Dense pulmonary opacification in neonates treated with extracorporeal membrane oxygenation
Chest radiographic findings in three neonates with respiratory failure secondary to meconium aspiration treated with extracorporeal membrane oxygenation (ECMO) are described. The degree of pulmonary opacification on the chest radiographs failed to correlate with the patients' clinical status as...
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Veröffentlicht in: | Pediatric radiology 1986-09, Vol.16 (6), p.448-451 |
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creator | SCHLESINGER, A. E. S CORNISH, J. D NULL, D. M |
description | Chest radiographic findings in three neonates with respiratory failure secondary to meconium aspiration treated with extracorporeal membrane oxygenation (ECMO) are described. The degree of pulmonary opacification on the chest radiographs failed to correlate with the patients' clinical status as measured by the arterial oxygen levels but correlated well with the peak airway pressure (PAP) and continuous positive airway pressure (CPAP) settings on the mechanical ventilator. Because a variable portion of the arterial blood oxygenation is performed by the extracorporeal membrane oxygenator and unusually large fluctuations in airway pressure settings can occur in these patients while on ECMO, it is important to realize that the chest radiograph may not be an accurate predictor of the patients' clinical status. |
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Because a variable portion of the arterial blood oxygenation is performed by the extracorporeal membrane oxygenator and unusually large fluctuations in airway pressure settings can occur in these patients while on ECMO, it is important to realize that the chest radiograph may not be an accurate predictor of the patients' clinical status.</description><identifier>ISSN: 0301-0449</identifier><identifier>EISSN: 1432-1998</identifier><identifier>DOI: 10.1007/BF02387954</identifier><identifier>PMID: 3774391</identifier><identifier>CODEN: PDRYA5</identifier><language>eng</language><publisher>Berlin: Springer</publisher><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; Emergency and intensive care: neonates and children. Prematurity. 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E. S</creatorcontrib><creatorcontrib>CORNISH, J. D</creatorcontrib><creatorcontrib>NULL, D. M</creatorcontrib><title>Dense pulmonary opacification in neonates treated with extracorporeal membrane oxygenation</title><title>Pediatric radiology</title><addtitle>Pediatr Radiol</addtitle><description>Chest radiographic findings in three neonates with respiratory failure secondary to meconium aspiration treated with extracorporeal membrane oxygenation (ECMO) are described. The degree of pulmonary opacification on the chest radiographs failed to correlate with the patients' clinical status as measured by the arterial oxygen levels but correlated well with the peak airway pressure (PAP) and continuous positive airway pressure (CPAP) settings on the mechanical ventilator. Because a variable portion of the arterial blood oxygenation is performed by the extracorporeal membrane oxygenator and unusually large fluctuations in airway pressure settings can occur in these patients while on ECMO, it is important to realize that the chest radiograph may not be an accurate predictor of the patients' clinical status.</description><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Emergency and intensive care: neonates and children. Prematurity. Sudden death</subject><subject>Extracorporeal Circulation</subject><subject>Female</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Inhalation</subject><subject>Intensive care medicine</subject><subject>Lung - diagnostic imaging</subject><subject>Male</subject><subject>Meconium</subject><subject>Medical sciences</subject><subject>Oxygenators, Membrane</subject><subject>Radiography</subject><subject>Respiratory Insufficiency - diagnostic imaging</subject><subject>Respiratory Insufficiency - etiology</subject><subject>Respiratory Insufficiency - therapy</subject><issn>0301-0449</issn><issn>1432-1998</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1986</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkDFPwzAQhS0EKqWwsCN5QAxIAV_sxPEIhQJSJRZYWCLHuUBQEgc7Ee2_x9CqTCfd--7p3iPkFNgVMCavbxcs5plUidgjUxA8jkCpbJ9MGWcQMSHUITny_pMxxhPgEzLhUgquYEre7rDzSPuxaW2n3ZraXpu6qo0eatvRuqMdBmFATweHYZb0ux4-KK4Gp411vQ3bhrbYFk53SO1q_Y7d3_ExOah04_FkO2fkdXH_Mn-Mls8PT_ObZWQ4wBBVEIsC0JRaK14onYE0RZLwuIo5pmmmAeLEiCRlmjOdxliCSdNSKEwrJUvBZ-Ri49s7-zWiH_K29gabJvxjR59LCVyqLAvg5QY0znrvsMp7V7chdA4s_y0y_y8ywGdb17Fosdyh2-aCfr7VtTe6qUJ6U_sdJgMiQt0_yAN7gA</recordid><startdate>19860901</startdate><enddate>19860901</enddate><creator>SCHLESINGER, A. 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Sudden death</topic><topic>Extracorporeal Circulation</topic><topic>Female</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Inhalation</topic><topic>Intensive care medicine</topic><topic>Lung - diagnostic imaging</topic><topic>Male</topic><topic>Meconium</topic><topic>Medical sciences</topic><topic>Oxygenators, Membrane</topic><topic>Radiography</topic><topic>Respiratory Insufficiency - diagnostic imaging</topic><topic>Respiratory Insufficiency - etiology</topic><topic>Respiratory Insufficiency - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>SCHLESINGER, A. E. S</creatorcontrib><creatorcontrib>CORNISH, J. D</creatorcontrib><creatorcontrib>NULL, D. M</creatorcontrib><collection>Pascal-Francis</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>Pediatric radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>SCHLESINGER, A. E. S</au><au>CORNISH, J. D</au><au>NULL, D. M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Dense pulmonary opacification in neonates treated with extracorporeal membrane oxygenation</atitle><jtitle>Pediatric radiology</jtitle><addtitle>Pediatr Radiol</addtitle><date>1986-09-01</date><risdate>1986</risdate><volume>16</volume><issue>6</issue><spage>448</spage><epage>451</epage><pages>448-451</pages><issn>0301-0449</issn><eissn>1432-1998</eissn><coden>PDRYA5</coden><abstract>Chest radiographic findings in three neonates with respiratory failure secondary to meconium aspiration treated with extracorporeal membrane oxygenation (ECMO) are described. The degree of pulmonary opacification on the chest radiographs failed to correlate with the patients' clinical status as measured by the arterial oxygen levels but correlated well with the peak airway pressure (PAP) and continuous positive airway pressure (CPAP) settings on the mechanical ventilator. Because a variable portion of the arterial blood oxygenation is performed by the extracorporeal membrane oxygenator and unusually large fluctuations in airway pressure settings can occur in these patients while on ECMO, it is important to realize that the chest radiograph may not be an accurate predictor of the patients' clinical status.</abstract><cop>Berlin</cop><pub>Springer</pub><pmid>3774391</pmid><doi>10.1007/BF02387954</doi><tpages>4</tpages></addata></record> |
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subjects | Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Emergency and intensive care: neonates and children. Prematurity. Sudden death Extracorporeal Circulation Female Humans Infant, Newborn Inhalation Intensive care medicine Lung - diagnostic imaging Male Meconium Medical sciences Oxygenators, Membrane Radiography Respiratory Insufficiency - diagnostic imaging Respiratory Insufficiency - etiology Respiratory Insufficiency - therapy |
title | Dense pulmonary opacification in neonates treated with extracorporeal membrane oxygenation |
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