Evaluating Manual Inflations and Breathing during Mask Ventilation in Preterm Infants at Birth
Objective To investigate inflations (initial sustained inflations and consecutive inflations) and breathing during mask ventilation in preterm infants at birth. Study design Resuscitation of infants
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| Veröffentlicht in: | The Journal of pediatrics 2013-03, Vol.162 (3), p.457-463 |
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| container_title | The Journal of pediatrics |
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| creator | Schilleman, Kim, MD, PhD van der Pot, Corinne J.M Hooper, Stuart B., PhD Lopriore, Enrico, MD, PhD Walther, Frans J., MD, PhD te Pas, Arjan B., MD, PhD |
| description | Objective To investigate inflations (initial sustained inflations and consecutive inflations) and breathing during mask ventilation in preterm infants at birth. Study design Resuscitation of infants |
| doi_str_mv | 10.1016/j.jpeds.2012.09.036 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1312839540</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>1_s2_0_S0022347612011286</els_id><sourcerecordid>1312839540</sourcerecordid><originalsourceid>FETCH-LOGICAL-c438t-1469e44c230fc6543ec4a57e3f5fb248de9910853708244d86bfe6a9b49717283</originalsourceid><addsrcrecordid>eNqFkc1u1TAQRi0EopfCEyBBlmwSxj-J4wVItGqhUhFIpWwtX2fSOs11LrZTqW_TZ-HJcEhhwYaVJft845kzhLykUFGgzduhGvbYxYoBZRWoCnjziGwoKFk2LeePyQaAsZIL2RyQZzEOAKAEwFNywDgFJhXfEH1ya8bZJOevis_Gz2Ysznw_5ovJx8L4rjgKaNL18t7NYcXiTfEdfXIrVjj_8_5rwIRht4SNTzmZiiMX0vVz8qQ3Y8QXD-chuTw9-Xb8qTz_8vHs-MN5aQVvU0lFo1AIyzj0tqkFRytMLZH3db9lou1QKQptzSW0TIiubbY9NkZthZJUspYfkjdr3X2YfswYk965aHEcjcdpjppymilVC8goX1EbphgD9nof3M6EO01BL2b1oH-b1YtZDUpnszn16uGDebvD7m_mj8oMvF6B3kzaXAUX9eVFrlBn7a2Uaunx3UpgFnHrMOhoHXqLnQtok-4m958W3v-Tt6PzzprxBu8wDtMcfHasqY45oy-W9S_bp7lInr7hvwC1Fqjl</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1312839540</pqid></control><display><type>article</type><title>Evaluating Manual Inflations and Breathing during Mask Ventilation in Preterm Infants at Birth</title><source>MEDLINE</source><source>ScienceDirect Journals (5 years ago - present)</source><creator>Schilleman, Kim, MD, PhD ; van der Pot, Corinne J.M ; Hooper, Stuart B., PhD ; Lopriore, Enrico, MD, PhD ; Walther, Frans J., MD, PhD ; te Pas, Arjan B., MD, PhD</creator><creatorcontrib>Schilleman, Kim, MD, PhD ; van der Pot, Corinne J.M ; Hooper, Stuart B., PhD ; Lopriore, Enrico, MD, PhD ; Walther, Frans J., MD, PhD ; te Pas, Arjan B., MD, PhD</creatorcontrib><description>Objective To investigate inflations (initial sustained inflations and consecutive inflations) and breathing during mask ventilation in preterm infants at birth. Study design Resuscitation of infants <32 weeks' gestation receiving mask ventilation at birth were recorded. Recorded waveforms were divided into inflations (sustained and consecutive inflations), breaths in between inflations, breaths coinciding with an inflation, and breaths on continuous positive airway pressure (during evaluation moments in between and after ventilation) and expiratory tidal volume (VTe ) was compared. Inflations were analyzed for leak, low VTe (<2.5 mL/kg), high VTe (>15 mL/kg in sustained inflations, >10 mL/kg in consecutive inflations), and airway obstruction. Results In 27 infants, we analyzed 1643 inflations, 110 breaths in between inflations, 133 breaths coinciding with an inflation, and 1676 breaths on continuous positive airway pressure. A large mask leak frequently resulted in low VTe . Breathing during positive pressure ventilation occurred in 24 of 27 infants (89%). Median (IQR) VTe of inflations, breaths in between inflations, and breaths coinciding with an inflation were 0.8 mL/kg (0.0-5.6 mL/kg), 2.8 mL/kg (0.7-4.6 mL/kg), and 3.9 mL/kg (0.0-7.7 mL/kg) during sustained inflations and 3.7 mL/kg (1.4-6.7 mL/kg), 3.3 mL/kg (2.1-6.6 mL/kg), and 4.6 mL/kg (2.1-7.8 mL/kg) during consecutive inflations, respectively. The VTe of breaths were significantly lower than the VTe of inflations or breaths coinciding with an inflation. Conclusions We often observed large leak and low VTe , especially during sustained inflations. Most preterm infants breathe when receiving mask ventilation and this probably contributed to the stabilization of the infants after birth.</description><identifier>ISSN: 0022-3476</identifier><identifier>EISSN: 1097-6833</identifier><identifier>DOI: 10.1016/j.jpeds.2012.09.036</identifier><identifier>PMID: 23102793</identifier><language>eng</language><publisher>United States: Mosby, Inc</publisher><subject>breathing ; Female ; Humans ; Infant, Newborn ; Infant, Premature ; infants ; inflation ; Insufflation - methods ; Male ; Masks ; Pediatrics ; Positive-Pressure Respiration - methods ; pregnancy ; Prospective Studies ; Respiration ; Respiratory Function Tests ; Resuscitation - methods ; tidal volume</subject><ispartof>The Journal of pediatrics, 2013-03, Vol.162 (3), p.457-463</ispartof><rights>Mosby, Inc.</rights><rights>2013 Mosby, Inc.</rights><rights>Copyright © 2013 Mosby, Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c438t-1469e44c230fc6543ec4a57e3f5fb248de9910853708244d86bfe6a9b49717283</citedby><cites>FETCH-LOGICAL-c438t-1469e44c230fc6543ec4a57e3f5fb248de9910853708244d86bfe6a9b49717283</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jpeds.2012.09.036$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23102793$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Schilleman, Kim, MD, PhD</creatorcontrib><creatorcontrib>van der Pot, Corinne J.M</creatorcontrib><creatorcontrib>Hooper, Stuart B., PhD</creatorcontrib><creatorcontrib>Lopriore, Enrico, MD, PhD</creatorcontrib><creatorcontrib>Walther, Frans J., MD, PhD</creatorcontrib><creatorcontrib>te Pas, Arjan B., MD, PhD</creatorcontrib><title>Evaluating Manual Inflations and Breathing during Mask Ventilation in Preterm Infants at Birth</title><title>The Journal of pediatrics</title><addtitle>J Pediatr</addtitle><description>Objective To investigate inflations (initial sustained inflations and consecutive inflations) and breathing during mask ventilation in preterm infants at birth. Study design Resuscitation of infants <32 weeks' gestation receiving mask ventilation at birth were recorded. Recorded waveforms were divided into inflations (sustained and consecutive inflations), breaths in between inflations, breaths coinciding with an inflation, and breaths on continuous positive airway pressure (during evaluation moments in between and after ventilation) and expiratory tidal volume (VTe ) was compared. Inflations were analyzed for leak, low VTe (<2.5 mL/kg), high VTe (>15 mL/kg in sustained inflations, >10 mL/kg in consecutive inflations), and airway obstruction. Results In 27 infants, we analyzed 1643 inflations, 110 breaths in between inflations, 133 breaths coinciding with an inflation, and 1676 breaths on continuous positive airway pressure. A large mask leak frequently resulted in low VTe . Breathing during positive pressure ventilation occurred in 24 of 27 infants (89%). Median (IQR) VTe of inflations, breaths in between inflations, and breaths coinciding with an inflation were 0.8 mL/kg (0.0-5.6 mL/kg), 2.8 mL/kg (0.7-4.6 mL/kg), and 3.9 mL/kg (0.0-7.7 mL/kg) during sustained inflations and 3.7 mL/kg (1.4-6.7 mL/kg), 3.3 mL/kg (2.1-6.6 mL/kg), and 4.6 mL/kg (2.1-7.8 mL/kg) during consecutive inflations, respectively. The VTe of breaths were significantly lower than the VTe of inflations or breaths coinciding with an inflation. Conclusions We often observed large leak and low VTe , especially during sustained inflations. Most preterm infants breathe when receiving mask ventilation and this probably contributed to the stabilization of the infants after birth.</description><subject>breathing</subject><subject>Female</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Infant, Premature</subject><subject>infants</subject><subject>inflation</subject><subject>Insufflation - methods</subject><subject>Male</subject><subject>Masks</subject><subject>Pediatrics</subject><subject>Positive-Pressure Respiration - methods</subject><subject>pregnancy</subject><subject>Prospective Studies</subject><subject>Respiration</subject><subject>Respiratory Function Tests</subject><subject>Resuscitation - methods</subject><subject>tidal volume</subject><issn>0022-3476</issn><issn>1097-6833</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkc1u1TAQRi0EopfCEyBBlmwSxj-J4wVItGqhUhFIpWwtX2fSOs11LrZTqW_TZ-HJcEhhwYaVJft845kzhLykUFGgzduhGvbYxYoBZRWoCnjziGwoKFk2LeePyQaAsZIL2RyQZzEOAKAEwFNywDgFJhXfEH1ya8bZJOevis_Gz2Ysznw_5ovJx8L4rjgKaNL18t7NYcXiTfEdfXIrVjj_8_5rwIRht4SNTzmZiiMX0vVz8qQ3Y8QXD-chuTw9-Xb8qTz_8vHs-MN5aQVvU0lFo1AIyzj0tqkFRytMLZH3db9lou1QKQptzSW0TIiubbY9NkZthZJUspYfkjdr3X2YfswYk965aHEcjcdpjppymilVC8goX1EbphgD9nof3M6EO01BL2b1oH-b1YtZDUpnszn16uGDebvD7m_mj8oMvF6B3kzaXAUX9eVFrlBn7a2Uaunx3UpgFnHrMOhoHXqLnQtok-4m958W3v-Tt6PzzprxBu8wDtMcfHasqY45oy-W9S_bp7lInr7hvwC1Fqjl</recordid><startdate>20130301</startdate><enddate>20130301</enddate><creator>Schilleman, Kim, MD, PhD</creator><creator>van der Pot, Corinne J.M</creator><creator>Hooper, Stuart B., PhD</creator><creator>Lopriore, Enrico, MD, PhD</creator><creator>Walther, Frans J., MD, PhD</creator><creator>te Pas, Arjan B., MD, PhD</creator><general>Mosby, Inc</general><scope>FBQ</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20130301</creationdate><title>Evaluating Manual Inflations and Breathing during Mask Ventilation in Preterm Infants at Birth</title><author>Schilleman, Kim, MD, PhD ; van der Pot, Corinne J.M ; Hooper, Stuart B., PhD ; Lopriore, Enrico, MD, PhD ; Walther, Frans J., MD, PhD ; te Pas, Arjan B., MD, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c438t-1469e44c230fc6543ec4a57e3f5fb248de9910853708244d86bfe6a9b49717283</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>breathing</topic><topic>Female</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Infant, Premature</topic><topic>infants</topic><topic>inflation</topic><topic>Insufflation - methods</topic><topic>Male</topic><topic>Masks</topic><topic>Pediatrics</topic><topic>Positive-Pressure Respiration - methods</topic><topic>pregnancy</topic><topic>Prospective Studies</topic><topic>Respiration</topic><topic>Respiratory Function Tests</topic><topic>Resuscitation - methods</topic><topic>tidal volume</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schilleman, Kim, MD, PhD</creatorcontrib><creatorcontrib>van der Pot, Corinne J.M</creatorcontrib><creatorcontrib>Hooper, Stuart B., PhD</creatorcontrib><creatorcontrib>Lopriore, Enrico, MD, PhD</creatorcontrib><creatorcontrib>Walther, Frans J., MD, PhD</creatorcontrib><creatorcontrib>te Pas, Arjan B., MD, PhD</creatorcontrib><collection>AGRIS</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of pediatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schilleman, Kim, MD, PhD</au><au>van der Pot, Corinne J.M</au><au>Hooper, Stuart B., PhD</au><au>Lopriore, Enrico, MD, PhD</au><au>Walther, Frans J., MD, PhD</au><au>te Pas, Arjan B., MD, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluating Manual Inflations and Breathing during Mask Ventilation in Preterm Infants at Birth</atitle><jtitle>The Journal of pediatrics</jtitle><addtitle>J Pediatr</addtitle><date>2013-03-01</date><risdate>2013</risdate><volume>162</volume><issue>3</issue><spage>457</spage><epage>463</epage><pages>457-463</pages><issn>0022-3476</issn><eissn>1097-6833</eissn><abstract>Objective To investigate inflations (initial sustained inflations and consecutive inflations) and breathing during mask ventilation in preterm infants at birth. Study design Resuscitation of infants <32 weeks' gestation receiving mask ventilation at birth were recorded. Recorded waveforms were divided into inflations (sustained and consecutive inflations), breaths in between inflations, breaths coinciding with an inflation, and breaths on continuous positive airway pressure (during evaluation moments in between and after ventilation) and expiratory tidal volume (VTe ) was compared. Inflations were analyzed for leak, low VTe (<2.5 mL/kg), high VTe (>15 mL/kg in sustained inflations, >10 mL/kg in consecutive inflations), and airway obstruction. Results In 27 infants, we analyzed 1643 inflations, 110 breaths in between inflations, 133 breaths coinciding with an inflation, and 1676 breaths on continuous positive airway pressure. A large mask leak frequently resulted in low VTe . Breathing during positive pressure ventilation occurred in 24 of 27 infants (89%). Median (IQR) VTe of inflations, breaths in between inflations, and breaths coinciding with an inflation were 0.8 mL/kg (0.0-5.6 mL/kg), 2.8 mL/kg (0.7-4.6 mL/kg), and 3.9 mL/kg (0.0-7.7 mL/kg) during sustained inflations and 3.7 mL/kg (1.4-6.7 mL/kg), 3.3 mL/kg (2.1-6.6 mL/kg), and 4.6 mL/kg (2.1-7.8 mL/kg) during consecutive inflations, respectively. The VTe of breaths were significantly lower than the VTe of inflations or breaths coinciding with an inflation. Conclusions We often observed large leak and low VTe , especially during sustained inflations. Most preterm infants breathe when receiving mask ventilation and this probably contributed to the stabilization of the infants after birth.</abstract><cop>United States</cop><pub>Mosby, Inc</pub><pmid>23102793</pmid><doi>10.1016/j.jpeds.2012.09.036</doi><tpages>7</tpages></addata></record> |
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| subjects | breathing Female Humans Infant, Newborn Infant, Premature infants inflation Insufflation - methods Male Masks Pediatrics Positive-Pressure Respiration - methods pregnancy Prospective Studies Respiration Respiratory Function Tests Resuscitation - methods tidal volume |
| title | Evaluating Manual Inflations and Breathing during Mask Ventilation in Preterm Infants at Birth |
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