Extubation failure in the very preterm infant.
نویسنده
چکیده
Muitos prematuros extremos necessitam de ventilação assistida. Ao serem extubados, após a resolução da disfunção pulmonar inicial, esses bebês correm risco de haver insucesso na extubação devido a esforço respiratório diminuído, atelectasia, anormalidades da função pulmonar residual ou doença intercorrente. Manter esses bebês extubados diminui a ocorrência de lesão pulmonar e melhora os desfechos pulmonares e, até mesmo, neurológicos de longo prazo. Por outro lado, se o insucesso na extubação pudesse ser previsto com exatidão, a extubação poderia ser adiada e o trauma da reintubação após uma breve extubação malsucedida, com trabalho respiratório aumentado, hipoventilação e acidose respiratória, poderia ser evitado.
منابع مشابه
Incidence and main risk factors associated with extubation failure in newborns with birth weight < 1,250 grams.
OBJECTIVES To determine the incidence of extubation failure in preterm newborns with birth weight < 1,250 g extubated to nasal continuous positive airway pressure and to identify the main risk factors associated with the need for reintubation in this population. METHODS A retrospective review of eligible infants admitted and mechanically ventilated between July 2002 and June 2004 was performe...
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OBJECTIVES Nasal continuous positive airway pressure is used as a standard of care after extubation in very-low-birth-weight infants. A pressure of 5 cmH2O is usually applied regardless of individual differences in lung compliance. Current methods for evaluation of lung compliance and air distribution in the lungs are thus imprecise for preterm infants. This study used electrical impedance tomo...
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Background Caffeine is widely used for prevention of apnea and helps successful extubation from mechanical ventilation. It facilitates the transition from invasive to noninvasive support and reduces duration of continuous positive airway pressure (CPAP) in preterm infants. The optimum caffeine dose in preterm infants has not been well-studied in terms of benefits and risks. We compared efficacy...
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ورودعنوان ژورنال:
- Jornal de pediatria
دوره 85 5 شماره
صفحات -
تاریخ انتشار 2009