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Titolo:
Respiratory mechanics in very low birth weight infants during continuous versus intermittent gavage feeds
Autore:
Brar, G; Geiss, D; Brion, LP; Rios, A;
Indirizzi:
Montefiore Med Ctr, Albert Einstein Coll Med, Dept Pediat, Div Neonatol, Bronx, NY 10467 USA Montefiore Med Ctr Bronx NY USA 10467 , Div Neonatol, Bronx, NY 10467 USA
Titolo Testata:
PEDIATRIC PULMONOLOGY
fascicolo: 6, volume: 32, anno: 2001,
pagine: 442 - 446
SICI:
8755-6863(200112)32:6<442:RMIVLB>2.0.ZU;2-Y
Fonte:
ISI
Lingua:
ENG
Keywords:
respiratory mechanics; very low birth weight infant; compliance; resistance; tidal volume; gavage feeding; neonatology;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
19
Recensione:
Indirizzi per estratti:
Indirizzo: Rios, A Albany Med Ctr, Dept Pediat, Div Neonatol, 725,47 New Scotland Ave, Albany, NY 12208 USA Albany Med Ctr 725,47 New Scotland Ave Albany NY USA12208 208 USA
Citazione:
G. Brar et al., "Respiratory mechanics in very low birth weight infants during continuous versus intermittent gavage feeds", PEDIAT PULM, 32(6), 2001, pp. 442-446

Abstract

This study was designed to determine whether respiratory mechanics in stable, very low birth weight infants changed after replacing intermittent feeds with continuous feeding. We measured static respiratory system compliance, respiratory system resistance, functional residual capacity (FRC), and tidal volume immediately before feeds and at 20, 60, and 120 min after feeds,and again the next day on continuous feeds. Patients selected for enrollment into the study needed to fulfill the following criteria: 1) birth weightand postnatal weight < 1,500 g, 2) no need for mechanical ventilation, positive airway pressure, or supplemental oxygen, 3) receiving and tolerating at least 100 mL/kg/day of intermittent gavage feeds, and 4) no change in methylxanthine or diuretic dosage for 3 days before the study. Respiratory mechanics were measured using the SensorMedics 2600 Pediatric Pulmonary Cart (Yorba Linda, CA). We studied 16 infants (gestational age 28.3 +/- 3.7 weeks, mean SD) at a postnatal age of 10-82 days. The average interindividual coefficient of variance was 20 +/- 2% for static compliance, 35 +/- 6% for resistance, 18 +/- 3% for FRC, and 19 +/- 3% for tidal volume. Repeated-measures analysis of variance did not reveal any significant difference in respiratory mechanics with intermittent vs. continuous feeding. The data suggest that static respiratory mechanics in stable, very low birth weight infants are not affected by changing enteral feeds from intermittent gavage to a continuous schedule. (C) 2001 Wiley-Liss, Inc.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 31/03/20 alle ore 18:15:54