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신생아 환기의 새로운 양식들

New Modes of Ventilation for Neonates

손동우
대한신생아학회 (THE KOREAN SOCIETY OF NEONATOLOGY)|2012.11|Neonatal medicine|제19권 제4호|pp. 165-183

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참고문헌

키워드

Neonatal intensive care unitsPremature infantsBronchopulmonary dysplasiaTidal volumeContinuous positive airway pressure/methodsMechanical ventilators/methodsNeonatal respiratory distress syndrome/therapy

초록

Many premature infants require mechanical ventilatory support and oxygen supply. Because they have immature lungs, these ventilator supports contribute to the development of ventilator induced lung injury, which causes the development of bronchopulmonary dysplasia (BPD) in large portion. Recent meta-analysis reported that the volume-targeted ventilation reduced the development of BPD and death. Non-invasive ventilator support also can reduce the adverse effects associated with intubation and mechanical ventilatory support. The technological advancements, including microprocessors, enhance the development of new devices with new modes of ventilatory support. A lot of limits and demerits of conventional ventilatory support obviously inspired the thoughts of new modes of ventilatory support. In this article, new modes of ventilatory support for neonates, as well as conventional modes,are introduced in the hope of adopting strategies with evidences efficiently.

Abstract

Many premature infants require mechanical ventilatory support and oxygen supply. Because they have immature lungs, these ventilator supports contribute to the development of ventilator induced lung injury, which causes the development of bronchopulmonary dysplasia (BPD) in large portion. Recent meta-analysis reported that the volume-targeted ventilation reduced the development of BPD and death. Non-invasive ventilator support also can reduce the adverse effects associated with intubation and mechanical ventilatory support. The technological advancements, including microprocessors, enhance the development of new devices with new modes of ventilatory support. A lot of limits and demerits of conventional ventilatory support obviously inspired the thoughts of new modes of ventilatory support. In this article, new modes of ventilatory support for neonates, as well as conventional modes,are introduced in the hope of adopting strategies with evidences efficiently.

참고문헌 (46)

  1. McCallion N, "Volume-targeted versus pressure-limited ventilation in the neonate", Cochrane Database Syst Rev, (3), pp.003666~ (2005)
  2. Wheeler K, "Volume-targeted versus pressure-limited ventilation in the neonate", Cochrane Database Syst Rev, (11), pp.003666~ (2010)
  3. Bhandari V, "Synchronized nasal intermittent positive-pressure ventilation and neonatal outcomes", Pediatrics, 124, pp.517~526 (2009)
  4. Son DW, "Goal of mechanical ventilation, In Concept of Mechanical Ventilation", pp.11~15 (2011), Korean Medical Books
  5. Sant'anna GM, "Developing a neonatal unit ventilation protocol for the preterm baby", Early Hum Dev (2012)[DOI]
  6. Carlo WA, "Gentle ventilation: the new evidence from the SUPPORT, COIN, VON, CURPAP, Colombian Network, and Neocosur Network trials", Early Hum Dev, 88(2), pp.S81~S83 (2012)
  7. Keszler M, "State of the art in conventional mechanical ventilation", J Perinatol, 29, pp.262~275 (2009)
  8. Dimitriou G, "Comparison of airway pressure and airflow triggering systems using a single type of neonatal ventilator", Acta Paediatr, 90, pp.445~447 (2001)
  9. Lee J, "Randomized crossover study of neurally adjusted ventilatory assist in preterm infants", J Pediatr, 161, pp.803~ (2012)
  10. Hummler H, "New and alternative modes of mechanical ventilation in neonates", Semin Fetal Neonatal Med, 14, pp.42~48 (2009)
  11. Schulze A, "Randomized crossover comparison of proportional assist ventilation and patient-triggered ventilation in extremely low birth weight infants with evolving chronic lung disease", Neonatology, 92, pp.1~7 (2007)
  12. Herber-Jonat S, "Adaptive mechanical backup ventilation for preterm infants on respiratory assist modes - a pilot study", Intensive Care Med, 32, pp.302~308 (2006)
  13. Cho K, "The difference between PSV and PAV, In Respiratory care of the neonate", pp.114~115 (2010), Medica Shuppan
  14. Schulze A, "Proportional assist ventilation in low birth weight infants with acute respiratory disease: A comparison to assist", control and conventional mechanical ventilation, 1999, pp.135, 339~344
  15. Sinderby C, "Voluntary activation of the human diaphragm in health and disease", J Appl Physiol, 85, pp.2146~2158 (1998)
  16. Sinderby C, "Inspiratory muscle unloading by neurally adjusted ventilatory assist during maximal inspiratory efforts in healthy subjects", Chest, 131, pp.711~717 (2007)
  17. Luyt K, "Randomised study comparing extent of hypocarbia in preterm infants during conventional and patient triggered ventilation", Arch Dis Child Fetal Neonatal Ed, 84, pp.14~17 (2001)
  18. Dreyfuss D, "Ventilator-induced lung injury: lessons from experimental studies", Am J Respir Crit Care Med, 157, pp.294~323 (1998)
  19. Claure N, "Automated respiratory support in newborn infants", Semin Fetal Neonatal Med, 14, pp.35~41 (2009)
  20. Claure N, "Computer- controlled minute ventilation in preterm infants undergoing mechanical ventilation", J Pediatr, 131, pp.910~913 (1997)
  21. Cho K, "New neonatal ventilators", J Pediatr Pract, 75, pp.1491~1496 (2012)
  22. Claure N, "Targeted minute ventilation and tidal volume in an animal model of acute changes in lung mechanics and episodes of hypoxemia", Neonatology, 95, pp.132~140 (2009)
  23. Wu CP, "Correlation between the %MinVol setting and work of breathing during adaptive support ventilation in patients with respiratory failure", Respir Care, 55, pp.334~341 (2010)
  24. Stock MC, "Airway pressure release ventilation", Crit Care Med, 15, pp.462~466 (1987)
  25. Daoud EG, "Airway pressure release ventilation: what do we know?", Respir Care, 57, pp.282~292 (2012)
  26. Watabe S, "Is APRV effective for infants with acute respiratory distress syndrome in NICU?", Proceedings of the Hot topics in Neonatology Conference, pp.428~429 (2010), Hottopics
  27. Ramanathan R, "Nasal respiratory support through the nares: its time has come", J Perinatol, 30, pp.67~72 (2010)
  28. Morley CJ, "Nasal CPAP or intubation at birth for very preterm infants", N Engl J Med, 358, pp.700~708 (2008)
  29. Benveniste D, "A valve substitute with no moving parts, for artificial ventilation in newborn and small infants", Br J Anaesth, 40, pp.464~470 (1968)
  30. Karam O, "Noise levels during nCPAP are flow-dependent but not device-dependent", Arch Dis Child Fetal Neonatal Ed, 93, pp.132~134 (2008)
  31. Locke RG, "Inadvertent administration of positive end-distending pressure during nasal cannula flow", Pediatrics, 91, pp.135~138 (1993)
  32. Wilkinson D, "High flow nasal cannula for respiratory support in preterm infants", Cochrane Database Syst Rev, (5), pp.006405~ (2011)
  33. Stefanescu BM, "A randomized, controlled trial comparing two different continuous positive airway pressure systems for the successful extubation of extremely low birth weight infants", Pediatrics, 112, pp.1031~1038 (2003)
  34. Mahmoud RA, "Current methods of noninvasive ventilatory support for neonates", Paediatr Respir Rev, 12, pp.196~205 (2011)
  35. Davis PG, "Nasal intermittent positive pressure ventilation (NIPPV) versus nasal continuous positive airway pressure (NCPAP) for preterm neonates after extubation", Cochrane Database Syst Rev, (3), pp.003212~ (2001)
  36. Meneses J, "Nasal intermittent positivepressure ventilation vs nasal continuous positive airway pressure for preterm infants with respiratory distress syndrome: a systematic review and meta-analysis", Arch Pediatr Adolesc Med, 166, pp.372~376 (2012)
  37. Moretti C, "Comparing the effects of nasal synchronized intermittent positive pressure ventilation (nSIPPV) and nasal continuous positive airway pressure (nCPAP) after extubation in very low birth weight infants", Early Hum Dev, 56, pp.167~177 (1999)
  38. Aghai ZH, "Synchronized nasal intermittent positive pressure ventilation (SNIPPV) decreases work of breathing (WOB) in premature infants with respiratory distress syndrome (RDS) compared to nasal continuous positive airway pressure (NCPAP)", Pediatr Pulmonol, 41, pp.875~881 (2006)
  39. Moretti C, "Nasal flow-synchronized intermittent positive pressure ventilation to facilitate weaning in very low-birthweight infants: unmasked randomized controlled trial", Pediatr Int, 50, pp.85~91 (2008)
  40. Migliori C, "Nasal bilevel vs. continuous positive airway pressure in preterm infants", Pediatr Pulmonol, 40, pp.426~430 (2005)
  41. Pillow JJ, "Bubble continuous positive airway pressure enhances lung volume and gas exchange in preterm lambs", Am J Respir Crit Care Med, 176, pp.63~69 (2007)
  42. van der Hoeven M, "Nasal high frequency ventilation in neonates with moderate respiratory insufficiency", Arch Dis Child Fetal Neonatal Ed, 79, pp.61~63 (1998)
  43. Colaizy TT, "Nasal high-frequency ventilation for premature infants", Acta Paediatr, 97, pp.1518~1522 (2008)
  44. Ligi I, "Iatrogenic events in neonates: beneficial effects of prevention strategies and continuous monitoring", Pediatrics, 126, pp.1461~1468 (2010)
  45. Yamata Y, "Temperature and humidity of the ventilating gas, In Respiratory care of the neonate", pp.137~147 (2010), Medica Shuppan
  46. Sharma A, "Survey of neonatal respiratory support strategies", Acta Paediatr, 96, pp.1115~1117 (2007)

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