Skip to main content

Pulmonary Function Testing in Sick, Preterm Infants

  • Chapter
Intensive Care in Childhood

Part of the book series: Update in Intensive Care and Emergency Medicine ((UICM,volume 25))

  • 153 Accesses

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.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Greenough A, Roberton NRC (1985) Morbidity and survival in neonates ventilated for the respiratory distress syndrome. Br Med J 290:597–600.

    Article  CAS  Google Scholar 

  2. Wariyar U, Richmond S, Hey E (1989) Pregnancy outcome at 24–31 weeks’ gestation: neonatal survivors. Arch Dis Child 64:678–686.

    Article  PubMed  CAS  Google Scholar 

  3. Hyde I, English RE, Williams JD (1989) The changing pattern of chronic lung disease in prematurity. Arch Dis Child 64:448–451.

    Article  PubMed  CAS  Google Scholar 

  4. 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.

    Article  PubMed  Google Scholar 

  5. 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.

    Google Scholar 

  6. Hjalmarson O (1974) Mechanics of breathing in newborn infants with pulmonary disease. II. Theoretical considerations and methods. Acta Paediatr Scand [Suppl] 247:6–25.

    Article  Google Scholar 

  7. 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.

    Google Scholar 

  8. 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.

    PubMed  CAS  Google Scholar 

  9. Mortola J, Fisher J T, Smith B, Fox G, Weeks S (1982) Dynamics of breathing in infants. J Appl Physiol 52(5):1209–1215.

    PubMed  CAS  Google Scholar 

  10. Louef PN, England SJ Bryan CA (1984) Passive respiratory mechanics in newborns and children. Am Rev Respir Dis 129:552–556.

    Google Scholar 

  11. 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.

    Google Scholar 

  12. 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.

    Article  PubMed  CAS  Google Scholar 

  13. 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.

    PubMed  CAS  Google Scholar 

  14. Gerhardt T, Bancalari E (1980) Chestwall compliance in full-term and premature infants. Acta Paediatr Scand 69:359–364.

    Article  PubMed  CAS  Google Scholar 

  15. Helms P (1982) Problems with Plethysmographie estimation of lung volume in infants and young children J Appl Physiol 53:698–702.

    PubMed  CAS  Google Scholar 

  16. Hatch DJ (1978) Tracheal tubes and connectors used in neonates — dimensions and resistance to breathing. Br J Anaesth 50:959–964.

    Article  PubMed  CAS  Google Scholar 

  17. 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.

    PubMed  CAS  Google Scholar 

  18. Deakers TW, Reynolds G, Stretton M, Newth CJL (1994) Cuffed endotracheal tubes in pediatric intensive care. J Pediatr 125:57–62.

    Article  PubMed  CAS  Google Scholar 

  19. Baboolal R, Kirpalani H (1990) Measuring on-line compliance in ventilated infants using hot wire anemometry. Crit Care Med 18:1070–1072.

    Article  PubMed  CAS  Google Scholar 

  20. Milner AD (1970) The respiratory jacket. A new method for measuring respiration. Lancet 2:80–81.

    Article  Google Scholar 

  21. 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.

    PubMed  CAS  Google Scholar 

  22. Sandberg K, Sjöqvist BA, Hjalmarson O, Olsson T (1984) Analysis of alveolar ventilation in the newborn. Arch Dis Child 59:542–547.

    Article  PubMed  CAS  Google Scholar 

  23. 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.

    Article  PubMed  CAS  Google Scholar 

  24. 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.

    Article  PubMed  CAS  Google Scholar 

  25. Heidt GP, Peters RM (1978) A simplified method to determine functional residual capacity during mechanical ventilation. Chest 74:492–496.

    Article  Google Scholar 

  26. 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.

    PubMed  Google Scholar 

  27. 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.

    PubMed  CAS  Google Scholar 

  28. 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.

    Article  PubMed  CAS  Google Scholar 

  29. Sjôqvist BA, Sandberg K, Hjalmarson O, Olsson T (1986) Method for analyzing multiple breath nitrogen washouts. Med Biol Eng Comput 24:83–90.

    Article  PubMed  Google Scholar 

  30. Walther FJ, Benders MJ, Leighton JO (1992) Persistent pulmonary hypertension in premature neonates with with severe respiratory distress syndrome. Pediatrics 90:899–904.

    PubMed  CAS  Google Scholar 

  31. 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.

    Article  PubMed  CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints 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

Publish with us

Policies and ethics