The impact of instrumental dead-space in volume-targeted ventilation of the extremely low birth weight (ELBW) infant

Pediatric Pulmonology

Volumn 44, Issue 2, 2009, Pages 128-133

  Nassabeh Montazami, Sepideh ^a,b   Abubakar, Kabir M ^a   Keszler, Martin ^a  

^a GEORGETOWN UNIVERSITY   (United States)

^b NONE   (United States)

Author keywords

Dead space; Extremely low birth weight; Newborn; Tidal volume; Volume ventilation

Indexed keywords

ARTICLE; ARTIFICIAL VENTILATION; BIRTH WEIGHT; BLOOD GAS ANALYSIS; CLINICAL ARTICLE; ENDOTRACHEAL TUBE; FLOW RATE; HUMAN; INFANT; LUNG DEAD SPACE; LUNG VENTILATION; LUNG VOLUME; NEWBORN INTENSIVE CARE; PRIORITY JOURNAL; RETROSPECTIVE STUDY; SENSOR; TIDAL VOLUME; VENTILATOR; VERY LOW BIRTH WEIGHT; VOLUME TARGETED VENTILATION;

EID: 59949105353     PISSN: 87556863     EISSN: 10990496     Source Type: Journal    
DOI: 10.1002/ppul.20954     Document Type: Article

References (36)

1. Dreyfuss D, Saumon G. Role of tidal volume, FRC and end inspiratory volume in the development of pulmonary edema following mechanical ventilation. Am Rev Respir Dis 1993;148: 1194-1203.
2. Dreyfuss D, Saumon G. Ventilator induced lung injury; lessons from experimental studies. Am J Respir Crit Care Med 1998;157: 294-323.
3. Graziani LJ, Spitzer AR, et al. Mechanical ventilation in preterm infants: neurosonographic and developmental studies. Pediatrics 1992;90:515-522.
4. Fujimoto S, Togari H, et al. Hypocarbia and cystic periventricular leukomalacia in premature infants. Arch Dis Chil 1994;71:F107-F110. 26.
5. 2 levels and neurodevelopmental sequelae following assisted ventilation. Clin Perinatol 1998;25:159-175.
6. Abubakar KM, Keszler M. Patient-ventilator interactions in newer modes of mechanical ventilation. Pediatr Pulmonol 2001;32:71-75.
7. Keszler M, Abubakar KM. Volume Guarantee ventilation. In: Donn SM, Wiswell T, Guest editors. Clinics in perinatology: update on surfactant and mechanical ventilation.Elsevier Press; 2007.
8. Numa A, Newth C. Anatomic dead space in infants and children. American Physiological Society 1996;80:1485-1489.
9. Lagneaux D, Mossay C, Geubelle F, Christiaens G. Alveolar data in healthy, awake neonates during spontaneous ventilation: a preliminary investigation. Pediatr Pulmonol 1988;5:225-231.
10. Sandberg K, Sjogvist BA, Hjalmarson O, Olsson T. Analysis of alveolar ventilation in the newborn. Arch Dis Child 1984;59:542-547.
11. Gerhardt T, Bancalari E. Apnea of prematurity. I. Lung function and regulation of breathing. Pediatrics 1984;74:58-62.
12. 2 regarding pulmonary mechanics due to pneumotachometer dead space in ventilated newborns. J Perinat Med 1997;25:333-339.
13. Stokes GM, Milner AD, Wilson AJ, Morgan DB, Carman PG, Oliver MR. Ventilatory response to increased dead space in the first week of life. Pediatr Pulmonol 1986;2:89-93.
14. Dassieu G, Brochard L, Benani M, et al. Continuous tracheal gas insufflation in preterm infants with hyaline membrane disease. A. prospective randomized trial. Am J Respir Crit Care Med 2000;162:826-831.
15. Kalous P, Kokstein Z. Instrumental dead space in neonatology, and its elimination by continuous tracheal gas insufflation during conventional ventilation. Acta Paediatrica 2003;92:518-524.
16. Muller EE, Kolobow T, Mandava S, Jones M, Vitale G, Aprigliano M, Yamada K. How to ventilate lungs as small as 12.5% of normal: the new technique of intratracheal pulmonary ventilation. Pediatr Res 1993;34:606-610.
17. Claure N, D'Ugard C, Bancalari E. Elimination of ventilator dead- space during synchronized ventilation in premature infants. J Pediatr 2003;143:315-320.
18. Wald M, Kalous P, Lawrenz K, et al. Dead-space washout by split-flow ventilation. A new method to reduce ventilation needs in premature infants. Intensive Care Med 2005;31:674-679.
19. Kolobow T, Berra L, DeMarchi L, et al. Ultrathin wall twin ETT: a tracheal tube with minimal resistance and minimal deadspace for use in newborn and infant patients. Pediatric Crit Care Med 2004;5:329-383.
20. Parravicini E, Baccarelli A, Wung JT, Kolobow T, Lorenz JM. A comparison of a new, ultrathin-walled two-stage twin endotracheal tube and a conventional endotracheal tube in very premature infants with respiratory distress syndrome: a pilot study. Am J Perinatol 2007;24:117-122.
21. Dimitriou G, Greenough A, Cherian S. Comparison of airway pressure and airflow triggering systems using a single type of neonatal ventilator. Acta Paediatr 2001;90:445-447.
22. Keszler M, Abubakar KM. Volume Guarantee: stability of tidal volume and the incidence of hypocarbia. Pediatric Pulmonology 2004;38:240-245.
23. Herrera CM, Gerhardt T, Everett R, Musante G, Thomas C, Bancalari E. Effects of VG synchronized intermittent mandatory ventilation in preterm infants recovering from respiratory failure. Pediatrics 2002;110:529-533.
24. Lista G, Colnaghi M, Castoldi F, et al. Impact of targeted volume ventilation on lung inflammatory response in preterm infants with respiratory distress syndrome. Pediatr Pulmonol 2004;37:510-514.
25. Cannon ML, Cornell J, Tripp-Hamel DS, et al. Tidal volumes for ventilated infants should be determined with a pneumotachometer placed at the endotracheal tube. Am J Respir Crit Care Med 2000;162:2109-2112.
26. Henderson Y, Chillingworth FD, Whitney JL. The respiratory dead space. Am J Physiol 1915;38:1-19.
27. Cheema IU, Ahluwalia JS. Feasibility of tidal volume-guided ventilation in newborn infants: a randomized, crossover trial using the volume guarantee modality. Pediatrics 2001;107:1323-1328.
28. Herrera CM, Gerhardt T, Claure N, et al. Effects of volume- guaranteed synchronized intermittent mandatory ventilation in preterm infants recovering from respiratory failure. Pediatrics 2002;110:529-533.
29. Hummler H, Gerhardt T, Gonzalez A, Claure N, Everett R, Bancalari E. Influence of different methods of synchronized mechanical ventilation on ventilation, gas exchange, patient effort, and blood pressure fluctuations in premature neonates. Pediatr Pulmonol 1996;22:305-313.
30. Abubakar KM, Keszler M. Effect of Volume Guarantee combined with assist/control vs. synchronized intermittent mandatory ventilation. J Perinatol 2005;25:638-642.
31. Dawson C, Davies MW. Volume-targeted ventilation and arterial carbon dioxide in neonates. J Paediatr Child Health 2005;41:518-521.
32. Lista G, Castoldi F, Fontana P, Reali R, Reggiani A, Bianchi S, Compagnoni G. Lung inflammation in preterm infants with respiratory distress syndrome: effects of ventilation with different tidal volumes. Pediatr Pulmonol 2006;41:357-363.
33. Keszler M. Volume Guarantee and ventilator-induced lung injury: Goldilocks' rules apply. Pediatric Pulmonology 2006;41:364-366 [Commentary].
34. Cheema IU, Sinha AK, Kempley ST, Ahluwalia JS. Impact of volume guarantee ventilation on arterial carbon dioxide tension in newborn infants: a randomised controlled trial. Early Hum Dev 2007;83:183-189.
35. KaiserJR, Gauss CH, PontMM, Williams DK. Hypercapnia during the first 3 days of life is associated with severe intraventricular hemorrhage in very low birth weight infants. J Perinatol 2006;26:279-285.
36. Fabres J, Carlo WA, Phillips V, Howard G, Ambalavanan N. Both extremes of arterial carbon dioxide pressure and the magnitude of fluctuations in arterial carbon dioxide pressure are associated with severe intraventricular hemorrhage in preterm infants. Pediatrics 2007;119:299-305.