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Toolsvan Kaam, Anton H., Rimensberger, Peter C., Borensztajn, Dorine and De Jaegere, Anne P. and Neovent Study Group (2010) Ventilation practices in the neonatal intensive care unit: A cross-sectional study. Journal of Pediatrics, 157 (5). 767-771.e3. ISSN 0022-3476
Full text not available from this repository.Abstract
Objective: To assess current ventilation practices in newborn infants. Study design: We conducted a 2-point cross-sectional study in 173 European neonatal intensive care units, including 535 infants (mean gestational age 28 weeks and birth weight 1024 g). Patient characteristics, ventilator settings, and measurements were collected bedside from endotracheally ventilated infants. Results: A total of 457 (85%) patients were conventionally ventilated. Time cycled pressure–limited ventilation was used in 59% of these patients, most often combined with synchronized intermittent mandatory ventilation (51%). Newer conventional ventilation modes like volume targeted and pressure support ventilation were used in, respectively, 9% and 7% of the patients. The mean tidal volume, measured in 84% of the conventionally ventilated patients, was 5.7 ± 2.3 ml/kg. The mean positive end-expiratory pressure was 4.5 ± 1.1 cmH2O and rarely exceeded 7 cmH2O. Conclusions: Time cycled pressure–limited ventilation is the most commonly used mode in neonatal ventilation. Tidal volumes are usually targeted between 4 to 7 mL/kg and positive end-expiratory pressure between 4 to 6 cmH2O. Newer ventilation modes are only used in a minority of patients.
| Item Type: | Article |
|---|---|
| Faculty \ School: | Faculty of Medicine and Health Sciences > Norwich Medical School |
| Related URLs: | |
| Depositing User: | LivePure Connector |
| Date Deposited: | 10 Dec 2024 01:46 |
| Last Modified: | 16 Dec 2024 01:43 |
| URI: | https://ueaeprints.uea.ac.uk/id/eprint/97963 |
| DOI: | 10.1016/j.jpeds.2010.05.043 |
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