Impact of targeted‐volume ventilation on pulmonary dynamics in preterm infants with respiratory distress syndrome
Summary Background Mechanical ventilation is an essential therapy in the treatment of respiratory failure in preterm infants. However, optimal ventilation strategy continues to be difficult to define. Objective To compare the effects of volume guarantee (VG) combined with intermittent mandatory vent...
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| Veröffentlicht in: | Pediatric pulmonology 2017-02, Vol.52 (2), p.213-216 |
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| container_title | Pediatric pulmonology |
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| creator | Alkan Ozdemir, Senem Arun Ozer, Esra Ilhan, Ozkan Sutcuoglu, Sumer |
| description | Summary
Background
Mechanical ventilation is an essential therapy in the treatment of respiratory failure in preterm infants. However, optimal ventilation strategy continues to be difficult to define.
Objective
To compare the effects of volume guarantee (VG) combined with intermittent mandatory ventilation (SIMV) and VG combined with pressure support ventilation (PSV) on the pulmonary mechanics and short term prognosis in preterm infants with respiratory distress syndrome.
Methods
Infants of |
| doi_str_mv | 10.1002/ppul.23510 |
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Background
Mechanical ventilation is an essential therapy in the treatment of respiratory failure in preterm infants. However, optimal ventilation strategy continues to be difficult to define.
Objective
To compare the effects of volume guarantee (VG) combined with intermittent mandatory ventilation (SIMV) and VG combined with pressure support ventilation (PSV) on the pulmonary mechanics and short term prognosis in preterm infants with respiratory distress syndrome.
Methods
Infants of <32 weeks gestational age ventilated for respiratory distress syndrome were randomized to receive either SIMV + VG or PSV + VG. The patient characteristics, ventilator variables including PIP, PEEP, MAP, VT, dynamic compliance, resistance, C20/C, and neonatal outcomes (IVH, ROP, oxygen dependency at 28th postnatal day and 36 weeks of PMA), mortality and extubation failure were recorded in each groups.
Results
Thirty‐four infants were enrolled in to the study: 19 patients were randomized to the SIMV + VG group, and 15 patients to the PSV + VG group. No significant differences were observed between the two groups in terms of the birth weight, gestational age, gender, multiple pregnancy, delivery mode, and antenatal steroid treatment. The respiratory and ventilatory parameters were similar in the groups. The need for reintubation were common in SIMV + VG group (P < 0.01).
Conclusions
Volume guaranteed ventilation combined with PSV may be a convenient method for preterm infants with RDS in terms of reducing postextubation atelectasis and the need for reintubation. Pediatr Pulmonol. 2017;52:213–216. © 2016 Wiley Periodicals, Inc.</description><identifier>ISSN: 8755-6863</identifier><identifier>EISSN: 1099-0496</identifier><identifier>DOI: 10.1002/ppul.23510</identifier><identifier>PMID: 27623133</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Biomechanical Phenomena ; Birth Weight ; Female ; Gestational Age ; Humans ; Infant ; Infant, Newborn ; Infant, Premature ; Intermittent Positive-Pressure Ventilation - methods ; Lung - physiopathology ; Male ; Oxygen Inhalation Therapy ; Pulmonary Atelectasis - prevention & control ; pulmonary mechanics ; Respiration, Artificial - methods ; Respiratory Distress Syndrome, Newborn - therapy ; volume‐guaranteed ventilation</subject><ispartof>Pediatric pulmonology, 2017-02, Vol.52 (2), p.213-216</ispartof><rights>2016 Wiley Periodicals, Inc.</rights><rights>2017 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4270-ab8014938e2384b0b8e3b288bfb6482786f87f1610a35350a10003e8f10400303</citedby><cites>FETCH-LOGICAL-c4270-ab8014938e2384b0b8e3b288bfb6482786f87f1610a35350a10003e8f10400303</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fppul.23510$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fppul.23510$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,777,781,1412,27905,27906,45555,45556</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27623133$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Alkan Ozdemir, Senem</creatorcontrib><creatorcontrib>Arun Ozer, Esra</creatorcontrib><creatorcontrib>Ilhan, Ozkan</creatorcontrib><creatorcontrib>Sutcuoglu, Sumer</creatorcontrib><title>Impact of targeted‐volume ventilation on pulmonary dynamics in preterm infants with respiratory distress syndrome</title><title>Pediatric pulmonology</title><addtitle>Pediatr Pulmonol</addtitle><description>Summary
Background
Mechanical ventilation is an essential therapy in the treatment of respiratory failure in preterm infants. However, optimal ventilation strategy continues to be difficult to define.
Objective
To compare the effects of volume guarantee (VG) combined with intermittent mandatory ventilation (SIMV) and VG combined with pressure support ventilation (PSV) on the pulmonary mechanics and short term prognosis in preterm infants with respiratory distress syndrome.
Methods
Infants of <32 weeks gestational age ventilated for respiratory distress syndrome were randomized to receive either SIMV + VG or PSV + VG. The patient characteristics, ventilator variables including PIP, PEEP, MAP, VT, dynamic compliance, resistance, C20/C, and neonatal outcomes (IVH, ROP, oxygen dependency at 28th postnatal day and 36 weeks of PMA), mortality and extubation failure were recorded in each groups.
Results
Thirty‐four infants were enrolled in to the study: 19 patients were randomized to the SIMV + VG group, and 15 patients to the PSV + VG group. No significant differences were observed between the two groups in terms of the birth weight, gestational age, gender, multiple pregnancy, delivery mode, and antenatal steroid treatment. The respiratory and ventilatory parameters were similar in the groups. The need for reintubation were common in SIMV + VG group (P < 0.01).
Conclusions
Volume guaranteed ventilation combined with PSV may be a convenient method for preterm infants with RDS in terms of reducing postextubation atelectasis and the need for reintubation. Pediatr Pulmonol. 2017;52:213–216. © 2016 Wiley Periodicals, Inc.</description><subject>Biomechanical Phenomena</subject><subject>Birth Weight</subject><subject>Female</subject><subject>Gestational Age</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Infant, Premature</subject><subject>Intermittent Positive-Pressure Ventilation - methods</subject><subject>Lung - physiopathology</subject><subject>Male</subject><subject>Oxygen Inhalation Therapy</subject><subject>Pulmonary Atelectasis - prevention & control</subject><subject>pulmonary mechanics</subject><subject>Respiration, Artificial - methods</subject><subject>Respiratory Distress Syndrome, Newborn - therapy</subject><subject>volume‐guaranteed ventilation</subject><issn>8755-6863</issn><issn>1099-0496</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kctKxDAUhoMoOl42PoAE3IhQPUl6SZci3mBAF7ouaSfVSNPUJB2ZnY_gM_oknnHUhQvhQE5yvvwJ_0_IPoMTBsBPh2HsTrjIGKyRCYOyTCAt83UykUWWJbnMxRbZDuEZAGcl2yRbvMi5YEJMSLixg2oidS2Nyj_qqGcfb-9z141W07nuo-lUNK6nWPiMdb3yCzpb9MqaJlCDpx4veYttq_oY6KuJT9TrMBivolvCJkTcBxoW_cw7q3fJRqu6oPe-1x3ycHlxf36dTG-vbs7PpkmT8gISVUtgaSmk5kKmNdRSi5pLWbd1nkpeyLyVRctyBkpkIgOFZoDQsmWQYgNihxytdAfvXkYdYmVNaHTXqV67MVRMZmXBIZUFood_0Gc3-h5_h1QOhRBIInW8ohrvQvC6rQZvLBpSMaiWUVTLKKqvKBA--JYca6tnv-iP9wiwFfBqOr34R6q6u3uYrkQ_AaCElaI</recordid><startdate>201702</startdate><enddate>201702</enddate><creator>Alkan Ozdemir, Senem</creator><creator>Arun Ozer, Esra</creator><creator>Ilhan, Ozkan</creator><creator>Sutcuoglu, Sumer</creator><general>Wiley Subscription Services, Inc</general><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>K9.</scope><scope>7X8</scope></search><sort><creationdate>201702</creationdate><title>Impact of targeted‐volume ventilation on pulmonary dynamics in preterm infants with respiratory distress syndrome</title><author>Alkan Ozdemir, Senem ; Arun Ozer, Esra ; Ilhan, Ozkan ; Sutcuoglu, Sumer</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4270-ab8014938e2384b0b8e3b288bfb6482786f87f1610a35350a10003e8f10400303</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Biomechanical Phenomena</topic><topic>Birth Weight</topic><topic>Female</topic><topic>Gestational Age</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Infant, Premature</topic><topic>Intermittent Positive-Pressure Ventilation - methods</topic><topic>Lung - physiopathology</topic><topic>Male</topic><topic>Oxygen Inhalation Therapy</topic><topic>Pulmonary Atelectasis - prevention & control</topic><topic>pulmonary mechanics</topic><topic>Respiration, Artificial - methods</topic><topic>Respiratory Distress Syndrome, Newborn - therapy</topic><topic>volume‐guaranteed ventilation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Alkan Ozdemir, Senem</creatorcontrib><creatorcontrib>Arun Ozer, Esra</creatorcontrib><creatorcontrib>Ilhan, Ozkan</creatorcontrib><creatorcontrib>Sutcuoglu, Sumer</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric pulmonology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Alkan Ozdemir, Senem</au><au>Arun Ozer, Esra</au><au>Ilhan, Ozkan</au><au>Sutcuoglu, Sumer</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of targeted‐volume ventilation on pulmonary dynamics in preterm infants with respiratory distress syndrome</atitle><jtitle>Pediatric pulmonology</jtitle><addtitle>Pediatr Pulmonol</addtitle><date>2017-02</date><risdate>2017</risdate><volume>52</volume><issue>2</issue><spage>213</spage><epage>216</epage><pages>213-216</pages><issn>8755-6863</issn><eissn>1099-0496</eissn><abstract>Summary
Background
Mechanical ventilation is an essential therapy in the treatment of respiratory failure in preterm infants. However, optimal ventilation strategy continues to be difficult to define.
Objective
To compare the effects of volume guarantee (VG) combined with intermittent mandatory ventilation (SIMV) and VG combined with pressure support ventilation (PSV) on the pulmonary mechanics and short term prognosis in preterm infants with respiratory distress syndrome.
Methods
Infants of <32 weeks gestational age ventilated for respiratory distress syndrome were randomized to receive either SIMV + VG or PSV + VG. The patient characteristics, ventilator variables including PIP, PEEP, MAP, VT, dynamic compliance, resistance, C20/C, and neonatal outcomes (IVH, ROP, oxygen dependency at 28th postnatal day and 36 weeks of PMA), mortality and extubation failure were recorded in each groups.
Results
Thirty‐four infants were enrolled in to the study: 19 patients were randomized to the SIMV + VG group, and 15 patients to the PSV + VG group. No significant differences were observed between the two groups in terms of the birth weight, gestational age, gender, multiple pregnancy, delivery mode, and antenatal steroid treatment. The respiratory and ventilatory parameters were similar in the groups. The need for reintubation were common in SIMV + VG group (P < 0.01).
Conclusions
Volume guaranteed ventilation combined with PSV may be a convenient method for preterm infants with RDS in terms of reducing postextubation atelectasis and the need for reintubation. Pediatr Pulmonol. 2017;52:213–216. © 2016 Wiley Periodicals, Inc.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>27623133</pmid><doi>10.1002/ppul.23510</doi><tpages>4</tpages></addata></record> |
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| subjects | Biomechanical Phenomena Birth Weight Female Gestational Age Humans Infant Infant, Newborn Infant, Premature Intermittent Positive-Pressure Ventilation - methods Lung - physiopathology Male Oxygen Inhalation Therapy Pulmonary Atelectasis - prevention & control pulmonary mechanics Respiration, Artificial - methods Respiratory Distress Syndrome, Newborn - therapy volume‐guaranteed ventilation |
| title | Impact of targeted‐volume ventilation on pulmonary dynamics in preterm infants with respiratory distress syndrome |
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