当前位置： SCI文献检索 > JOURNAL OF PEDIATRIC SURGERY期刊下所有文献 > High-frequency ventilation at rates of 375 to 1800 cycles per minute in four neonates with congenital diaphragmatic hernia.

High-frequency ventilation at rates of 375 to 1800 cycles per minute in four neonates with congenital diaphragmatic hernia.

Abstract：

:Neonates with congenital diaphragmatic hernias (CDH) often die because of pulmonary hypoplasia and high pulmonary vascular resistance (PVR). Pulmonary hypertension and right-to-left shunting precedes progressive hypoxia and death. PVR is increased by acidosis and by high airway pressures. High-frequency oscillation (HFO) is a new technique which may improve the outcome for such infants. Gas exchange in HFO is achieved by directing rapid pulsations of small volumes of gas down the trachea, typically at rates greater than 200 cycles per minute, volumes less than 25% of dead space, and low airway pressures. Gas transport results from augmented diffusion, not from bulk flow. Four neonates with CDH deteriorated on conventional mechanical ventilation and required hand ventilation at rates above 200 per minute. HFO at frequencies from 375 to 1800 cycles per minute was then initiated using a flow-interrupter type of oscillator. A marked fall in PaCO2 and a rise in pH resulted. The elimination of CO2 was very efficient with low mean airway pressures (less than 15 mm Hg). The initial improvement during HFO probably resulted from a decrease in PVR due to reversal of the acidosis. However, all four babies died after 13 to 80 hours of HFO. Neonates with CDH who remain hypercapneic despite conventional mechanical ventilation can be successfully ventilated by HFO. Use of HFO produces respiratory alkalosis which may stabilize PVR in the normal range and improve survival rate.

journal_name

J Pediatr Surg

journal_title

Journal of pediatric surgery

authors

Karl SR,Ballantine TV,Snider MT

doi

10.1016/s0022-3468(83)80030-x

subject

Has Abstract

pub_date

1983-12-01 00:00:00

pages

822-8

issue

6

eissn

0022-3468

issn

1531-5037

pii

S0022346883001530

journal_volume

18

pub_type

杂志文章

相关文献

JOURNAL OF PEDIATRIC SURGERY文献大全
  • Life-threatening complications and mortality of minimally invasive pectus surgery.

    abstract：:The prevalence and type of life-threatening complications related to the minimally invasive repair of pectus excavatum (MIRPE) and bar removal are unknown and underreported. The purpose of this communication is to make surgeons aware of the risk of these life threatening complications as well as the modifications whic...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章,评审

    doi：10.1016/j.jpedsurg.2017.07.020

    authors： Hebra A,Kelly RE,Ferro MM,Yüksel M,Campos JRM,Nuss D

    更新日期：2018-04-01 00:00:00

  • Occult, life-threatening, cardial tumor in syndactylism in Gorlin Goltz syndrome.

    abstract：:Pediatric, orthopedic, plastic, and hand surgeons perform the surgical correction of syndactylism. It is sometimes forgotten, however, that syndactylism can be part of a syndrome. The components of such a syndrome can each be life threatening. A 7-month-old boy was hospitalized for correction of cutaneous syndactylism...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/j.jpedsurg.2004.06.042

    authors： Doede T,Seidel J,Riede FT,Vogt L,Mohr FW,Schier F

    更新日期：2004-10-01 00:00:00

  • Lumbocostovertebral syndrome with associated VACTERL anomaly.

    abstract：:Lumbocostovertebral syndrome is a rare clinical association syndrome rarely accompanied by associated VACTERL anomalies. Only one similar case has been reported previously. We describe the second case, where a male neonate born at 38 weeks of gestation had an unusually high number of congenital anomalies including tho...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/j.jpedsurg.2010.06.005

    authors： Lyngdoh TS,Mahalik S,Naredi B,Samujh R,Khanna S

    更新日期：2010-09-01 00:00:00

  • Diagnosis of spontaneous perforation of the biliary tract in the newborn.

    abstract：:This report is of a 2-month-old child with spontaneous perforation of the common bile duct diagnosed by 99m-Tc disofenin nuclear hepatobiliary imaging. Of the agents available, the radiopharmaceutical properties of this compound allow the most accurate, safe, high-resolution imaging of the hepatobiliary tree in the di...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/0022-3468(86)90027-8

    authors： Kolbe A,Beaver BL,Rosenbaum R,Hill JL

    更新日期：1986-12-01 00:00:00

  • Inhibiting hydrogen sulfide production in umbilical stem cells reduces their protective effects during experimental necrotizing enterocolitis.

    abstract：INTRODUCTION:Umbilical mesenchymal stem cells (USC) have been shown to reduce illness in animal models of necrotizing enterocolitis (NEC), possibly through the paracrine release of hydrogen sulfide (H2S). We hypothesized that animals treated with USCs with inhibited H2S synthesis would exhibit more severe disease. MET...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/j.jpedsurg.2019.02.037

    authors： Drucker NA,Te Winkel JP,Shelley WC,Olson KR,Markel TA

    更新日期：2019-06-01 00:00:00

  • Peptidergic innervation in infantile hypertrophic pyloric stenosis.

    abstract：:The gastrointestinal tract harbors several populations of peptide containing nerve fibers. Among the gut neuropeptides are vasoactive intestinal peptide (VIP), substance P, enkephalin, and gastrin releasing peptide (GRP). We have examined specimens from five patients with pyloric stenosis and from five controls immuno...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/s0022-3468(86)80189-0

    authors： Malmfors G,Sundler F

    更新日期：1986-04-01 00:00:00

  • Ovarian tumors in relapsing acute lymphoblastic leukemia: a review of 23 cases.

    abstract：:Five cases of relapsing acute lymphocytic leukemia (ALL) presenting as an ovarian tumor have been treated at this institution, representing the largest reported series. In a review of the literature we identified 18 additional cases of ovarian leukemic relapse. Together, these 23 patients form the basis for this repor...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章,评审

    doi：10.1016/0022-3468(91)90430-2

    authors： Pais RC,Kim TH,Zwiren GT,Ragab AH

    更新日期：1991-01-01 00:00:00

  • Right congenital diaphragmatic hernia: an 18-year experience.

    abstract：BACKGROUND:Prenatal diagnosis and outcome of right congenital diaphragmatic hernia (RCDH) are far less well known than the more common left CDH (LCDH). In addition, onset of RCDH beyond the neonatal period with a spectrum of atypical symptoms is not unusual. A retrospective analysis of RCDH treated at a single center o...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/j.jpedsurg.2006.10.044

    authors： Midrio P,Gobbi D,Baldo V,Gamba P

    更新日期：2007-03-01 00:00:00

  • Regional reduction in intestinal neuroendocrine cell populations in enterocolitis complicating Hirschsprung's disease.

    abstract：:Enterocolitis (EC) remains the most serious complication of Hirschsprung's disease (HD). The aetiology of EC is uncertain. Ischemic and bacterial causes, and recently rotavirus infection, have been suggested to explain the occurrence of EC. The gut has an abundance of neuroendocrine (NE) cells which modulate gut funct...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/0022-3468(93)90520-u

    authors： Soeda J,O'Briain DS,Puri P

    更新日期：1993-08-01 00:00:00

  • A new incision for penile surgery.

    abstract：:An original incision has been developed for surgery of the penis. The incision can be used as an alternative to the shaft skin retraction technique. The advantage of the new incision is that one can avoid suture lines on the penis and their accompanying complications. ...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/s0022-3468(81)80825-1

    authors： Feins NR

    更新日期：1981-12-01 00:00:00

  • Secretion and expression of epithelial markers supports the biliary origin of solitary nonparasitic cyst of the liver in infancy.

    abstract：:Solitary nonparasitic cyst of the liver (SNPCL) is rare in children. Although there are several hypotheses regarding the pathogenesis, the true origin of SNPCL remains unknown. The authors present an infant with a huge SNPCL in whom the epithelial markers, CA19-9, DU-PAN-2, and SPan-1, were elevated in the serum and c...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/j.jpedsurg.2005.08.039

    authors： Otani Y,Takayasu H,Ishimaru Y,Okamura K,Yamagishi J,Ikeda H

    更新日期：2005-12-01 00:00:00

  • The newborn piglet: a model of neonatal gastrointestinal motility.

    abstract：:Small intestinal myoelectric activity has been studied extensively in adult humans and in many animal models. However, little is known about gut myoelectrical activity in newborns, a population susceptible to primary and secondary motility disorders. We report the development of a chronic neonatal piglet model for ass...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/0022-3468(90)90075-k

    authors： Groner JI,Altschuler SM,Ziegler MM

    更新日期：1990-03-01 00:00:00

  • Evaluation of esophageal motility and reflux in children treated for esophageal atresia with the use of combined multichannel intraluminal impedance and pH monitoring.

    abstract：BACKGROUND:Gastroesophageal reflux (GER) and dysmotility are frequent in patients treated for esophageal atresia (EA). This aim of this study is to evaluate GER and dysmotility in young EA patients using pH-multichannel intraluminal impedance (pH-MII). METHODS:Fifteen patients with a mean age of 7.5 years (group 1) ha...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/j.jpedsurg.2010.08.012

    authors： Di Pace MR,Caruso AM,Catalano P,Casuccio A,Cimador M,De Grazia E

    更新日期：2011-03-01 00:00:00

  • Precocious puberty because of a pancreatic neuroectodermal tumor.

    abstract：:Primitive neuroectodermal tumors (PNETs) are uncommon, representing approximately 1% of all sarcomas. Pancreatic PNETs have been reported only 12 times in the literature. This report presents the first case of a patient with a PNET exhibiting precocious puberty. The clinical presentation, surgical management, and path...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/j.jpedsurg.2006.05.046

    authors： Schutte WP,Knight PJ

    更新日期：2006-11-01 00:00:00

  • Prehospital triage in the injured pediatric patient.

    abstract：BACKGROUND/PURPOSE:Identifying major trauma patients in the prehospital setting is essential in determining management, destination, and best utilization of emergency department resources. Few methods of trauma triage have been accepted unanimously. This study prospectively evaluates the efficacy of comprehensive field...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/s0022-3468(00)80019-6

    authors： Engum SA,Mitchell MK,Scherer LR,Gomez G,Jacobson L,Solotkin K,Grosfeld JL

    更新日期：2000-01-01 00:00:00

  • Laparoscopic inguinal hernia repair does not impair testicular perfusion.

    abstract：BACKGROUND:Laparoscopic inguinal hernia repair techniques close the internal ring with a suture. Concern has been raised whether or not the testicular vessels are compromised with this technique. This study was undertaken to evaluate pre- and postoperative testicular perfusion and to compare it with healthy controls. ...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/j.jpedsurg.2007.09.033

    authors： Schier F,Turial S,Hückstädt T,Klein KU,Wannik T

    更新日期：2008-01-01 00:00:00

  • Bilateral staged versus bilateral simultaneous thoracotomy in the pediatric population.

    abstract：AIM:The aim of the study was to evaluate the safety and outcomes of simultaneous bilateral thoracotomy in pediatric patients compared with traditional bilateral staged thoracotomy. METHODS:This is a retrospective review of 30 consecutive patients 18 years or younger undergoing either bilateral staged or bilateral simu...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/j.jpedsurg.2005.12.003

    authors： Zarroug AE,Hamner CE,Pham TH,Houghton SG,Stavlo P,Moir CR,Rodeberg DA

    更新日期：2006-04-01 00:00:00

  • North American pediatric surgery fellows' preparedness for humanitarian surgery.

    abstract：INTRODUCTION:The overwhelming burden of pediatric surgical need in humanitarian settings has prompted mutual interest between humanitarian organizations and pediatric surgeons. To assess adequate fit, we correlated pediatric surgery fellowship case mix and load with acute pediatric surgical relief efforts in conflict a...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/j.jpedsurg.2019.11.012

    authors： Traynor MD Jr,Trelles M,Hernandez MC,Dominguez LB,Kushner AL,Rivera M,Zielinski MD,Moir CR

    更新日期：2020-10-01 00:00:00

  • Pretreatment with edaravone reduces lung mitochondrial damage in an infant rabbit ischemia-reperfusion model.

    abstract：PURPOSE:Free radical scavenger edaravone has been approved as a new drug for treatment of stroke patients. The purpose of this study was to examine whether pretreatment with edaravone could attenuate ischemia-reperfusion (IR)-induced lung damage in infant rabbits. METHODS:New Zealand White rabbits (Experimental Animal...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/j.jpedsurg.2008.05.019

    authors： Qiu W,Gu H,Zheng L,Zhou J,Chen D,Chen Y

    更新日期：2008-11-01 00:00:00

  • The impact of children's hospital designation on outcomes in children with malrotation.

    abstract：BACKGROUND:The benefit of Ladd's procedure for malrotation at a Children's Hospital (CH) has not previously been established. Our aim was to characterize the potential variations in management and outcomes between CH and Non-Children's Hospitals (NCH) in the treatment of malrotation with Ladd's procedure. METHODS:Ther...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/j.jpedsurg.2014.08.011

    authors： Kulaylat AN,Hollenbeak CS,Engbrecht BW,Dillon PW,Safford SD

    更新日期：2015-03-01 00:00:00

  • Avoiding misdiagnosing neuroblastoma as Wilms tumor.

    abstract：PURPOSE:Although occasionally difficult, distinguishing abdominal neuroblastoma (NBL) from Wilms tumor (WT) at presentation is important, as surgical management differs significantly. We reviewed our 20-year experience (1987-2006) treating patients with NBL, focusing on those with an initial diagnosis of WT, to determi...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/j.jpedsurg.2008.02.047

    authors： Dickson PV,Sims TL,Streck CJ,McCarville MB,Santana VM,McGregor LM,Furman WL,Davidoff AM

    更新日期：2008-06-01 00:00:00

  • Experience of moral distress among pediatric surgery trainees.

    abstract：PURPOSE:The aim of this study was to identify and qualify the ethical dilemmas faced by pediatric surgery trainees. METHODS:An online survey was sent to pediatric surgery trainees graduating between 2005 and 2008. Consent was obtained, and study investigators were blinded to the identity of the respondents during data...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/j.jpedsurg.2008.02.016

    authors： Chiu PP,Hilliard RI,Azzie G,Fecteau A

    更新日期：2008-06-01 00:00:00

  • Venovenous versus venoarterial extracorporeal membrane oxygenation in congenital diaphragmatic hernia.

    abstract：BACKGROUND:Extracorporeal membrane oxygenation (ECMO) has a significant role as a final rescue modality in severe respiratory failure of the newborn with congenital diaphragmatic hernia (CDH). The objective of this study was to compare the efficiency of venovenous (VV) versus venoarterial (VA) ECMO in newborns with CDH...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/s0022-3468(03)00256-2

    authors： Kugelman A,Gangitano E,Pincros J,Tantivit P,Taschuk R,Durand M

    更新日期：2003-08-01 00:00:00

  • Castleman's disease in children.

    abstract：:A three and one-half-year-old girl and a 12-year-old boy presented with features of the two clinical presentations of Castleman's disease or giant lymph node hyperplasia. The girl presented with anemia, fever, night sweats, hypergammaglobulinemia, and a palpable abdominal mass. Her symptoms were consistent with those ...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/s0022-3468(86)80385-2

    authors： Powell RW,Lightsey AL,Thomas WJ,Marsh WL

    更新日期：1986-08-01 00:00:00

  • Esophageal motor function in congenital esophageal stenosis.

    abstract：BACKGROUND/PURPOSE:Congenital esophageal stenosis (CES) is a rare condition that is associated with various foregut symptoms. The aim of the current study was to investigate esophageal motor function in pediatric patients with isolated CES. METHODS:Four boys with CES (age, 3 weeks to 4 years old) were studied before t...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/j.jpedsurg.2003.08.020

    authors： Kawahara H,Oue T,Okuyama H,Kubota A,Okada A

    更新日期：2003-12-01 00:00:00

  • Mandatory imaging in the work-up of children suspected of having appendicitis reduces the rate of unnecessary surgeries.

    abstract：OBJECTIVE:In children, the diagnosis “acute appendicitis” is difficult. In 2010, a new Dutch appendicitis guideline was published with the goal to reduce the negative appendectomy rate. The guideline recommended mandatory imaging (ultrasound first and CT or MRI when inconclusive) before surgery. This study examines whe...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/j.jpedsurg.2018.02.050

    authors： de Castro SMM,Geerdink TH,Macco S,van Veen RN,Jensch S,Vrouenraets BC

    更新日期：2018-10-01 00:00:00

  • Pediatric and adult renal transplants: a comparative study.

    abstract：:In order to compare the results of renal transplantation in pediatric and adult recipients, a retrospective analysis of first transplants done at a single institution over a 6-yr period was carried out. The study included 21 pediatric and 196 adult recipients of cadaveric grafts, and 18 pediatric and 156 adult recipie...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/s0022-3468(80)80140-0

    authors： Glass NR,Butt KM,Moel D,Kountz SL

    更新日期：1980-06-01 00:00:00

  • Sentinel lymph node biopsy for melanoma and other melanocytic tumors in adolescents.

    abstract：BACKGROUND/PURPOSE:Melanoma is rare, accounting for only 1% of all pediatric malignancies. The management of pediatric melanoma is controversial but largely parallels that of an adult occurrence. Sentinel lymph node biopsy (SLNBX) has become a standard of care for adults with melanoma, but the role of this procedure in...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/j.jpedsurg.2004.09.022

    authors： Roaten JB,Partrick DA,Pearlman N,Gonzalez RJ,Gonzalez R,McCarter MD

    更新日期：2005-01-01 00:00:00

  • A comparative study of laparoscopy-assisted pull-through and open pull-through for Hirschsprung's disease with special reference to postoperative fecal continence.

    abstract：AIM:The objective of this study is to compare laparoscopy-assisted pull-through (LPT) and open pull-through (OPT) for Hirschsprung's disease with special reference to postoperative fecal continence. METHODS:Thirteen OPT patients (1991-1996) were reviewed retrospectively, and 22 LPT (1997-2002) were reviewed prospectiv...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/j.jpedsurg.2007.08.033

    authors： Fujiwara N,Kaneyama K,Okazaki T,Lane GJ,Kato Y,Kobayashi H,Yamataka A

    更新日期：2007-12-01 00:00:00

  • Reduced expression of aquaporin 5 water channel in nitrofen-induced hypoplastic lung with congenital diaphragmatic hernia rat model.

    abstract：PURPOSE:Pulmonary hypoplasia remains the principal cause of high morbidity and mortality in patients with congenital diaphragmatic hernia (CDH). The precise mechanisms causing lung hypoplasia remains unclear. Aquaporins (AQPs) are reported to constitute a family of water channels that facilitate membrane water permeabi...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/j.jpedsurg.2006.10.029

    authors： Takayasu H,Nakazawa N,Montedonico S,Puri P

    更新日期：2007-02-01 00:00:00