Modern mechanical ventilation strategies in newborns: A review

被引:6
作者
Mahmoud, Ramadan A. [1 ,2 ]
Schmalisch, Gerd [1 ]
机构
[1] Charite Univ Med Ctr, Dept Neonatol, D-10117 Berlin, Germany
[2] Sohag Univ, Sohag Fac Med, Dept Pediat, Sohag, Egypt
关键词
Mechanical ventilation; synchronized mechanical ventilation; high frequency ventilation; proportional assist ventilation; infants; INTERMITTENT MANDATORY VENTILATION; RESPIRATORY-DISTRESS-SYNDROME; BIRTH-WEIGHT INFANTS; HIGH-FREQUENCY VENTILATION; PATIENT-TRIGGERED VENTILATION; POSITIVE-PRESSURE VENTILATION; PRETERM INFANTS; TIDAL VOLUME; OSCILLATORY VENTILATION; NEONATAL VENTILATORS;
D O I
10.3233/THC-2011-0633
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Noninvasive ventilation is increasingly used in newborns, but intubation and mechanical ventilation remain important lifesaving tools for neonatal intensive care. New lung-protective mechanical ventilation technologies were developed in the last few decades and are now commercially available. Nevertheless, a recent survey (van Kaam et al. J Pediatr 2010) reported that time-cycled pressure-limited ventilation is the most common mode in neonatal ventilation and that newer ventilation modes are rarely used. The aim of this survey was to provide an overview of modern ventilation strategies based on available clinical studies. These new ventilation strategies can improve numerous physiological variables, but there is little information about the associated risks and long-term outcomes. We suggest that additional randomized controlled trials of these new ventilation strategies are needed before any definitive recommendations can be given.
引用
收藏
页码:307 / 318
页数:12
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