High frequency oscillatory ventilation in infants with increased intra-abdominal pressure. Issue 2 (1st March 1997)

• Record Type: Journal Article
• Authors: Fok, Tai Fai; Ng, Pak Cheung; Wong, William; Lee, Cheuk Hon; So, King Woon
• Is Part Of: Archives of disease in childhood. Volume 76:Issue 2(1997)
• Page Start: F123
• Page End: F125
• Publication Date: 1997-03-01
• Subjects: abdominal distension -- high frequency oscillatory ventilation -- respiratory failure.; Infants -- Diseases -- Periodicals; Newborn infants -- Diseases -- Periodicals; Fetus -- Diseases -- Periodicals; 618.920105
• DOI: 10.1136/fn.76.2.F123
• Languages: English
• ISSNs: 1359-2998

Abstract

Abstract : AIMS: To describe the short term effect of high frequency oscillatory ventilation on infants with severe abdominal distension who could not be conventionally ventilated. METHODS: Eight infants (25 to 38 gestational weeks, birthweight 600-3200 g, postnatal age 1 to 190 days) with a variety of intra-abdominal pathologies, resulting in severe abdominal distension and failure of conventional ventilation, were studied. RESULTS: The oxygenation status of all infants significantly improved within an hour of changing from conventional to high frequency oscillatory ventilation. Infants who were hypercapneic on conventional ventilation also showed a reduction in PaCO2 . As a group, the mean (SD) PaO2 /FIO2 improved from 4.99 (0.98) kpa to 11.55 (3.8) kpa (P = 0.002), and the PaCO2 from 6.48 (2.12) kpa to 4.89 (1.22) kpa (P= 0.028). These improvements were sustained throughout the next 48 hours. CONCLUSION: High frequency oscillatory ventilation seems to be an effective rescue measure for infants with respiratory failure secondary to increased intra-abdominal pressure.