Abstract
Infants with very low birth weight (VLBW) and respiratory disease have dominated neonatal intensive care units during recent decades. However, the pattern of morbidity has changed lately, and both the severity of the lung disorders and the number of sick neonates are decreasing. Improved pre- and postnatal care with increased use of prenatal maternal steroid treatment, exogenous surfactant, improved ventilatory techniques and methods for extracorporeal gas exchange are factors that might contribute to the change in both morbidity and mortality of newborn infants.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Greenough A, Roberton NRC (1985) Morbidity and survival in neonates ventilated for the respiratory distress syndrome. Br Med J 290:597–600.
Wariyar U, Richmond S, Hey E (1989) Pregnancy outcome at 24–31 weeks’ gestation: neonatal survivors. Arch Dis Child 64:678–686.
Hyde I, English RE, Williams JD (1989) The changing pattern of chronic lung disease in prematurity. Arch Dis Child 64:448–451.
Van Lierde S, Cornelis A, Devlieger H, Moerman Ph, Lauweryns J, Eggermont E (1991) Different pattern of pulmonary sequelae after hyaline membrane disease: Heterogeneity of bronchopulmonary dysplasia? A clinicopathologic study. Biol Neonate 60:152–162.
Rodarte J R, Rehder K (1986) Dynamics of respiration. In “Handbook of Physiology. Section 3: The Respiratory System.” (Ed. Fishman AP) 111:131–144 American Physiological Society, Bethesda, MD 1986.
Hjalmarson O (1974) Mechanics of breathing in newborn infants with pulmonary disease. II. Theoretical considerations and methods. Acta Paediatr Scand [Suppl] 247:6–25.
Silberberg A R, Edberg K E, Sandberg K, Hjalmarson O (1991) Respiratory System Mechanics in Ventilated Newborn Infants: Evaluation of single compartment models. Technical Report 6:91 (1991), Laboratory of Medical Electronics, Chalmers University of Technology, Göteborg, Sweden.
Olinsky A, Bryan A C, Bryan MH (1976) A simple method of measuring total respiratory system compliance in newborn infants. S Afr Med J 50:128–130.
Mortola J, Fisher J T, Smith B, Fox G, Weeks S (1982) Dynamics of breathing in infants. J Appl Physiol 52(5):1209–1215.
Louef PN, England SJ Bryan CA (1984) Passive respiratory mechanics in newborns and children. Am Rev Respir Dis 129:552–556.
Louef PN, Lopez JM, England SJ, Bryan HM, Bryan CA (1983) Influence of chest wall distortion on esophageal pressure. J Appl Physiol 55:353–358.
Thomson A, Elliot J, Silverman M (1983) Pulmonary compliance in sick low birthweight infants. How reliable is the measurement of oesophageal pressure? Arch Dis Child 58:891–896.
Beardsmore CS, Stocks J, Silverman M (1983) Esophageal pressure in infants at elevated lung volumes and positive airway pressure. J Appl Physiol 55:377–382.
Gerhardt T, Bancalari E (1980) Chestwall compliance in full-term and premature infants. Acta Paediatr Scand 69:359–364.
Helms P (1982) Problems with Plethysmographie estimation of lung volume in infants and young children J Appl Physiol 53:698–702.
Hatch DJ (1978) Tracheal tubes and connectors used in neonates — dimensions and resistance to breathing. Br J Anaesth 50:959–964.
Brady JP, Deming DD, Mann EM (1985) Neonatal endotracheal flowmeter for tidal volume, airway pressure and end-tidal gas. J Appl Physiol 58:1023–1025.
Deakers TW, Reynolds G, Stretton M, Newth CJL (1994) Cuffed endotracheal tubes in pediatric intensive care. J Pediatr 125:57–62.
Baboolal R, Kirpalani H (1990) Measuring on-line compliance in ventilated infants using hot wire anemometry. Crit Care Med 18:1070–1072.
Milner AD (1970) The respiratory jacket. A new method for measuring respiration. Lancet 2:80–81.
Duffty P, Spriet L, Bryan MH, Bryan AC (1981) Respiratory induction plethysmography (Respitrace): an evaluation of its use in the infant. Am Rev Respir Dis 123:542–546.
Sandberg K, Sjöqvist BA, Hjalmarson O, Olsson T (1984) Analysis of alveolar ventilation in the newborn. Arch Dis Child 59:542–547.
Edberg KE, Sandberg K, Silberberg A, Sjöqvist BA, Hjalmarson O (1991) A Plethysmographie method for assessment of lung function in mechanically ventilated very low birth weight infants. Pediatr Res 30:501–504.
Schwartz JG, Fox WW, Shaffer TH (1978) A method for evaluation of functional residual capacity (FRC) in neonates with endotracheal tubes. IEEE Trans Biomed Eng 25:304–307.
Heidt GP, Peters RM (1978) A simplified method to determine functional residual capacity during mechanical ventilation. Chest 74:492–496.
Sjöqvist BA, Sandberg K, Hjalmarson O, Olsson T (1984) Calculation of lung volume in newborn infants by means of a computer-assisted nitrogen washout method. Pediatr Res 18:1160–1164.
Edberg KE, Sandberg K, Silberberg A, Ekstrôm-Jodal B, Hjalmarson O (1991) Lung volume, gas mixing and mechanics of breathing in mechanically ventilated very low birth weight infants with idiopathic respiratory distress syndrome. Pediatr Res 30:496–500.
Schulze A, Schaller P, Topfer A, Kirpalani H (1994) Measurement of functional residual capacity by sulfur hexafluoride in small-volume lungs during spontaneous breathing and mechanical ventilation. Pediatr Res 35:494–499.
Sjôqvist BA, Sandberg K, Hjalmarson O, Olsson T (1986) Method for analyzing multiple breath nitrogen washouts. Med Biol Eng Comput 24:83–90.
Walther FJ, Benders MJ, Leighton JO (1992) Persistent pulmonary hypertension in premature neonates with with severe respiratory distress syndrome. Pediatrics 90:899–904.
Bose CL, Lawson EE, Greene A, Mentz W, Friedman M (1986) Measurement of cardiopulmonary function in ventilated neonates with respiratory distress syndrome using re- breathing methodology. Pediat Res 20:316–320.
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1996 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Edberg, K.E. (1996). Pulmonary Function Testing in Sick, Preterm Infants. In: Tibboel, D., van der Voort, E. (eds) Intensive Care in Childhood. Update in Intensive Care and Emergency Medicine, vol 25. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-80227-0_36
Download citation
DOI: https://doi.org/10.1007/978-3-642-80227-0_36
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-80229-4
Online ISBN: 978-3-642-80227-0
eBook Packages: Springer Book Archive