Decrease in airway pressure during high-frequency jet ventilation in infants with respiratory distress syndrome
Using a crossover study design, we compared a system of high-frequency jet ventilation with appropriate humidification to pressure-limited conventional ventilation in 12 preterm infants with a birth weight of 1.9±0.6 kg and gestational age of 32±2 weeks who had severe respiratory distress syndrome....
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| Veröffentlicht in: | The Journal of pediatrics 1984, Vol.104 (1), p.101-107 |
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| container_title | The Journal of pediatrics |
| container_volume | 104 |
| creator | Carlo, Waldemar A. Chatburn, Robert L. Martin, Richard J. Lough, Marvin D. Shivpuri, Chandra R. Anderson, John V. Fanaroff, Avroy A. |
| description | Using a crossover study design, we compared a system of high-frequency jet ventilation with appropriate humidification to pressure-limited conventional ventilation in 12 preterm infants with a birth weight of 1.9±0.6 kg and gestational age of 32±2 weeks who had severe respiratory distress syndrome. After a control period of conventional ventilation, high-frequency jet ventilation was administered for 1 to 3 hours at a constant rate (250/min) and inspiratory to expiratory time (1:3 or 1:4) in the same fraction of inspired oxygen as during conventional ventilation. Average peak inspiratory pressure decreased from 29±3 cm H
2O during conventional ventilation to 20±4 cm H
2O during high-frequency jet ventilation (
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| doi_str_mv | 10.1016/S0022-3476(84)80604-6 |
| format | Article |
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2O during conventional ventilation to 20±4 cm H
2O during high-frequency jet ventilation (
P<0.001), whereas positive end expiratory pressure was unchanged, resulting in a reduction in mean airway pressure from 14±3 to 10±2 cm H
2O ((
P<0.001). There was a simultaneous decrease in PaCO
2 (39±4 to 34±4 mm Hg,
P<0.01), but PaO
2 did not change. These data indicate that short-term high-frequency jet ventilation maintains gas exchange in infants with respiratory distress syndrome despite a lower PIP and Paw, and results in smaller airway pressure swings than during conventional ventilation. Thus, high-frequency jet ventilation may offer hope for reducing barotrauma in this population.</description><identifier>ISSN: 0022-3476</identifier><identifier>EISSN: 1097-6833</identifier><identifier>DOI: 10.1016/S0022-3476(84)80604-6</identifier><identifier>PMID: 6690654</identifier><identifier>CODEN: JOPDAB</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; Blood Gas Analysis ; Blood Pressure ; Emergency and intensive care: neonates and children. Prematurity. Sudden death ; Female ; Heart Rate ; Humans ; Infant, Newborn ; Intensive care medicine ; Male ; Medical sciences ; Pressure ; Pulmonary Gas Exchange ; Respiration, Artificial - adverse effects ; Respiration, Artificial - methods ; Respiratory Distress Syndrome, Newborn - therapy</subject><ispartof>The Journal of pediatrics, 1984, Vol.104 (1), p.101-107</ispartof><rights>1984</rights><rights>1984 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c389t-511da9c4467f008dd3b4869075fb4e1f6ddd5443f3b853c3db035b7ca96023a3</citedby><cites>FETCH-LOGICAL-c389t-511da9c4467f008dd3b4869075fb4e1f6ddd5443f3b853c3db035b7ca96023a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0022-3476(84)80604-6$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,777,781,3537,4010,27904,27905,27906,45976</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=9445310$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/6690654$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Carlo, Waldemar A.</creatorcontrib><creatorcontrib>Chatburn, Robert L.</creatorcontrib><creatorcontrib>Martin, Richard J.</creatorcontrib><creatorcontrib>Lough, Marvin D.</creatorcontrib><creatorcontrib>Shivpuri, Chandra R.</creatorcontrib><creatorcontrib>Anderson, John V.</creatorcontrib><creatorcontrib>Fanaroff, Avroy A.</creatorcontrib><title>Decrease in airway pressure during high-frequency jet ventilation in infants with respiratory distress syndrome</title><title>The Journal of pediatrics</title><addtitle>J Pediatr</addtitle><description>Using a crossover study design, we compared a system of high-frequency jet ventilation with appropriate humidification to pressure-limited conventional ventilation in 12 preterm infants with a birth weight of 1.9±0.6 kg and gestational age of 32±2 weeks who had severe respiratory distress syndrome. After a control period of conventional ventilation, high-frequency jet ventilation was administered for 1 to 3 hours at a constant rate (250/min) and inspiratory to expiratory time (1:3 or 1:4) in the same fraction of inspired oxygen as during conventional ventilation. Average peak inspiratory pressure decreased from 29±3 cm H
2O during conventional ventilation to 20±4 cm H
2O during high-frequency jet ventilation (
P<0.001), whereas positive end expiratory pressure was unchanged, resulting in a reduction in mean airway pressure from 14±3 to 10±2 cm H
2O ((
P<0.001). There was a simultaneous decrease in PaCO
2 (39±4 to 34±4 mm Hg,
P<0.01), but PaO
2 did not change. These data indicate that short-term high-frequency jet ventilation maintains gas exchange in infants with respiratory distress syndrome despite a lower PIP and Paw, and results in smaller airway pressure swings than during conventional ventilation. Thus, high-frequency jet ventilation may offer hope for reducing barotrauma in this population.</description><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Blood Gas Analysis</subject><subject>Blood Pressure</subject><subject>Emergency and intensive care: neonates and children. Prematurity. Sudden death</subject><subject>Female</subject><subject>Heart Rate</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Intensive care medicine</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Pressure</subject><subject>Pulmonary Gas Exchange</subject><subject>Respiration, Artificial - adverse effects</subject><subject>Respiration, Artificial - methods</subject><subject>Respiratory Distress Syndrome, Newborn - therapy</subject><issn>0022-3476</issn><issn>1097-6833</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1984</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE1v3CAQhlHVKt2m_QmROFRVe3AzLBjjU1WlX5Ei5dDcEYYhS-TFW8CJ_O_DZld77WkO87wzrx5CLhh8ZcDk5V-A9brhopOflfiiQIJo5CuyYtB3jVScvyarE_KWvMv5AQB6AXBGzqTsQbZiRaYfaBOajDREakJ6MgvdJcx5TkjdnEK8p5twv2l8wn8zRrvQByz0EWMJoylhivtgiN7EkulTKBta07uQTJnSQl3IZX-N5iW6NG3xPXnjzZjxw3Gek7tfP--u_jQ3t7-vr77fNJarvjQtY870VgjZeQDlHB-Eqp271g8CmZfOuVYI7vmgWm65G4C3Q2dNL2HNDT8nnw5nd2mqtXPR25AtjqOJOM1ZK-jXHReqgu0BtGnKOaHXuxS2Ji2agd571i-e9V6iVkK_eNay5i6OD-Zhi-6UOoqt-4_HvcnWjD6ZaEM-Yb0QLWdQsW8HDKuLx4BJZxuqZXQhoS3aTeE_RZ4BjtWcJA</recordid><startdate>1984</startdate><enddate>1984</enddate><creator>Carlo, Waldemar A.</creator><creator>Chatburn, Robert L.</creator><creator>Martin, Richard J.</creator><creator>Lough, Marvin D.</creator><creator>Shivpuri, Chandra R.</creator><creator>Anderson, John V.</creator><creator>Fanaroff, Avroy A.</creator><general>Mosby, Inc</general><general>Elsevier</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>1984</creationdate><title>Decrease in airway pressure during high-frequency jet ventilation in infants with respiratory distress syndrome</title><author>Carlo, Waldemar A. ; Chatburn, Robert L. ; Martin, Richard J. ; Lough, Marvin D. ; Shivpuri, Chandra R. ; Anderson, John V. ; Fanaroff, Avroy A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c389t-511da9c4467f008dd3b4869075fb4e1f6ddd5443f3b853c3db035b7ca96023a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1984</creationdate><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Blood Gas Analysis</topic><topic>Blood Pressure</topic><topic>Emergency and intensive care: neonates and children. Prematurity. Sudden death</topic><topic>Female</topic><topic>Heart Rate</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Intensive care medicine</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Pressure</topic><topic>Pulmonary Gas Exchange</topic><topic>Respiration, Artificial - adverse effects</topic><topic>Respiration, Artificial - methods</topic><topic>Respiratory Distress Syndrome, Newborn - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Carlo, Waldemar A.</creatorcontrib><creatorcontrib>Chatburn, Robert L.</creatorcontrib><creatorcontrib>Martin, Richard J.</creatorcontrib><creatorcontrib>Lough, Marvin D.</creatorcontrib><creatorcontrib>Shivpuri, Chandra R.</creatorcontrib><creatorcontrib>Anderson, John V.</creatorcontrib><creatorcontrib>Fanaroff, Avroy 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>The Journal of pediatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Carlo, Waldemar A.</au><au>Chatburn, Robert L.</au><au>Martin, Richard J.</au><au>Lough, Marvin D.</au><au>Shivpuri, Chandra R.</au><au>Anderson, John V.</au><au>Fanaroff, Avroy A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Decrease in airway pressure during high-frequency jet ventilation in infants with respiratory distress syndrome</atitle><jtitle>The Journal of pediatrics</jtitle><addtitle>J Pediatr</addtitle><date>1984</date><risdate>1984</risdate><volume>104</volume><issue>1</issue><spage>101</spage><epage>107</epage><pages>101-107</pages><issn>0022-3476</issn><eissn>1097-6833</eissn><coden>JOPDAB</coden><abstract>Using a crossover study design, we compared a system of high-frequency jet ventilation with appropriate humidification to pressure-limited conventional ventilation in 12 preterm infants with a birth weight of 1.9±0.6 kg and gestational age of 32±2 weeks who had severe respiratory distress syndrome. After a control period of conventional ventilation, high-frequency jet ventilation was administered for 1 to 3 hours at a constant rate (250/min) and inspiratory to expiratory time (1:3 or 1:4) in the same fraction of inspired oxygen as during conventional ventilation. Average peak inspiratory pressure decreased from 29±3 cm H
2O during conventional ventilation to 20±4 cm H
2O during high-frequency jet ventilation (
P<0.001), whereas positive end expiratory pressure was unchanged, resulting in a reduction in mean airway pressure from 14±3 to 10±2 cm H
2O ((
P<0.001). There was a simultaneous decrease in PaCO
2 (39±4 to 34±4 mm Hg,
P<0.01), but PaO
2 did not change. These data indicate that short-term high-frequency jet ventilation maintains gas exchange in infants with respiratory distress syndrome despite a lower PIP and Paw, and results in smaller airway pressure swings than during conventional ventilation. Thus, high-frequency jet ventilation may offer hope for reducing barotrauma in this population.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>6690654</pmid><doi>10.1016/S0022-3476(84)80604-6</doi><tpages>7</tpages></addata></record> |
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| ispartof | The Journal of pediatrics, 1984, Vol.104 (1), p.101-107 |
| issn | 0022-3476 1097-6833 |
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| subjects | Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Blood Gas Analysis Blood Pressure Emergency and intensive care: neonates and children. Prematurity. Sudden death Female Heart Rate Humans Infant, Newborn Intensive care medicine Male Medical sciences Pressure Pulmonary Gas Exchange Respiration, Artificial - adverse effects Respiration, Artificial - methods Respiratory Distress Syndrome, Newborn - therapy |
| title | Decrease in airway pressure during high-frequency jet ventilation in infants with respiratory distress syndrome |
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