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Indications for Continuous Positive Airway Pressure and Respirator Therapy

Published online by Cambridge University Press:  10 March 2009

Anders Jonzon
Affiliation:
University Hospital, Uppsala

Extract

Continuous positive airway pressure was rediscovered and described by Gregory et al. (13) and has since been accepted as an aid in the treatment of newborn infants with pulmonary disease. A variety of technical solutions with beneficial effects for the newborn infant with respiratory distress has been described. Early treatment with continuous positive airway pressure is reported to reduce the length of time in which the demand for oxygen is increased and to make it possible, during a subsequent period on mechanical ventilation, to ventilate the infants at lower airway pressures than when continuous positive airway pressure is started late and the pulmonary disease is allowed to progress more rapidly (8;19).

Type
Neonatal Disorders of Respiration
Copyright
Copyright © Cambridge University Press 1991

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References

REFERENCES

1.Alpan, G., Goder, K., Glick, B., Peleg, O., Avital, A., & Eyal, F.Pneumopericardium during continuous positive airway pressure in respiratory distress syndrome. Critical Care Medicine, 1984, 12, 1080–81.Google ScholarPubMed
2.Bancalari, E., Garcia, O. L., & Jesse, M. J.Effects of continuous negative pressure on lung mechanics in idiopathic respiratory distress syndrome. Pediatrics, 1973, 57, 485–93.CrossRefGoogle Scholar
3.Bucci, G., Marzetti, G., Picece-Bucci, S., Nodari, S., Agostino, R., & Moretti, C.Phrenic nerve palsy treated by continuous positive airway pressure breathing by nasal cannula. Archives of Diseases in Childhood, 1974, 49, 230–32.CrossRefGoogle Scholar
4.Carlo, W. A., & Martin, R. J.Principles of neonatal assisted ventilation. Pediatric Clinic of North America, 1986, 33, 221–37.CrossRefGoogle ScholarPubMed
5.Cogswell, J. J., Hatch, D. J., Kerr, A. A., & Tylor, B.Effects of continuous positive airway pressure on lung mechanics of babies after operation for congenital heart disease. Archives of Disease in Childhood, 1975, 40, 799804.CrossRefGoogle Scholar
6.Crew, A. D., Varkonyi, P. I., Gardner, L. G., Robinson, Q. L. A., Wall, E., & Deverall, P. B.Continuous positive airway pressure breathing in the postoperative management of the cardiac infant. Thorax, 1974, 29, 437–45.CrossRefGoogle ScholarPubMed
7.Fox, W. W., Berman, L. S., Downes, J. J., & Peckham, G. J.The therapeutic application of end-expiratory pressure in the meconium aspiration syndrome. Pediatrics, 1975, 56, 214–17.CrossRefGoogle ScholarPubMed
8.Gerard, P., Fox, W. W., Outerbridge, E. W., Beaudry, P. P., & Stern, L.Early versus late introduction of continuous negative pressure in the management of the idiopathic respiratory distress syndrome. Journal of Pediatrics, 1979, 87, 591–95.CrossRefGoogle Scholar
9.Gherini, S., Peters, R., & Virgilio, R.Mechanical work on the lungs and work of breathing with positive end-expiratory pressure and continuous positive airway pressure. Chest, 1979, 76, 251–56.CrossRefGoogle ScholarPubMed
10.Gibney, N., Wilson, R., & Pontoppidan, H.Comparison of work of breathing on high gas flow and demand valve continuous positive airway pressure systems. Chest, 1982, 82, 692–95.CrossRefGoogle ScholarPubMed
11.Goldman, S., Brady, J., & Dumpit, F.Increased work of breathing associated with nasal prongs. Pediatrics, 1979, 64, 160–64.CrossRefGoogle ScholarPubMed
12.Gregory, G. A.Respiratory care of newborn infants. Pediatric Clinics of North America, 1971, 19, 311–24.CrossRefGoogle Scholar
13.Gregory, G. A., Kitterman, J. A., Phibbs, R. H., Tooley, W. H., & Hamilton, W. K.Treatment of the idiopathic respiratory distress syndrome with continuous positive airway pressure. New England Journal of Medicine, 1971, 284, 1333–40.CrossRefGoogle ScholarPubMed
14.Gregory, G. A., Edmunds, L. H., Kitterman, J. A., Phibbs, R. H., & Tooley, W. H.Continuous positive airway pressure and pulmonary and circulatory function after cardiac surgery in infants less than three months of age. Anesthesiology, 1975, 43, 426–31.CrossRefGoogle ScholarPubMed
15.Hagan, R., Bryan, A. C., Bryan, M. H., & Gulston, G.The effects of stabilisation of the rib cage on respiration in preterm infants. Pediatric Research, 1976, 10, 461 (Abstr. 959).Google Scholar
16.Hatch, D. J., Taylor, B. W., Glover, W. J., Cogswell, J. J., Battersby, E. F., & Kerr, A. A.Continuous positive airway pressure after open heart operations in infancy. Lancet, 1973, ii, 469–70.CrossRefGoogle Scholar
17.Jonzon, A., & Sedin, G.A low continuous positive airway pressure induces regular breathing and increased inspiratory activity in newborn lambs. Acta Physiologica Scandinavica, 1982, 115, 415–19.CrossRefGoogle ScholarPubMed
18.Menzel, K., & Vogtmann, Ch.Respiratorische Insuffizienz des Neugeborenen. In Medzel, K. (ed.), Neonatologische Intensivbetreuung. Leipzig: Georg Thieme, 1985.Google Scholar
19.Mockrin, L. D., & Bancalari, E.Early vs. delayed initiation of continuous negative pressure in infants with hyaline membrane disease. Journal of Pediatrics, 1979, 87, 596600.CrossRefGoogle Scholar
20.Newth, C. J. L., Reilly, B. J., & Swyer, P. R.Neonatal milk aspiration pneumonia—a possible additional use for continuous positive airway pressure. Critical Care Medicine, 1973, 1, 145–47.CrossRefGoogle ScholarPubMed
21.Norsted, T., Jonzon, A., & Sedin, G.Continuous positive airway pressure increases vagal and phrenic nerve activity in cats. Acta Anaesthesiologica Scandinavica, 1985, 29, 418–23.CrossRefGoogle ScholarPubMed
22.Kattwinkel, J., Nearman, H. S., Fanaroff, A. A., Katona, P. C., & Klaus, M. H.Apnea of prematurity. Comparative therapeutic effects of tactile stimulation and continuous positive airway pressure. Journal of Pediatrics, 1975, 86, 588652.CrossRefGoogle Scholar
23.Kattwinkel, J.Neonatal apnea: pathogenesis and therapy. Journal of Pediatrics, 1977, 90, 342–47.CrossRefGoogle ScholarPubMed
24.Roberton, N. R. C.Prolonged continuous positive airway pressure for pulmonary edema due to persistent ductus arteriosus in the newborn. Archives of Diseases in Childhood, 1974, 49, 585–87.CrossRefGoogle Scholar
25.Schlobohm, R. M., Falltrick, R. T., Quan, S. F., & Katz, J. A.Lung volumes, mechanics, and oxygenation during spontaneous positive-pressure ventilation: the advantage of CPAP over EPAP. Anesthesiology, 1981, 55, 416–22.CrossRefGoogle ScholarPubMed
26.Sedin, G.CPAP and mechanical ventilation. International Journal of Technology Assessment in Health Care, 1991, 7(Suppl. 1), 3140.CrossRefGoogle ScholarPubMed
27.Stern, L.Therapy of the respiratory distress syndrome. Pediatric Clinics of North America, 1972, 19, 221–40.CrossRefGoogle ScholarPubMed
28.Stewart, S., et al. Spontaneous breathing with continuous positive airway pressure after open intracardiac operations in infants. Journal of Thoracic Cardiovascular Surgery, 1973, 65, 3744.CrossRefGoogle ScholarPubMed
29.Sturgeon, L., Douglas, M., Downs, J., & Colonel, F.PEEP and CPAP: Cardiopulmonary effects during spontaneous ventilation. Anesthesia and Analgesia, 1977, 56, 633–41.CrossRefGoogle ScholarPubMed
30.Thibeault, D. W., Wong, M. M., & Auld, P. A. M.Thoracic gas volume changes in premature infants. Pediatrics, 1967, 40, 403411.CrossRefGoogle ScholarPubMed
31.Weinsten, M., Rice, C., Peters, R., & Virgilio, R.Hemodynamic and respiratory response to varying gradients between end-expiratory pressure and end-inspiratory pressure in patients breathing on continuous positive airway pressure. Journal of Trauma, 1978, 18, 231–35.CrossRefGoogle Scholar