r2 > 0.98, P < 0.0001). The coefficient of variation was 12.3%. These findings provide further validation of this multiple-breath nitrogen washout system for measuring FRC in premature infants during mechanical ventilation.
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pubmed:grant | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Dec
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pubmed:issn |
8755-6863
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
20
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
403-9
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pubmed:dateRevised |
2007-11-14
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pubmed:meshHeading |
pubmed-meshheading:8649921-Animals,
pubmed-meshheading:8649921-Female,
pubmed-meshheading:8649921-Functional Residual Capacity,
pubmed-meshheading:8649921-Humans,
pubmed-meshheading:8649921-Hyaline Membrane Disease,
pubmed-meshheading:8649921-Infant, Newborn,
pubmed-meshheading:8649921-Infant, Premature,
pubmed-meshheading:8649921-Intubation, Intratracheal,
pubmed-meshheading:8649921-Lung Volume Measurements,
pubmed-meshheading:8649921-Male,
pubmed-meshheading:8649921-Rabbits,
pubmed-meshheading:8649921-Reproducibility of Results,
pubmed-meshheading:8649921-Respiration, Artificial
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pubmed:year |
1995
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pubmed:articleTitle |
Validation of a nitrogen washout system to measure functional residual capacity in premature infants with hyaline membrane disease.
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pubmed:affiliation |
Department of Pediatrics, Vanderbilt University School of Medicine, Nashville, Tennessee 37232-2370, USA.
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pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, P.H.S.
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