Resuscitation in Preterm Infants; Extended Documentation of Procedures

• Background: A lung protective strategy of ventilation is recommended during resuscitation in newborn infants limiting tidal volume to less than 8 ml/kg to reduce the risk of lung overdistention, volutrauma. As the mechanical properties of the respiratory system change rapidly after birth monitoring of respiratory function is recommended also during the first minutes of life to avoid lung injury (J Pediatr 2008;153:741)Objective: To follow respiratory function parameters, such as tidal volume (Vt), respiratory system compliance (Crs) and resistance (Rrs) during resuscitation in preterm infants. Derived data together with the clinical signs are used to describe and document the course of the resuscitation .Design/Methods: A pneumotachometer with a pressure port was attached to the face mask (Neopuff® or Laerdal®) or to the ET-tube (for intubated patients). Flow and pressure were measured and used to derive respiratory system mechanics (Crs and Rrs) together with corresponding positive inspiratory pressure (PIP) and Vt. Ten infants [median (range) birth weight 0.84 (0.47-1.3) kg; GA 25.5 (25-29) weeks] with apnoea and bradycardia (heart rate (HR)

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Pediatrik (hsv//swe)

MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Pediatrics (hsv//eng)

TEKNIK OCH TEKNOLOGIER  -- Medicinteknik -- Medicinsk laboratorie- och mätteknik (hsv//swe)

ENGINEERING AND TECHNOLOGY  -- Medical Engineering -- Medical Laboratory and Measurements Technologies (hsv//eng)

Nyckelord

preterm infants

pressure

ventilation

flow

volume

resuscitation

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