Another approach to assisted ventilation in the treatment of hyaline membrane disease (HMD).

Authors’ address: Howard S. Gruber and Marshall H. Klaus, Case Western Reserve School of Medicine, Department of Pediatrics, Cleveland, O. (USA) Thirty-six infants (mean birthweight 1709 g) with severe HMD were treated with intermittent mask and bag ventilation as an alternative to the mechanical respirator. Previous therapy with oxygen, NaHCO7⁄8, glucose infusion and thermoregulation was judged to have failed when the infant attained a score > 3 on the following table.