Volutrauma, PaCO2 levels, and neurodevelopmental sequelae following assisted ventilation

被引:34
作者
Gannon, CM
Wiswell, TE
Spitzer, AR
机构
[1] Thomas Jefferson Univ, Jefferson Med Coll, Dept Pediat, Philadelphia, PA 19107 USA
[2] Thomas Jefferson Univ, Jefferson Med Coll, Div Neonatol, Philadelphia, PA 19107 USA
[3] Thomas Jefferson Univ Hosp, Methodist Div, Philadelphia, PA 19107 USA
[4] DuPont Hosp Children, Wilmington, DE USA
关键词
D O I
10.1016/S0095-5108(18)30142-8
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Today it is essential that we define care practices in neonatology that not only increase survival but also produce optimal pulmonary and neurodevelopmental outcomes for our patients. Assisted ventilatory care continues to be influential at all three levels. In this article, the authors discuss current understanding of the possible mechanisms for pulmonary and neurologic injury, or benefits associated with ventilation at both low and high Pace, levels, as well as evidence for neurodevelopmental sequelae with various ventilator strategies.
引用
收藏
页码:159 / +
页数:18
相关论文
共 70 条
[1]  
AVERY ME, 1987, PEDIATRICS, V79, P26
[2]   PERMISSIVE HYPERCAPNIA IN ACUTE RESPIRATORY-FAILURE [J].
BIDANI, A ;
TZOUANAKIS, AE ;
CARDENAS, VJ ;
ZWISCHENBERGER, JB .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1994, 272 (12) :957-962
[3]  
BIFANO EM, 1988, PEDIATRICS, V81, P657
[4]  
BONORA M, 1994, BIOL NEONATE, V65, P198
[5]   ETIOLOGIC FACTORS ASSOCIATED WITH THE DEVELOPMENT OF PERIVENTRICULAR LEUKOMALACIA [J].
CALVERT, SA ;
HOSKINS, EM ;
FONG, KW ;
FORSYTH, SC .
ACTA PAEDIATRICA SCANDINAVICA, 1987, 76 (02) :254-259
[6]   EARLY RANDOMIZED INTERVENTION WITH HIGH-FREQUENCY JET VENTILATION IN RESPIRATORY-DISTRESS SYNDROME [J].
CARLO, WA ;
SINER, B ;
CHATBURN, RL ;
ROBERTSON, S ;
MARTIN, RJ .
JOURNAL OF PEDIATRICS, 1990, 117 (05) :765-770
[7]   LUNG OVEREXPANSION INCREASES PULMONARY MICROVASCULAR PROTEIN PERMEABILITY IN YOUNG LAMBS [J].
CARLTON, DP ;
CUMMINGS, JJ ;
SCHEERER, RG ;
POULAIN, FR ;
BLAND, RD .
JOURNAL OF APPLIED PHYSIOLOGY, 1990, 69 (02) :577-583
[8]  
CHEUNG PY, 1995, PEDIATR RES, V37, pA200
[9]   HIGH-FREQUENCY VENTILATION [J].
CLARK, RH .
JOURNAL OF PEDIATRICS, 1994, 124 (05) :661-670
[10]  
CLARK RH, 1992, PEDIATRICS, V89, P5