HIGH-FREQUENCY OSCILLATION FOR PRETERM INFANTS WITH SEVERE RESPIRATORY-FAILURE

被引:19
作者
CHAN, V [1 ]
GREENOUGH, A [1 ]
GAMSU, HR [1 ]
机构
[1] KINGS COLL HOSP LONDON, DEPT CHILD HLTH, LONDON SE5 9RS, ENGLAND
来源
ARCHIVES OF DISEASE IN CHILDHOOD-FETAL AND NEONATAL EDITION | 1994年 / 70卷 / 01期
关键词
D O I
10.1136/fn.70.1.F44
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
High frequency oscillation (HFO) as rescue treatment for preterm infants with severe respiratory failure has been assessed and prognostic factors identified. Thirty six infants with a median gestational age of 27 weeks were studied. Immediately before transfer to HFO, the infants were receiving an inspired oxygen concentration of greater than or equal to 85% and/or a mean airway pressure of greater than or equal to 12 cm H2O and had a median alveolar-arterial oxygen gradient (A-aDo(2)) of 73.28 kPa (range 49.34-89.91). Seventeen infants subsequently died. Comparison of those 17 with the remaining 19 infants demonstrated that respiratory distress syndrome and persistent fetal circulation were associated with a significantly better outcome than pulmonary airleak. The A-aDo(2) after two and six hours on HFO was significantly higher in those infants who survived compared with those who died. We conclude that a diagnosis of pulmonary airleak and failure to show early improvement in respiratory status indicate a poor prognosis when HFO is used as rescue treatment.
引用
收藏
页码:F44 / F46
页数:3
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