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
Hauptverfasser: SCHLESINGER, A. E. S, CORNISH, J. D, NULL, D. M
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container_title Pediatric radiology
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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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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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