medigraphic.com
SPANISH

Revista Mexicana de Pediatría

ISSN 0035-0052 (Print)
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
    • Send manuscript
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2006, Number 6

<< Back Next >>

Rev Mex Pediatr 2006; 73 (6)

Gas exchange during high frequency ventilation in newborns

Rodríguez BI, Valenzuela GL, Ochoa CEC
Full text How to cite this article

Language: Spanish
References: 27
Page: 292-298
PDF size: 112.64 Kb.


Key words:

Neonates, high-frequency ventilation, gas transport in neonates, gas ventilation in neonates.

ABSTRACT

High-frequency ventilation may be considered as an alternative in the management of severe neonatal respiratory failure. Five modes of transport may be identified: 1) Direct alveolar ventilation, 2) Pendelluft, 3) Convective dispersion due to asymmetric velocity profiles, 4) Taylor-Type dispersion and 5) Molecular diffusion. These modes of gas transportation are not mutually exclusive and certainly ineract. We review advantages, disadvantages, cardiovascular and central nervous system effects.


REFERENCES

  1. Keszler M, Durand DJ. Neonatal high-frequency ventilation. Past, present, and future. Clin Perinatol 2001; 28: 579-607.

  2. Chang HK. Mechanisms of gas transport during ventilation by high-frequency oscillation. J Appl Physiol 1984; 56: 553-63.

  3. Boynton BR, Carlo WA, Jobe AH. New therapies for neonatal respiratory failure: A physiological approach. First edition. New York: Cambridge; 1994: 357.

  4. Boros SJ, Bing DR, Mammel MC, Hagen E, Gordon MJ. Using conventional infant ventilators at unconventional rates. Pediatrics 1984; 74: 487-92.

  5. Roithmaier A, Hultzsch W, Lipowsky G, Reinhardt D. Airway pressure measurements during high-frequency positive pressure ventilation in extremely low birth weight neonates. Crit Care Med 1994; 22(9 Suppl): S71-6.

  6. Durand DJ, Asselin JM. High-frequency oscillatory ventilation. In: Polin RA, Fox WW, Abman SH. Fetal and neonatal physiology. ed. Philadelphia: Saunders. 2004: 979-84.

  7. Hatcher D, Watanabe H, Ashbury T, Vincent S, Fisher J, Froese A. Mechanical performance of clinically available, neonatal, high-frequency, oscillatory-type ventilators. Crit Care Med 1998; 26: 1081-8.

  8. Venegas JG, Hales CA, Strieder DJ. A general dimensionless equation of gas transport by high-frequency ventilation. J Appl Physiol 1986; 60: 1025-30.

  9. Venegas JG, Yamada Y, Custer J, Hales CA. Effects of respiratory variables on regional gas transport during high-frequency ventilation. J Appl Physiol 1988; 64: 2108-18.

  10. Boynton BR, Hammond MD, Fredberg JJ, Buckley BG, Villanueva D, Frantz ID 3rd. Gas exchange in healthy rabbits during high-frequency oscillatory ventilation. J Appl Physiol 1989; 66: 1343-51.

  11. Chang HK. Mechanisms of gas transport during ventilation by high-frequency oscillation. J Appl Physiol 1984; 56(3): 553-63.

  12. Froese AB, Kinsella JP. High-frequency oscillatory ventilation: Lesson from the neonatal/pediatric experience. Critical Care Medicine 2005; 33 (3 Suppl): S115-21.

  13. Sociedad Española de Neonatología. Recomendaciones sobre ventilación de alta frecuencia oscilatoria. An Esp Pediatr 2002; 57: 238-43.

  14. Weber K, Courtney SE, Pyon KH, Chang GY, Pandit PB, Habib RH. Detecting lung overdistention in newborns treated with high-frequency oscillatory ventilation. J Appl Physiol 2000; 89: 364-72.

  15. Durand DJ, Asselin JM, Hudak ML, Aschner JL, McArtor RD, Cleary JP, VanMeurs KP, Stewart DL, Shoemaker CT, Wiswell TE, Courtney SE. Early high frequency oscillatory ventilation versus synchronized intermittent mandatory ventilation in very low birth weight infants: a pilot study of two ventilation protocols. J Perinatol 2001; 21: 221-9.

  16. Gerstmann DR, Minton SD, Stoddard RA, Meredith KS, Monaco F, Bertrand JM, Battisti O, Langhendries JP, Francois A, Clark RH. The provo multicenter early high-frequency oscillatory ventilation trial: improved pulmonary and clinical outcome in respiratory distress syndrome. Pediatrics 1996; 98: 1044-57.

  17. Plavka R, Kopecky P, Sebron V, Svihovec P, Zlatohlavkova B, Janus V. A prospective randomized comparison of conventional mechanical ventilation and very early high frequency oscillatory ventilation in extremely premature newborns with respiratory distress syndrome. Intensive Care Med 1999; 25: 68-75.

  18. Courtney SE, Durand DJ, Asselin JM, Hudak ML, Aschner JL, Shoemaker CT. High-frequency oscillatory ventilation versus conventional mechanical ventilation for very-low-birth-weight infants. N Engl J Med 2002; 347: 643-52.

  19. Johnson AH, Peacock JL, Greenough A, Marlow N, Limb ES, Marston L, Calvert SA; United Kingdom Oscillation Study Group. High-frequency oscillatory ventilation for the prevention of chronic lung disease of prematurity. N Engl J Med 2002; 29; 347: 633-42.

  20. Keszler M, Donn SM, Bucciarelli RL, Alverson DC, Hart M, Lunyong V, Modanlou HD, Noguchi A, Pearlman SA, Puri A. Multicenter controlled trial comparing high-frequency jet ventilation and conventional mechanical ventilation in newborn infants with pulmonary interstitial emphysema. J Pediatr 1991; 119: 85-93.

  21. HiFO Study Group. Randomized study of high-frequency oscillatory ventilation in infants with severe respiratory distress syndrome. J Pediatr 1993; 122: 609-19.

  22. Keszler M, Modanlou HD, Brudno DS, Clark FI, Cohen RS, Ryan RM, Kaneta MK, Davis JM. Multicenter controlled clinical trial of high-frequency jet ventilation in preterm infants with uncomplicated respiratory distress syndrome. Pediatrics 1997; 100: 593-9.

  23. Clark RH, Gerstmann DR, Null DM Jr, deLemos RA. Prospective randomized comparison of high-frequency oscillatory and conventional ventilation in respiratory distress syndrome. Pediatrics 1992; 89: 5-12.

  24. Gerstmann DR, Minton SD, Stoddard RA, Meredith KS, Monaco F, Bertrand JM, Battisti O, Langhendries JP, Francois A, Clark RH. The provo multicenter early high-frequency oscillatory ventilation trial: improved pulmonary and clinical outcome in respiratory distress syndrome. Pediatrics 1996; 98 (6 Pt 1): 1044-57.

  25. Plavka R, Kopecky P, Sebron V, Svihovec P, Zlatohlavkova B, Janus V. A prospective randomized comparison of conventional mechanical ventilation and very early high frequency oscillatory ventilation in extremely premature newborns with respiratory distress syndrome. Intensive Care Med 1999; 25: 68-75.

  26. Courtney SE, Durand DJ, Asselin JM, Hudak ML, Aschner JL, Shoemaker CT. High frequency oscillatory ventilation versus conventional mechanical ventilation for very-low-birth-weight infants. N Engl J Med 2002; 347: 643-52.

  27. HiFi Study Group. High-frequency oscillatory ventilation compared with conventional mechanical ventilation in the treatment of respiratory failure in preterm infants: assessment of pulmonary function at 9 months of corrected age. J Pediatr 1990; 116: 933-41.




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Rev Mex Pediatr. 2006;73