The Journal of Pediatrics
Volume 154, Issue 5 , Pages 651-655 , May 2009

Effect of Lung Recruitment on Pulmonary, Systemic, and Ductal Blood Flow in Preterm Infants

  • Koert de Waal, MD

      Affiliations

    • Emma Children's Hospital AMC, Department of Neonatology, Amsterdam, The Netherlands
    • Corresponding Author InformationReprint requests: Dr Koert A. de Waal, Department of Neonatology, John Hunter Hospital, Lookout road, New Lambton NSW 3205, Australia
  • ,
  • Nick Evans, DM, MRCPCH

      Affiliations

    • Royal Prince Alfred Hospital, Newborn Care and University of Sydney, Sydney, Australia
  • ,
  • Johanna van der Lee, MD, PhD

      Affiliations

    • Royal Prince Alfred Hospital, Newborn Care and University of Sydney, Sydney, Australia
  • ,
  • Anton van Kaam, MD, PhD

      Affiliations

    • Department of Pediatric Clinical Epidemiology, Amsterdam, The Netherlands

Received 29 July 2008 ,Revised 26 November 2008 ,Accepted 8 January 2009.

References 

  1. Ammari A, Suri M, Milisavljevic V, Sahni R, Bateman D, Sanocka U, et al. Variables associated with the early failure of nasal CPAP in very low birth weight infants. J Pediatr. 2005;147:341–347
  2. Clark RH, Gerstmann DR, Jobe AH, Moffitt ST, Slutsky AS, Yoder BA. Lung injury in neonates: causes, strategies for prevention, and long-term consequences. J Pediatr. 2001;139:478–486
  3. Horbar JD, Badger GJ, Carpenter JH, Fanaroff AA, Kilpatrick S, LaCorte M, et al. Members of the Vermont Oxford Network (Trends in mortality and morbidity for very low birth weight infants, 1991-1999). Pediatrics. 2002;110:143–151
  4. Henderson-Smart DJ, Cools F, Bhuta T, Offringa M. Elective high frequency oscillatory ventilation versus conventional ventilation for acute pulmonary dysfunction in preterm infants. Cochrane Database Syst Rev. 2007;18:CD000104
  5. van Kaam AH, Rimensberger PC. Lung-protective ventilation strategies in neonatology: what do we know: what do we need to know?. Crit Care Med. 2007;35:925–931
  6. McCulloch PR, Forkert PG, Froese AB. Lung volume maintenance prevents lung injury during high frequency oscillatory ventilation in surfactant-deficient rabbits. Am Rev Respir Dis. 1988;137:1185–1192
  7. De Jaegere A, van Veenendaal MB, Michiels A, van Kaam AH. Lung recruitment using oxygenation during open lung high-frequency ventilation in preterm infants. Am J Respir Crit Care Med. 2006;174:639–645
  8. Osborn DA, Evans N, Kluckow M. Hemodynamic and antecedent risk factors of early and late periventricular/intraventricular hemorrhage in premature infants. Pediatrics. 2003;112:33–39
  9. Hunt RW, Evans N, Rieger I, Kluckow M. Low superior vena cava flow and neurodevelopment at 3 years in very preterm infants. J Pediatr. 2004;145:588–592
  10. Osborn DA, Evans N. Randomized trial of high-frequency oscillatory ventilation versus conventional ventilation: effect on systemic blood flow in very preterm infants. J Pediatr. 2003;143:192–198
  11. Cambonie G, Guillaumont S, Luc F, Vergnes C, Milesi C, Voisin M. Haemodynamic features during high-frequency oscillatory ventilation in preterms. Acta Paediatr. 2003;92:1068–1073
  12. Evans N, Kluckow M. Early determinants of right and left ventricular output in ventilated preterm infants. Arch Dis Child Fetal Neonatal Ed. 1996;74:F88–F94
  13. Kluckow M, Evans N. Superior vena cava flow in newborn infants: a novel marker of systemic blood flow. Arch Dis Child Fetal Neonatal Ed. 2000;82:F182–F187
  14. Musewe NN, Smallhorn JF, Benson LN, Burrows PE, Freedom RM. Validation of Doppler-derived pulmonary arterial pressure in patients with ductus arteriosus under different hemodynamic states. Circulation. 1987;76:1081–1091
  15. Phillipos EZ, Robertson MA, Byrne PJ. Serial assessment of ductus arteriosus hemodynamics in hyaline membrane disease. Pediatrics. 1996;98:1149–1153
  16. Courtney SE, Durand DJ, Asselin JM, Hudak ML, Aschner JL, Shoemaker CT Neonatal Ventilation Study Group. High-frequency oscillatory ventilation versus conventional mechanical ventilation for very-low-birth-weight infants. N Engl J Med. 2002;347:643–652
  17. Pinsky MR. The hemodynamic consequences of mechanical ventilation: an evolving story. Intensive Care Med. 1997;23:493–503
  18. Steingrub JS, Tidswell M, Higgins TL. Hemodynamic consequences of heart-lung interactions. J Intensive Care Med. 2003;18:92–99
  19. Jardin F, Vieillard-Baron A. Right ventricular function and positive pressure ventilation in clinical practice: from hemodynamic subsets to respirator settings. Intensive Care Med. 2003;29:1426–1434
  20. Reller MD, Morton MJ, Reid DL, Thornburg KL. Fetal lamb ventricles respond differently to filling and arterial pressures and to in utero ventilation. Pediatr Res. 1987;22:621–626
  21. Pinsky MR. Cardiovascular issues in respiratory care. Chest. 2005;128:592S–597S
  22. Hausdorf G, Hellwege HH. Influence of positive end-expiratory pressure on cardiac performance in premature infants: a Doppler-echocardiographic study. Crit Care Med. 1987;15:661–664
  23. de Waal KA, Evans N, Osborn DA, Kluckow M. Cardiorespiratory effects of changes in end expiratory pressure in ventilated newborns. Arch Dis Child Fetal Neonatal Ed. 2007;92:F444–F448
  24. Walther FJ, Benders MJ, Leighton JO. Persistent pulmonary hypertension in premature neonates with severe respiratory distress syndrome. Pediatrics. 1992;90:899–904

 The authors declare no potential conflicts of interest.

PII: S0022-3476(09)00013-4

doi: 10.1016/j.jpeds.2009.01.012

The Journal of Pediatrics
Volume 154, Issue 5 , Pages 651-655 , May 2009