dc.contributor.author |
Szakmár, Enikő |
|
dc.contributor.author |
Morley Colin J |
|
dc.contributor.author |
Belteki Gusztav |
|
dc.date.accessioned |
2019-03-27T14:31:46Z |
|
dc.date.available |
2019-03-27T14:31:46Z |
|
dc.date.issued |
2019 |
|
dc.identifier.citation |
journalVolume=39;journalIssueNumber=1;journalTitle=JOURNAL OF PERINATOLOGY;pagerange=72-79;journalAbbreviatedTitle=J PERINATOL; |
|
dc.identifier.uri |
http://repo.lib.semmelweis.hu//handle/123456789/6743 |
|
dc.identifier.uri |
doi:10.1038/s41372-018-0228-2 |
|
dc.description.abstract |
To report how peak inflating pressure (PIP), tidal volume (VT) and low-tidal volume alarms are affected by maximum allowed inflating pressure (Pmax) during volume guarantee (VG) ventilation.Ventilation data were analysed with 1 Hz sampling rate from 25 neonates receiving synchronised intermittent positive pressure ventilation with VG for >12 h.The difference between Pmax and PIP (Pdiff) ranged between 5 and 20 mbar (median = 11 mbar) despite a protocol to keep Pmax 5 mbar above the "working PIP". Pmax was reached in 5.2% of inflations. Computational modelling demonstrated that had Pdiff been kept at 5 mbar more consistently, >10% of inflations would have reached Pmax. The frequency of low-tidal volume alarms showed inverse correlation with Pdiff.It is difficult to implement a simple Pmax strategy due to variability of PIP. Setting Pmax close to the "working PIP" limits VT delivery and triggers frequent alarms. |
|
dc.format.extent |
72-79 |
|
dc.relation.ispartof |
urn:issn:0743-8346 |
|
dc.title |
Analysis of peak inflating pressure and inflating pressure limit during neonatal volume guaranteed ventilation |
|
dc.type |
Journal Article |
|
dc.date.updated |
2019-02-07T09:35:03Z |
|
dc.language.rfc3066 |
en |
|
dc.rights.holder |
NULL |
|
dc.identifier.mtmt |
30425703 |
|
dc.identifier.wos |
000453409800012 |
|
dc.identifier.pubmed |
30232377 |
|
dc.contributor.department |
SE/AOK/K/I. Sz. Gyermekgyógyászati Klinika |
|
dc.contributor.institution |
Semmelweis Egyetem |
|