Effect of body position on ventilation distribution in preterm infants on continuous positive airway pressure

Pediatric Critical Care Medicine

Volumn 13, Issue 4, 2012, Pages 446-451

  Hough, Judith L ^a,c   Johnston, Leanne ^b,d   Brauer, Sandy G ^d   Woodgate, Paul G ^e,f   Pham, Trang M T ^a   Schibler, Andreas ^b  

^a MATER HOSPITAL   (Australia)

^b MATER MEDICAL RESEARCH INSTITUTE   (Australia)

^c AUSTRALIAN CATHOLIC UNIVERSITY   (Australia)

^d UNIVERSITY OF QUEENSLAND   (Australia)

^e MATER MOTHERS HOSPITAL   (Australia)

^f GRIFFITH UNIVERSITY   (Australia)

Author keywords

Continuous positive airway pressure; Electrical impedance tomography; Infant; Newborn; Prone position; Ventilation distribution

Indexed keywords

ARTICLE; BODY POSITION; BODY POSTURE; BREATHING RATE; CLINICAL ARTICLE; COMPUTER ASSISTED IMPEDANCE TOMOGRAPHY; CONTROLLED STUDY; CROSSOVER PROCEDURE; FEMALE; HUMAN; INFANT; LUNG LOBE; LUNG VENTILATION DISTRIBUTION; LUNG VOLUME; MALE; OXYGEN SATURATION; POSITIVE END EXPIRATORY PRESSURE; PREMATURITY; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL; SUPINE POSITION; TIDAL VOLUME;

CONTINUOUS POSITIVE AIRWAY PRESSURE; CROSS-OVER STUDIES; ELECTRIC IMPEDANCE; FEMALE; HUMANS; INFANT, NEWBORN; INFANT, PREMATURE; INTENSIVE CARE UNITS, NEONATAL; LUNG; MALE; POSTURE; PRONE POSITION; RESPIRATION, ARTIFICIAL; RESPIRATORY MECHANICS; SUPINE POSITION; TOMOGRAPHY;

EID: 84864280752     PISSN: 15297535     EISSN: 19473893     Source Type: Journal    
DOI: 10.1097/PCC.0b013e31822f18d9     Document Type: Article

References (36)

1. De Paoli AG, Morley C, Davis PG: Nasal CPAP for neonates: What do we know in 2003? Arch Dis Child 2003; 88: 168-172
2. Davis PG, Henderson-Smart DJ: Nasal continuous positive airways pressure immediately after extubation for preventing morbidity in preterm infants. Cochrane Database Syst Rev 2003; (2): CD000143
3. De Klerk AM, De Klerk RK: Nasal continuous positive airway pressure and outcomes of preterm infants. J Paediatr Child Health 2001; 37: 161-167 (Pubitemid 32398097)
4. Jobe AH, Kramer BW, Moss TJ, et al: Decreased indicators of lung injury with continuous positive expiratory pressure in preterm lambs. Pediatr Res 2002; 52: 387-392 (Pubitemid 34920270)
5. Heaf DP, Helms P, Gordon I, et al: Postural effects on gas exchange in infants. N Engl J Med 1983; 308: 1505-1508 (Pubitemid 13106296)
6. Davies H, Kitchman R, Gordon I, et al: Regional ventilation in infancy. Reversal of adult pattern. N Engl J Med 1985; 313: 1626-1628 (Pubitemid 16155667)
7. Balaguer A, Escribano J, Roque M; Infant position in neonates receiving mechanical ventilation. Cochrane Database Syst Rev 2006; (4): CD003668
8. Kauczor HU, Chen XJ, van Beek EJ, et al: Pulmonary ventilation imaged by magnetic resonance: At the doorstep of clinical application. Eur Respir J 2001; 17: 1008-1023 (Pubitemid 32605646)
9. Frerichs I, Schiffmann H, Oehler R, et al: Distribution of lung ventilation in spontaneously breathing neonates lying in different body positions. Intensive Care Med 2003; 29: 787-94 (Pubitemid 36609572)
10. Riedel T, Richards T, Schibler A: The value of electrical impedance tomography in assessing the effect of body position and positive airway pressures on regional lung ventilation in spontaneously breathing subjects. Intensive Care Med 2005; 31: 1522-1528 (Pubitemid 41598663)
11. Dunlop S, Hough J, Riedel T, et al: Electrical impedance tomography in extremely prematurely born infants and during high frequency oscillatory ventilation analyzed in the frequency domain. Physiol Meas 2006; 27: 1151-1165
12. Frerichs I, Dargaville PA, Dudykevych T, et al: Electrical impedance tomography: A method for monitoring regional lung aeration and tidal volume distribution? Intensive Care Med 2003; 29: 2312-2316 (Pubitemid 38030686)
13. Pillow JJ, Frerichs I, Stocks J: Lung function tests in neonates and infants with chronic lung disease: global and regional ventilation inhomogeneity. Pediatr Pulmonol 2006; 41: 105-121 (Pubitemid 43165438)
14. Hedenstierna G: Using electric impedance tomography to assess regional ventilation at the bedside. Am J Respir Crit Care Med 2004; 169: 777-778 (Pubitemid 38402446)
15. Frerichs I, Pulletz S, Elke G, et al: Assessment of changes in distribution of lung perfusion by electrical impedance tomography. Respiration 2009; 77: 282-291
16. Pham TM, Yuill M, Dakin C, et al: Regional ventilation distribution in the first 6 months of life. Eur Respir J 2011; 37: 919-924
17. Pulletz S, van Genderingen HR, Schmitz G, et al: Comparison of different methods to define regions of interest for evaluation of regional lung ventilation by EIT. Physiol Meas 2006; 27: S115-S127 (Pubitemid 43890638)
18. Zhao Z, Moller K, Steinmann D, et al: Evaluation of an electrical impedance tomography-based global inhomogeneity index for pulmonary ventilation distribution. Intensive Care Med 2009; 35: 1900-1906
19. Rice TW, Wheeler AP, Bernard GR, et al: Comparison of the SpO2/FiO2 ratio and the PaO2/FiO2 ratio in patients with acute lung injury or ARDS. Chest 2007; 132: 410-417 (Pubitemid 47282370)
20. Hahn G, Sipinkova I, Baisch F, et al: Changes in the thoracic impedance distribution under different ventilatory conditions. Physiol Meas 1995; 16(3 Suppl A): A161-173
21. Hahn G, Frerichs I, Kleyer M, et al: Local mechanics of the lung tissue determined by functional EIT. Physiol Meas 1996; 17(Suppl 4A): A159-166
22. Kunst PW, Vonk Noordegraaf A, Hoekstra OS, et al: Ventilation and perfusion imaging by electrical impedance tomography: A comparison with radionuclide scanning. Physiol Meas 1998; 19: 481-90 (Pubitemid 28546823)
23. Carney DE, Bredenberg CE, Schiller HJ, et al: The mechanism of lung volume change during mechanical ventilation. Am J Respir Crit Care Med 1999; 160(5 Pt 1): 1697-702
24. Steinberg J, Schiller HJ, Halter JM, et al: Tidal volume increases do not affect alveolar mechanics in normal lung but cause alveolar overdistension and exacerbate alveolar instability after surfactant deactivation. Crit Care Med 2002; 30: 2675-83 (Pubitemid 36870569)
25. Robertson HT, Kreck TC, Krueger MA: The spatial and temporal heterogeneity of regional ventilation: Comparison of measurements by two high-resolution methods. Respir Physiol Neurobiol 2005; 148(1-2): 85-95 (Pubitemid 41132751)
26. Frerichs I, Schmitz G, Pulletz S, et al: Reproducibility of regional lung ventilation distribution determined by electrical impedance tomography during mechanical ventilation. Physiol Meas 2007; 28: S261-S267 (Pubitemid 47028486)
27. Johansson MJ, Wiklund A, Flatebo T, et al: Positive end-expiratory pressure affects regional redistribution of ventilation differently in prone and supine sheep. Crit Care Med 2004; 32: 2039-2044 (Pubitemid 39372537)
28. Hedenstierna G, Tenling A: The lung during and after thoracic anaesthesia. Curr Opin Anaesthesiol 2005; 18: 23-28 (Pubitemid 40283845)
29. Magnenant E, Rakza T, Riou Y, et al: Dynamic behavior of respiratory system during nasal continuous positive airway pressure in spontaneously breathing premature newborn infants. Pediatr Pulmonol 2004; 37: 485-491 (Pubitemid 38680114)
30. Milic-Emili J, Henderson JA, Dolovich MB, et al: Regional distribution of inspired gas in the lung. J Appl Physiol 2011; 21: 749-759
31. Fox MD, Molesky MG: The effects of prone and supine positioning on arterial oxygen pressure. Neonatal Netw 1990; 8: 25-29
32. Levene S, McKenzie SA. Transcutaneous oxygen saturation in sleeping infants: Prone and supine. Arch Dis Child 1990; 65: 524-526 (Pubitemid 20151086)
33. Yang F, Patterson RP: The contribution of the lungs to thoracic impedance measurements: A simulation study based on a high resolution finite difference model. Physiol Meas 2007; 28: S153-S161 (Pubitemid 47028479)
34. Lee KS, Dunn MS, Fenwick M, et al: A comparison of underwater bubble continuous positive airway pressure with ventilator-derived continuous positive airway pressure in premature neonates ready for extubation. Biol Neonate 1998; 73: 69-75 (Pubitemid 28045126)
35. Hua YM, Yuh YS, Lee CM, et al: Bubble CPAP elicits decreases in exhaled nitric oxide in rabbits. Pediatr Pulmonol 2006; 41: 779-786
36. Pillow JJ, Travadi JN: Bubble CPAP: is the noise important? An in vitro study. Pediatr Res 2005; 57: 826-830 (Pubitemid 40727113)