[Early treatment with nasal continuous positive airway pressure and "minimal handling". Early and late prognosis in children with birth weight under 1,501 g]. / Tidlig behandling med nasalt kontinuerligt overtryk i luftvejene og "minimal handling". Tidlig- og senprognose hos børn med fødselsvoegt < 1.501 g.
Ugeskr Laeger
; 156(36): 5121-6, 1994 Sep 05.
Article
em Da
| MEDLINE
| ID: mdl-7941053
ABSTRACT
During 1988 and 1989 a regional cohort of 81 infants with birth weights of less than 1501 g were treated with oxygen (n = 11), early continuous positive airway pressure (CPAP) (n = 68) or mechanical ventilation from birth (n = 2). We used an easily applicable lightweight CPAP system with nasal prongs and a gas jet supplemented with ventilator treatment if necessary, but with conservative criteria for ventilator treatment with tolerance of high PCO2. A total of 65 infants (80%) survived to discharge, 61 of whom were supported solely with CPAP or oxygen. Nineteen infants (26%) developed periventricular-intraventricular haemorrhage, but only four survivors (6%) developed prognostically significant bleedings of grade 2-4. No survivors had bronchopulmonary dysplasia. Follow-up at 1.5-5 years of age revealed definite disabilities in seven (11%). The results suggest that treatment by early CPAP with nasal prongs with tolerance of high PCO2 may be effective and lenient in most infants of more than 25 weeks' gestation.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Síndrome do Desconforto Respiratório do Recém-Nascido
/
Recém-Nascido de Baixo Peso
/
Respiração com Pressão Positiva
Tipo de estudo:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
Limite:
Child, preschool
/
Humans
/
Newborn
Idioma:
Da
Revista:
Ugeskr Laeger
Ano de publicação:
1994
Tipo de documento:
Article