Linked Life Data

8196998

Source:http://linkedlifedata.com/resource/pubmed/id/8196998

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
1994-6-30
pubmed:abstractText
The aim of this study was to assess whether the severity of the infant's lung disease determined the most appropriate change in mean airway pressure (MAP) level to use on transfer from conventional ventilation to high frequency oscillation (HFO). In addition, we wished to assess whether the oscillatory frequency employed affected gas exchange. Ten premature infants with respiratory distress syndrome (RDS) were studied at a mean postnatal age of 1.5 days. During HFO, the infants were studied at a MAP equivalent of that used during conventional ventilation (baseline MAP), then at 2 and 5 cmH2O above baseline at 10 Hz. At the MAP identified as optimum, that is, the one associated with the best oxygenation, the infants were then studied at 10, 15 and 20 Hz. Each oscillatory setting was maintained for 20 minutes after which time arterial blood gases were measured. Prior to transfer to the oscillator, the peak inspiratory pressure was recorded, the P(A-a)O2 calculated and compliance of the respiratory system (Crs) measured. In nine infants, the optimum baseline MAP was +5 cmH2O. Oxygenation at that level was better than on conventional ventilation (P < 0.05), but there was no significant change in CO2 elimination. The optimum MAP was related to the peak pressure during conventional ventilation (P < 0.01) and inversely related to Crs (P < 0.01). There was no significant relationship with the P(A-a)O2. At the optimum MAP, the only significant effect of frequency was an impairment of oxygenation at 20 Hz.(ABSTRACT TRUNCATED AT 250 WORDS)
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Mar
pubmed:issn
8755-6863
pubmed:author
pubmed:issnType
Print
pubmed:volume
17
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
178-82
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed:year
1994
pubmed:articleTitle
Disease severity and optimum mean airway pressure level on transfer to high frequency oscillation.
pubmed:affiliation
Department of Child Health, King's College Hospital, London, United Kingdom.
pubmed:publicationType
Journal Article, Comparative Study, Research Support, Non-U.S. Gov't