Comparison of different techniques to measure air leaks during CPAP treatment in neonates

Medical Engineering and Physics

Volumn 31, Issue 1, 2009, Pages 124-130

  Schmalisch, G ^a   Fischer, H ^a   Roehr, C C ^a   Proquitte H ^a  

^a CHARITÉ UNIVERSITÄTSMEDIZIN BERLIN   (Germany)

Author keywords

Air leaks; CPAP; Modeling; Preterm infants; Tidal volume; Ventilatory support

Indexed keywords

COMPUTER SIMULATION; ERROR CORRECTION; SILICONES;

AIR LEAKS; CPAP; MODELING; PRETERM INFANTS; TIDAL VOLUME; VENTILATORY SUPPORT;

FLOW SIMULATION;

AIR LEAK; AIRFLOW; ARTICLE; BREATHING RATE; COMPUTER SIMULATION; CONTROLLED STUDY; EXPIRATORY FLOW; IN VITRO STUDY; INTERMETHOD COMPARISON; LUNG MODEL; MATHEMATICAL ANALYSIS; MEASUREMENT; NEWBORN CARE; POSITIVE END EXPIRATORY PRESSURE; PRIORITY JOURNAL; RESPIRATORY AIRFLOW; SILASTIC TUBE; THERAPEUTIC ERROR; TIDAL VOLUME;

AIR; COMPUTER SIMULATION; HUMANS; INFANT, NEWBORN; REPRODUCIBILITY OF RESULTS; RESPIRATION, ARTIFICIAL;

EID: 57849139337     PISSN: 13504533     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.medengphy.2008.05.002     Document Type: Article

References (32)

1. Polin R.A., and Sahni R. Newer experience with CPAP. Semin Neonatol 7 (2002) 379-389
2. Gregory G.A., Kitterman J.A., Phibbs R.H., Tooley W.H., and Hamilton W.K. Treatment of the idiopathic respiratory-distress syndrome with continuous positive airway pressure. N Engl J Med 284 (1971) 1333-1340
3. Jobe A.H., Kramer B.W., Moss T.J., Newnham J.P., and Ikegami M. Decreased indicators of lung injury with continuous positive expiratory pressure in preterm lambs. Pediatr Res 52 (2002) 387-392
4. Morley C.J., Davis P.G., Doyle L.W., Brion L.P., Hascoet J.M., and Carlin J.B. Nasal CPAP or intubation at birth for very preterm infants. N Engl J Med 358 (2008) 700-708
5. De Paoli A.G., Davis P.G., Faber B., and Morley C.J. Devices and pressure sources for administration of nasal continuous positive airway pressure (NCPAP) in preterm neonates. Cochrane Database Syst Rev (2002) CD002977
6. Roehr C.C., Schmalisch G., Khakban A., Proquitte H., and Wauer R.R. Use of continuous positive airway pressure (CPAP) in neonatal units-a survey of current preferences and practice in Germany. Eur J Med Res 12 (2007) 139-144
7. Gregory S.E. Air leak syndromes. Neonatal Netw 5 (1987) 40-46
8. Hayes M.J., Mcgregor F.B., Roberts D.N., Schroter R.C., and Pride N.B. Continuous nasal positive airway pressure with a mouth leak-effect on nasal mucosal blood flux and nasal geometry. Thorax 50 (1995) 1179-1182
9. Richards G.N., Cistulli P.A., Ungar R.G., Berthon-Jones M., and Sullivan C.E. Mouth leak with nasal continuous positive airway pressure increases nasal airway resistance. Am J Respir Crit Care Med 154 (1996) 182-186
10. Randerath W.J., Schraeder O., Galetke W., Feldmeyer F., and Ruhle K.H. Autoadjusting CPAP therapy based on impedance efficacy, compliance and acceptance. Am J Respir Crit Care Med 163 (2001) 652-657
11. Nilius G., Happel A., Domanski U., and Ruhle K.H. Pressure-relief continuous positive airway pressure vs constant continuous positive airway pressure: a comparison of efficacy and compliance. Chest 130 (2006) 1018-1024
12. Huckstadt T., Foitzik B., Wauer R.R., and Schmalisch G. Comparison of two different CPAP systems by tidal breathing parameters. Intensive Care Med 29 (2003) 1134-1140
13. Fischer H.S., Roehr C.C., Proquitte H., Wauer R.R., and Schmalisch G. Assessment of volume and leak measurements during CPAP using a neonatal lung model. Physiol Meas 29 (2008) 95-107
14. Roske K., Foitzik B., Wauer R.R., and Schmalisch G. Accuracy of volume measurements in mechanically ventilated newborns: a comparative study of commercial devices. J Clin Monit Comput 14 (1998) 413-420
15. Castle R.A., Dunne C.J., Mok Q., Wade A.M., and Stocks J. Accuracy of displayed values of tidal volume in the pediatric intensive care unit. Crit Care Med 30 (2002) 2566-2574
16. Schmalisch G., Foitzik B., Wauer R.R., and Stocks J. In vitro assessment of equipment and software to assess tidal breathing parameters in infants. Eur Respir J 17 (2001) 100-107
17. Foitzik B., Schmidt M., Windstetter D., Wauer R.R., and Schmalisch G. Leak measurements in spontaneously breathing premature newborns by using the flow-through technique-Special communication. J Appl Physiol 85 (1998) 1187-1193
18. Bland J.M., and Altman D.G. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 1 (1986) 307-310
19. Schmalisch G., Wilitzki S., and Wauer R.R. Differences in tidal breathing between infants with chronic lung diseases and healthy controls. BMC Pediatr 5 36 (2005) 36
20. Rabec C.A., Reybet-Degat O., Bonniaud P., Fanton A., and Camus P. Leak monitoring in noninvasive ventilation. Arch Bronconeumol 40 (2004) 508-517
21. Schmidt M., Foitzik B., Wauer R.R., Winkler F., and Schmalisch G. Comparative investigations of algorithms for the detection of breaths in newborns with disturbed respiratory signals. Comput Biomed Res 31 (1998) 413-425
22. Schmalisch G., Wauer R.R., Foitzik B., and Patzak A. Influence of preterm onset of inspiration on tidal breathing parameters in infants with and without CLD. Respir Physiol Neurobiol 135 (2003) 39-46
23. Foitzik B., Schmalisch G., and Wauer R.R. Effect of physical properties of respiratory gas on pneumotachographic measurement of ventilation in newborn infants. Biomed Technol 39 (1994) 85-92
24. Essouri S., Nicot F., Clement A., Garabedian E.N., Roger G., Lofaso F., et al. Noninvasive positive pressure ventilation in infants with upper airway obstruction: comparison of continuous and bilevel positive pressure. Intensive Care Med 31 (2005) 574-580
25. Teschler H., Stampa J., Ragette R., Konietzko N., and Berthon-Jones M. Effect of mouth leak on effectiveness of nasal bilevel ventilatory assistance and sleep architecture. Eur Respir J 14 (1999) 1251-1257
26. Miyoshi E., Fujino Y., Uchiyama A., Mashimo T., and Nishimura M. Effects of gas leak on triggering function, humidification, and inspiratory oxygen fraction during noninvasive positive airway pressure ventilation. Chest 128 (2005) 3691-3698
27. Hammer J. Nasal CPAP in preterm infants-does it work and how?. Intensive Care Med 27 (2001) 1689-1691
28. Sherman T.I., Blackson T., Touch S.M., Greenspan J.S., and Shaffer T.H. Physiologic effects of CPAP: application and monitoring. Neonatal Netw 22 (2003) 7-16
29. Foitzik B., Schmidt M., Proquitte H., and Schmalisch G. Deadspace free ventilatory measurements in newborns during mechanical ventilation. Crit Care Med 29 (2001) 413-419
30. Benveniste D., and Pedersen J.E. A valve substitute with no moving parts, for artificial ventilation in newborn and small infants. Br J Anaesth 40 (1968) 464-470
31. Edberg K.E., Sandberg K., Silberberg A., Ekstrom-Jodal B., and Hjalmarson O. Lung volume, gas mixing, and mechanics of breathing in mechanically ventilated very low birth weight infants with idiopathic respiratory distress syndrome. Pediatr Res 30 (1991) 496-500
32. Pillow J.J., Hillman N., Moss T.J., Polglase G., Bold G., Beaumont C., et al. Bubble continuous positive airway pressure enhances lung volume and gas exchange in preterm lambs. Am J Respir Crit Care Med 176 (2007) 63-69