ISSN:
1432-1076
Schlagwort(e):
Newborn infant
;
Respiratory distress syndrome
;
Intraesophageal pressure
Quelle:
Springer Online Journal Archives 1860-2000
Thema:
Medizin
Notizen:
Abstract The intraesophageal pressure difference (ΔP es) was measured in 46 preterm infants, 36 with respiratory distress (RDS). It was 12.7±2.9 mm Hg (mean±SEM) in severe RDS, 9.6±3.2 mm Hg in moderate RDS, and 5.2±1.6 mm Hg in infants with mild disease, measured at the age of 8 h. These intergroup differences were highly significant (P〈0.001). During the first 96 h of life the ΔP es decreased to 6.1±1.1 mm Hg in severe RDS and to 4.8±1.2 mm Hg in moderate RDS. These changes were also highly significant (P〈0.001) when compared with respective initial values. In infants with mild disease and in healthy preterm infants, the ΔP es did not alter significantly during the first 96 h of life. The correlations between gastric aspirate L/S ratio and the ΔP es at the age of 8 h (r=-0.65, P〈0.001) and at the age of 24 h (r=-0.73, P〈0.001) were highly significant. It is concluded that intraesophageal pressure monitoring is a valuable tool in the intensive care evaluation of the severity of RDS.
Materialart:
Digitale Medien
URL:
http://dx.doi.org/10.1007/BF00442500
Permalink