Sustained lung inflation at birth: what do we know, and what do we need to know?

被引:13
|
作者
McCall, Karen E. [1 ,2 ]
Davis, Peter G. [1 ,3 ,4 ]
Owen, Louise S. [1 ,3 ,4 ]
Tingay, David G. [1 ,4 ,5 ,6 ]
机构
[1] Murdoch Childrens Res Inst, Newborn Res, Melbourne, Vic, Australia
[2] Univ Coll Dublin, Sch Med & Med Sci, Dublin 2, Ireland
[3] Univ Melbourne, Dept Obstet, Melbourne, Vic, Australia
[4] Royal Womens Hosp, Neonatal Res, Melbourne, Vic, Australia
[5] Royal Childrens Hosp, Dept Neonatol, Melbourne, Vic, Australia
[6] Univ Melbourne, Dept Paediat, Melbourne, Vic, Australia
基金
英国医学研究理事会;
关键词
FUNCTIONAL RESIDUAL CAPACITY; RESPIRATORY-DISTRESS-SYNDROME; MANUAL VENTILATION DEVICES; T-PIECE RESUSCITATOR; NEONATAL RESUSCITATION; PRETERM INFANTS; MASK VENTILATION; CARDIOPULMONARY-RESUSCITATION; VOLUME VENTILATION; WEIGHT INFANTS;
D O I
10.1136/archdischild-2015-309611
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
A sustained inflation has been advocated as a potential method of augmenting lung aeration at birth. Clinical trials have suggested that a sustained inflation may lead to a reduced need for intubation and ventilation in the first few days of life, without cardiovascular compromise or increased lung injury. Despite this, a sustained inflation is not currently a standard of practice, mainly due to a lack of clarity regarding the optimal delivery method. Animal trials have sought to refine delivery techniques. This review will outline current recommendations regarding a sustained inflation, discuss potential strategies for its optimal delivery and suggest priorities for future research.
引用
收藏
页码:F175 / F180
页数:6
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