Extracorporeal membrane oxygenation and high-frequency oscillatory ventilation: Potential therapeutic relationships
Eighteen neonates 33 to 42 wk gestational age with severe respiratory failure were referred for extracorporeal membrane oxygenation (ECMO). Sixteen ultimately met the ECMO criteria, of whom 15 were first offered high-frequency oscillatory ventilation (HFOV). Seven responded to HFOV alone and did not...
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| Veröffentlicht in: | Critical care medicine 1987-09, Vol.15 (9), p.831-834 |
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| container_title | Critical care medicine |
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| creator | CORNISH, J DEVN GERSTMANN, DALE R CLARK, REESE H CARTER, JAN M NULL, DONALD M DELEMOS, ROBERT A |
| description | Eighteen neonates 33 to 42 wk gestational age with severe respiratory failure were referred for extracorporeal membrane oxygenation (ECMO). Sixteen ultimately met the ECMO criteria, of whom 15 were first offered high-frequency oscillatory ventilation (HFOV). Seven responded to HFOV alone and did not require ECMO treatment. Eight of the nine remaining patients were placed on ECMO support with HOFV. Infants who responded to HFOV alone tended to have pneumonia more than meconium aspiration, to be smaller and more immature, to have higher Apgar scores, and to have suffered severe hypoxia (alveolar-arterial oxygen pressure difference over 600 torr) for less time than the ECMO group. Although patient numbers are small, a trend is noted which favors HFOV treatment alone in terms of the duration of HFOV, the total duration of assisted ventilation, the rapidity with which extubation was accomplished, and the length of hospital stay. |
| doi_str_mv | 10.1097/00003246-198709000-00006 |
| format | Article |
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Sixteen ultimately met the ECMO criteria, of whom 15 were first offered high-frequency oscillatory ventilation (HFOV). Seven responded to HFOV alone and did not require ECMO treatment. Eight of the nine remaining patients were placed on ECMO support with HOFV. Infants who responded to HFOV alone tended to have pneumonia more than meconium aspiration, to be smaller and more immature, to have higher Apgar scores, and to have suffered severe hypoxia (alveolar-arterial oxygen pressure difference over 600 torr) for less time than the ECMO group. Although patient numbers are small, a trend is noted which favors HFOV treatment alone in terms of the duration of HFOV, the total duration of assisted ventilation, the rapidity with which extubation was accomplished, and the length of hospital stay.</description><identifier>ISSN: 0090-3493</identifier><identifier>EISSN: 1530-0293</identifier><identifier>DOI: 10.1097/00003246-198709000-00006</identifier><identifier>PMID: 3621956</identifier><identifier>CODEN: CCMDC7</identifier><language>eng</language><publisher>Hagerstown, MD: Williams & Wilkins</publisher><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; Birth Weight ; Emergency and intensive care: neonates and children. Prematurity. Sudden death ; Extracorporeal Circulation - methods ; Female ; Gestational Age ; Humans ; Infant, Newborn ; Intensive care medicine ; Male ; Medical sciences ; Respiration, Artificial - methods ; Respiratory Distress Syndrome, Newborn - therapy</subject><ispartof>Critical care medicine, 1987-09, Vol.15 (9), p.831-834</ispartof><rights>Williams & Wilkins 1987. 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Sixteen ultimately met the ECMO criteria, of whom 15 were first offered high-frequency oscillatory ventilation (HFOV). Seven responded to HFOV alone and did not require ECMO treatment. Eight of the nine remaining patients were placed on ECMO support with HOFV. Infants who responded to HFOV alone tended to have pneumonia more than meconium aspiration, to be smaller and more immature, to have higher Apgar scores, and to have suffered severe hypoxia (alveolar-arterial oxygen pressure difference over 600 torr) for less time than the ECMO group. Although patient numbers are small, a trend is noted which favors HFOV treatment alone in terms of the duration of HFOV, the total duration of assisted ventilation, the rapidity with which extubation was accomplished, and the length of hospital stay.</description><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Birth Weight</subject><subject>Emergency and intensive care: neonates and children. Prematurity. Sudden death</subject><subject>Extracorporeal Circulation - methods</subject><subject>Female</subject><subject>Gestational Age</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Intensive care medicine</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Respiration, Artificial - methods</subject><subject>Respiratory Distress Syndrome, Newborn - therapy</subject><issn>0090-3493</issn><issn>1530-0293</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1987</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1UU1P3DAQtaoi2EJ_QiUfqt5C7fgr5lYhWiohlQOcLa93QlySONgOsP8eh93urb6M3rzn-XiDEKbknBKtvpPyWM1lRXWjiC6oWlLyA1pRwQqoNfuIVqRQFeOanaBPKf0lhHKh2DE6ZrKmWsgVSlevOVoX4hQi2B4PMKyjHQGH1-0DjDb7MGI7bnDnH7qqjfA0w-i2OCTn-97mELf4Gcbs-3fpBb4NeYGlVO4g2gnm7B2OsONT56d0ho5a2yf4vI-n6P7n1d3ldXXz59fvyx83lePLapIyJhnVqiaCiMYKAFCOUifAKkFrsalBt8SWpZqWccXZZt3SGpp1A2CdZKfo267uFEMZO2Uz-OSgjD1CmJNRSnLNlS7CZid0MaQUoTVT9IONW0OJWfw2__w2B7_fU0uPL_se83qAzeHj3uDCf93zNjnbt8Vb59NB1jBVN5IXGd_JXkKfIabHfn6BaLpyktyZ_12bvQE1RZpY</recordid><startdate>198709</startdate><enddate>198709</enddate><creator>CORNISH, J DEVN</creator><creator>GERSTMANN, DALE R</creator><creator>CLARK, REESE H</creator><creator>CARTER, JAN M</creator><creator>NULL, DONALD M</creator><creator>DELEMOS, ROBERT A</creator><general>Williams & Wilkins</general><general>Lippincott</general><scope>IQODW</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>198709</creationdate><title>Extracorporeal membrane oxygenation and high-frequency oscillatory ventilation: Potential therapeutic relationships</title><author>CORNISH, J DEVN ; GERSTMANN, DALE R ; CLARK, REESE H ; CARTER, JAN M ; NULL, DONALD M ; DELEMOS, ROBERT A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4246-613363197205058a5eee7c11c5ea75125d2e9f0a0148f34743dbf12e8b8eeac63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1987</creationdate><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Birth Weight</topic><topic>Emergency and intensive care: neonates and children. Prematurity. Sudden death</topic><topic>Extracorporeal Circulation - methods</topic><topic>Female</topic><topic>Gestational Age</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Intensive care medicine</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Respiration, Artificial - methods</topic><topic>Respiratory Distress Syndrome, Newborn - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>CORNISH, J DEVN</creatorcontrib><creatorcontrib>GERSTMANN, DALE R</creatorcontrib><creatorcontrib>CLARK, REESE H</creatorcontrib><creatorcontrib>CARTER, JAN M</creatorcontrib><creatorcontrib>NULL, DONALD M</creatorcontrib><creatorcontrib>DELEMOS, ROBERT A</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>Critical care medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>CORNISH, J DEVN</au><au>GERSTMANN, DALE R</au><au>CLARK, REESE H</au><au>CARTER, JAN M</au><au>NULL, DONALD M</au><au>DELEMOS, ROBERT A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Extracorporeal membrane oxygenation and high-frequency oscillatory ventilation: Potential therapeutic relationships</atitle><jtitle>Critical care medicine</jtitle><addtitle>Crit Care Med</addtitle><date>1987-09</date><risdate>1987</risdate><volume>15</volume><issue>9</issue><spage>831</spage><epage>834</epage><pages>831-834</pages><issn>0090-3493</issn><eissn>1530-0293</eissn><coden>CCMDC7</coden><abstract>Eighteen neonates 33 to 42 wk gestational age with severe respiratory failure were referred for extracorporeal membrane oxygenation (ECMO). Sixteen ultimately met the ECMO criteria, of whom 15 were first offered high-frequency oscillatory ventilation (HFOV). Seven responded to HFOV alone and did not require ECMO treatment. Eight of the nine remaining patients were placed on ECMO support with HOFV. Infants who responded to HFOV alone tended to have pneumonia more than meconium aspiration, to be smaller and more immature, to have higher Apgar scores, and to have suffered severe hypoxia (alveolar-arterial oxygen pressure difference over 600 torr) for less time than the ECMO group. Although patient numbers are small, a trend is noted which favors HFOV treatment alone in terms of the duration of HFOV, the total duration of assisted ventilation, the rapidity with which extubation was accomplished, and the length of hospital stay.</abstract><cop>Hagerstown, MD</cop><pub>Williams & Wilkins</pub><pmid>3621956</pmid><doi>10.1097/00003246-198709000-00006</doi><tpages>4</tpages></addata></record> |
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| ispartof | Critical care medicine, 1987-09, Vol.15 (9), p.831-834 |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Birth Weight Emergency and intensive care: neonates and children. Prematurity. Sudden death Extracorporeal Circulation - methods Female Gestational Age Humans Infant, Newborn Intensive care medicine Male Medical sciences Respiration, Artificial - methods Respiratory Distress Syndrome, Newborn - therapy |
| title | Extracorporeal membrane oxygenation and high-frequency oscillatory ventilation: Potential therapeutic relationships |
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