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    Clark, Reese H. 1999. Support of Gas Exchange in the Delivery Room and Beyond: How Do We Avoid Hurting the Baby We Seek to Save?. Clinics in Perinatology, Vol. 26, Issue. 3, p. 669.
    Svenningsen, Nils W. 1992. Neonatal Intensive Care: When and Where Is It Justified?. International Journal of Technology Assessment in Health Care, Vol. 8, Issue. 03, p. 457.
    Sedin, Gunnar 1991. CPAP and Mechanical Ventilation. International Journal of Technology Assessment in Health Care, Vol. 7, Issue. S1, p. 31.
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High-Frequency Oscillatory Ventilation

  • W. Alan Hodson (a1)
Extract

The improved survival rate of premature infants with respiratory failure is attributable to advances in mechanical ventilation, although an adverse consequence has been an increased incidence of bronchopulmonary dysplasia (BPD) (1;32). Positive pressure ventilation with its attendant “barotrauma” is suspected in the causation of BPD. While many attempts to alter respirator variables, such as pressure and time components, have produced optimal patterns for gas exchange, evidence is lacking to support any one pattern that minimizes the incidence of chronic lung injury. The high incidence of BPD has promoted a search for alternative methods of ventilation that might reduce lung injury through a reduction in peak pressure applied to the lung. Additional motivation has come from the need for oxygenation when mechanical ventilation has failed or pulmonary interstitial emphysema has developed. Less compelling reasons have come from the desire to avoid high swings in thoracic pressure that might adversely affect cardiac output, venous return, and cerebral blood flow.

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COPYRIGHT: © Cambridge University Press 1991
References
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International Journal of Technology Assessment in Health Care
  • ISSN: 0266-4623
  • EISSN: 1471-6348
  • URL: /core/journals/international-journal-of-technology-assessment-in-health-care
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