Successful direct extubation of very low birth weight infants from low intermittent mandatory ventilation rate.

Abstract:

:It is common practice to use endotracheal continuous positive airway pressure for various time periods up to 24 hours before attempting extubation in infants who are mechanically ventilated. A few studies in newborns have indicated that airway resistance is increased through small endotracheal tubes. This increases the work of breathing and the likelihood of subsequent ventilatory failure. In this study, 27 very low birth weight infants who were 1/2 to 28 days old at the time of extubation were randomly divided into two groups. One group of 13 study infants were extubated directly from intermittent mandatory ventilation rates of six to ten per minute, and the other 14 control infants were placed on continuous positive airway pressure through endotracheal tubes for six hours prior to an attempt to extubate. There was no difference between the two groups in gestational age, postnatal age, weight, or severity of lung disease at the time of extubation. All 13 study infants were successfully extubated without significant apnea or respiratory acidosis. Of the 14 control infants, only seven were successfully extubated; six infants had significant apnea and in one infant respiratory acidosis with pH 7.13 and PCO2 65 developed while receiving continuous positive airway pressure (13/13 v 7/14, P less than .005). The seven infants who failed the preextubation trial of continuous positive airway pressure were later extubated from low intermittent mandatory ventilation rates without significant apnea or respiratory acidosis.(ABSTRACT TRUNCATED AT 250 WORDS)

journal_name

Pediatrics

journal_title

Pediatrics

authors

Kim EH,Boutwell WC

subject

Has Abstract

pub_date

1987-09-01 00:00:00

pages

409-14

issue

3

eissn

0031-4005

issn

1098-4275

journal_volume

80

pub_type

临床试验,杂志文章,随机对照试验
  • Delivery room decision-making for extremely preterm infants in Sweden.

    abstract:OBJECTIVE:To assess neonatologists' attitudes and practices regarding treatment of extremely preterm infants in the delivery room, particularly in response to parental wishes. STUDY DESIGN:Cross-sectional survey of all neonatologists in Sweden registered with the Swedish Pediatric Society. RESULTS:The response rate w...

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    pub_type: 杂志文章

    doi:10.1542/peds.2005-1885

    authors: Peerzada JM,Schollin J,Håkansson S

    更新日期:2006-06-01 00:00:00

  • Unrecognized human immunodeficiency virus type 1 infection in a cohort of transfused neonates: a retrospective investigation.

    abstract:OBJECTIVE:To retrospectively identify unrecognized human immunodeficiency virus type 1 (HIV-1) infection among a cohort of children transfused as neonates before donated blood was routinely screened for HIV-1 antibody. METHODS:Records at a large, private, metropolitan hospital were reviewed to identify children who we...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Lieb LE,Mundy TM,Goldfinger D,Pepkowitz SH,Brunell PA,Caldwell MB,Ward JW

    更新日期:1995-05-01 00:00:00

  • Injury patterns in obese versus nonobese children presenting to a pediatric emergency department.

    abstract:BACKGROUND:Two of the most prevalent problems facing youth in the United States are injury and obesity. Obesity increases the risk of injury, prolongs recovery time, and increases morbidity among injured children. OBJECTIVE:The purpose of this study was to compare characteristics of injuries between obese and nonobese...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2009-2367

    authors: Pomerantz WJ,Timm NL,Gittelman MA

    更新日期:2010-04-01 00:00:00

  • Trampoline Park and Home Trampoline Injuries.

    abstract:BACKGROUND AND OBJECTIVE:Trampoline parks, indoor recreational facilities with wall-to-wall trampolines, are increasing in number and popularity. The objective was to identify trends in emergency department visits for trampoline park injuries (TPIs) and compare TPI characteristics with home trampoline injuries (HTIs). ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2016-1236

    authors: Kasmire KE,Rogers SC,Sturm JJ

    更新日期:2016-09-01 00:00:00

  • Selective head cooling in newborn infants after perinatal asphyxia: a safety study.

    abstract:AIMS:To determine the practicality and safety of head cooling with mild or minimal systemic hypothermia in term neonates with moderate to severe hypoxic-ischemic encephalopathy. METHODS:Study group infants >/=37 weeks' gestation, who had an umbilical artery pH

    journal_title:Pediatrics

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1542/peds.102.4.885

    authors: Gunn AJ,Gluckman PD,Gunn TR

    更新日期:1998-10-01 00:00:00

  • Cigarette Tax Increase and Infant Mortality.

    abstract:BACKGROUND AND OBJECTIVE:Maternal smoking increases the risk for preterm birth, low birth weight, and sudden infant death syndrome, which are all causes of infant mortality. Our objective was to evaluate if changes in cigarette taxes and prices over time in the United States were associated with a decrease in infant mo...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2015-2901

    authors: Patrick SW,Warner KE,Pordes E,Davis MM

    更新日期:2016-01-01 00:00:00

  • Lupus nephritis: prognostic factors in children.

    abstract::As newer treatment modalities become available for patients with severe lupus nephritis, it becomes increasingly important to identify patients at risk for renal failure. In this study, the records of 90 children presenting with systemic lupus erythematosus over a 13-year period were reviewed. Nineteen were lost to fo...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: McCurdy DK,Lehman TJ,Bernstein B,Hanson V,King KK,Nadorra R,Landing BH

    更新日期:1992-02-01 00:00:00

  • Intrauterine rubella, head size, and intellect.

    abstract::The assumption that congenital rubella is commonly associated with microcephaly and mental retardation was examined. Among a rubella clinic population of 111 children, 92 children had vision sufficient to allow testing by the Leiter International Scale. The mean IQ for this group was 99.46 (SD, 19.5). Head circumferen...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Macfarlane DW,Boyd RD,Dodrill CB,Tufts E

    更新日期:1975-06-01 00:00:00

  • Intracranial pressure: monitoring and normalization therapy in children.

    abstract::The clinical course of 42 children with intracranial pressure monitoring was reviewed. Intracranial hypertension was documented in a variety of diagnostic categories. Therapy was titrated to maintain a baseline intracranial pressure of less than 15 torr (mm Hg), and to decrease the frequency of spontaneous and reactiv...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Mickell JJ,Reigel DH,Cook DR,Binda RE,Safar P

    更新日期:1977-04-01 00:00:00

  • Parent health and functioning 13 months after infant or child NICU/PICU death.

    abstract:BACKGROUND:After a child's death, parents may experience depression, posttraumatic stress disorder (PTSD), and increased risk for cancers, diabetes, psychiatric hospitalization, and suicide. Racial/ethnic differences are unknown. This longitudinal study investigated health and functioning of Hispanic, black, and white ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2013-1194

    authors: Youngblut JM,Brooten D,Cantwell GP,del Moral T,Totapally B

    更新日期:2013-11-01 00:00:00

  • The efficacy of motivational interviewing versus brief advice for adolescent smoking behavior change.

    abstract:OBJECTIVE:In this study we sought to evaluate the efficacy of motivational interviewing (MI) compared with structured brief advice (SBA) for adolescent smoking behavior change. METHODS:Participants (N=355) were randomly assigned to 5 sessions of either MI or SBA. The primary outcomes were attempts to reduce and to qui...

    journal_title:Pediatrics

    pub_type: 杂志文章,随机对照试验

    doi:10.1542/peds.2010-2174

    authors: Audrain-McGovern J,Stevens S,Murray PJ,Kinsman S,Zuckoff A,Pletcher J,Moss D,Baumritter A,Kalkhuis-Beam S,Carlson E,Rodriguez D,Wileyto EP

    更新日期:2011-07-01 00:00:00

  • Infant acceptance of breast milk after maternal exercise.

    abstract:OBJECTIVE:Previous research reported that breast milk lactic acid (LA) levels increase after lactating women complete a bout of exhaustive exercise, resulting in poor infant acceptance of the postexercise breast milk. This highly publicized finding may not apply to more practical, everyday exercise conditions of lactat...

    journal_title:Pediatrics

    pub_type: 临床试验,杂志文章

    doi:10.1542/peds.109.4.585

    authors: Wright KS,Quinn TJ,Carey GB

    更新日期:2002-04-01 00:00:00

  • The hair collar sign: marker for cranial dysraphism.

    abstract:OBJECTIVE:To call attention to a cutaneous marker for neural tube closure defects of the scalp, the "hair collar" sign. This finding consists of a ring of long, dark, coarse hair surrounding a midline scalp nodule. METHODS AND RESULTS:Four children with small congenital scalp nodules and the hair collar sign were stud...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Drolet BA,Clowry L Jr,McTigue MK,Esterly NB

    更新日期:1995-08-01 00:00:00

  • Erratic absorption of a slow-release theophylline sprinkle product.

    abstract::The bioavailability and absorption pattern of theophylline from a slow-release theophylline sprinkle preparation were investigated in 12 asthmatic children both in fasting conditions and after a standardized meal. Theophylline given intravenously was used as a reference. Theophylline from the slow-release theophylline...

    journal_title:Pediatrics

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Pedersen S,Møller-Petersen J

    更新日期:1984-10-01 00:00:00

  • External Validation of the PediBIRN Clinical Prediction Rule for Abusive Head Trauma.

    abstract:BACKGROUND AND OBJECTIVES:A 4-variable abusive head trauma (AHT) clinical prediction rule (CPR) for use in the PICU was derived and validated for children <3 years of age by the Pediatric Brain Injury Research Network (PediBIRN). We aimed to externally validate PediBIRN as designed (PICU only) as well as using broader ...

    journal_title:Pediatrics

    pub_type: 杂志文章,多中心研究

    doi:10.1542/peds.2017-3674

    authors: Pfeiffer H,Smith A,Kemp AM,Cowley LE,Cheek JA,Dalziel SR,Borland ML,O'Brien S,Bonisch M,Neutze J,Oakley E,Crowe L,Hearps SJC,Lyttle MD,Bressan S,Babl FE,Paediatric Research in Emergency Department International Collaborat

    更新日期:2018-05-01 00:00:00

  • Common and costly hospitalizations for pediatric mental health disorders.

    abstract:BACKGROUND AND OBJECTIVES:Inpatient pediatric mental health is a priority topic for national quality measurement and improvement, but nationally representative data on the patients admitted or their diagnoses are lacking. Our objectives were: to describe pediatric mental health hospitalizations at general medical facil...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2013-3165

    authors: Bardach NS,Coker TR,Zima BT,Murphy JM,Knapp P,Richardson LP,Edwall G,Mangione-Smith R

    更新日期:2014-04-01 00:00:00

  • Disabling conditions and registration for child abuse and neglect: a population-based study.

    abstract:OBJECTIVE:To study the relationship between disabling conditions and registration for child abuse and neglect in a 19-year whole-population birth cohort. SETTING:West Sussex area of the United Kingdom. STUDY DESIGN:Retrospective whole-population cohort. MAIN OUTCOMES:Child-protection registration, physical abuse, se...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2004-1882

    authors: Spencer N,Devereux E,Wallace A,Sundrum R,Shenoy M,Bacchus C,Logan S

    更新日期:2005-09-01 00:00:00

  • Recurrent infections, hypotonia, and mental retardation caused by duplication of MECP2 and adjacent region in Xq28.

    abstract:OBJECTIVE:Our goal was to describe the neurologic and clinical features of affected males from families with X-linked patterns of severe mental retardation, hypotonia, recurrent respiratory infection, and microduplication of Xq28 that consistently includes the MECP2 (methyl-CpG binding protein 2) gene. STUDY DESIGN:To...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2006-0395

    authors: Friez MJ,Jones JR,Clarkson K,Lubs H,Abuelo D,Bier JA,Pai S,Simensen R,Williams C,Giampietro PF,Schwartz CE,Stevenson RE

    更新日期:2006-12-01 00:00:00

  • Pharmacologic compliance with antibiotic therapy for acute otitis media: influence on subsequent middle ear effusion.

    abstract::The frequency of otitis media with effusion (serous otitis media, secretory otitis media) detected after conventional antibiotic treatment of acute otitis media is approximately 50%. The relationship between pharmacologic compliance and the frequency of otitis media with effusion was studied. A Micrococcus lutea bioin...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Schwartz RH,Rodriquez WJ,Grundfast KM

    更新日期:1981-11-01 00:00:00

  • Nonresponse bias in a follow-up study of 19-year-old adolescents born as preterm infants.

    abstract:OBJECTIVE:To assess the effect of demographic and neonatal risk factors and outcome at the last available assessment on the probability of full responders, postal responders (those who only responded to the mailed questionnaire), or nonresponders in a follow-up study of 19-year-old adolescents who were born as preterm ...

    journal_title:Pediatrics

    pub_type: 杂志文章,多中心研究

    doi:10.1542/peds.2005-0682

    authors: Hille ET,Elbertse L,Gravenhorst JB,Brand R,Verloove-Vanhorick SP,Dutch POPS-19 Collaborative Study Group.

    更新日期:2005-11-01 00:00:00

  • Readmissions among children previously hospitalized with pneumonia.

    abstract:BACKGROUND AND OBJECTIVES:Pneumonia is a leading cause of hospitalization and readmission in children. Understanding the patient characteristics associated with pneumonia readmissions is necessary to inform interventions to reduce avoidable hospitalizations and related costs. The objective of this study was to characte...

    journal_title:Pediatrics

    pub_type: 杂志文章,多中心研究

    doi:10.1542/peds.2014-0331

    authors: Neuman MI,Hall M,Gay JC,Blaschke AJ,Williams DJ,Parikh K,Hersh AL,Brogan TV,Gerber JS,Grijalva CG,Shah SS

    更新日期:2014-07-01 00:00:00

  • Care to underserved children: Residents' attitudes and experiences.

    abstract:OBJECTIVES:To examine: 1) the relationship between residents' responses toward caring for underserved children and families during residency and their perceptions of their continuity clinic experience; and 2) which characteristics are related to continuing to care for the underserved after completion of training. DESI...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.106.5.1022

    authors: Weitzman CC,Freudigman K,Schonfeld DJ,Leventhal JM

    更新日期:2000-11-01 00:00:00

  • Perinatal manifestations of maternal yellow nail syndrome.

    abstract::A term female firstborn infant had unexplained nonimmune fetal hydrops and recurrent left chylothorax at 4 weeks of age. A few months before conception, her mother had had acute dystrophic nail changes and is being treated for recurrent sinusitis, bronchiectasis, and a deficiency of serum IgG2. We suggest that they bo...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Govaert P,Leroy JG,Pauwels R,Vanhaesebrouck P,De Praeter C,Van Kets H,Goeteyn M

    更新日期:1992-06-01 00:00:00

  • Autistic and dysphasic children. II: Epilepsy.

    abstract::In a previously described population of 314 autistic and 237 dysphasic nonautistic children, after exclusion of 12 autistic girls with Rett syndrome, 14% (42 of 302) of autistic children and 8% (19 of 237) of dysphasic children had epilepsy (P = .03). The major risk factors for epilepsy were severe mental deficiency a...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Tuchman RF,Rapin I,Shinnar S

    更新日期:1991-12-01 00:00:00

  • Outcomes of extremely premature infants related to their peak serum bilirubin concentrations and exposure to phototherapy.

    abstract:OBJECTIVES:To analyze, in extremely low birth weight infants, associations between peak bilirubin concentration and evidence of brain damage, and between peak bilirubin concentration and blindness attributable to retinopathy of prematurity. METHODS:Retrospective study of 128 infants of

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.102.6.1426

    authors: Yeo KL,Perlman M,Hao Y,Mullaney P

    更新日期:1998-12-01 00:00:00

  • Homogeneous clinical subgroups in children with Tourette syndrome.

    abstract::The existence of two clinically homogeneous subgroups in Tourette syndrome, depending upon the presence or absence of migraine or a family history of migraine, is suggested. Patients with Tourette syndrome who have migraine (n = 18) were found to have a significantly higher prevalence of disorders of arousal--particul...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Barabas G,Matthews WS

    更新日期:1985-01-01 00:00:00

  • Renal outcome of neonatal renal venous thrombosis: review of 28 patients and effectiveness of fibrinolytics and heparin in 10 patients.

    abstract:OBJECTIVES:Neonatal renal venous thrombosis is a rare disorder that can result in severe renal damage. To evaluate the experience over 10 years and review the effectiveness of fibrinolytic and/or heparin therapy, chart reviews were performed for newborns with renal venous thrombosis. PATIENTS, INTERVENTIONS, AND OUTCOM...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2005-1461

    authors: Messinger Y,Sheaffer JW,Mrozek J,Smith CM,Sinaiko AR

    更新日期:2006-11-01 00:00:00

  • Effects of polychlorinated biphenyl/dioxin exposure and feeding type on infants' mental and psychomotor development.

    abstract:OBJECTIVE:To evaluate the effects of in utero and lactational exposure to polychlorinated biphenyls (PCBs) and dioxins on the mental and psychomotor development of infants. DESIGN:Prenatal PCB exposure was estimated from the levels in maternal plasma during the last month of pregnancy. Postnatal PCB and dioxin exposur...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Koopman-Esseboom C,Weisglas-Kuperus N,de Ridder MA,Van der Paauw CG,Tuinstra LG,Sauer PJ

    更新日期:1996-05-01 00:00:00

  • Pediatricians and general practitioners: a comparison of the management of children with febrile illness.

    abstract::To assess the relative competence of pediatricians and general practitioners in managing febrile illnesses in childhood, a prospective study was undertaken of 259 children less than 10 years of age seen consecutively at the emergency room of a children's hospital and a general hospital. Both groups of patients were si...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Leduc DG,Pless IB

    更新日期:1982-10-01 00:00:00

  • Discrepancies between direct and indirect blood pressure measurements using various recommendations for arm cuff selection.

    abstract:OBJECTIVE:The current recommendation for choosing an appropriate size cuff for measuring blood pressure (BP) is a bladder width to equal 40% of the upper arm circumference (UAC). However, most physicians use the older two-thirds or three-fourths upper arm length (UAL) recommendations to choose a cuff. The aim of this s...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.110.5.920

    authors: Clark JA,Lieh-Lai MW,Sarnaik A,Mattoo TK

    更新日期:2002-11-01 00:00:00