The effectiveness of volume guarantee ventilation in newborns
- Authors: Ziganshin I.M.1,2, Bayalieva A.Z.1,2, Babintseva A.A.1,2, Shaimardanova G.R.2
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Affiliations:
- Kazan State Medical University
- City Clinical Hospital No. 7
- Issue: Vol 10, No 2 (2020)
- Pages: 165-172
- Section: Original Study Articles
- URL: https://journals.rcsi.science/2219-4061/article/view/122905
- DOI: https://doi.org/10.17816/psaic611
- ID: 122905
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Abstract
Background. An important goal of treating respiratory disorders in newborns during the first stage of perinatal care is effective and safe pulmonary ventilation, enabling the administration of surfactant therapy, reducing alveolar dead space, and providing adequate gas exchange.
Objective. The aim of this study is to improve the quality of newborns’ respiratory therapy using double pressure and volume control at the first stage of perinatal care.
Materials and methods. The study involved newborns from week 27 to week 42 gestation with respiratory failure requiring invasive pulmonary ventilation. The ventilation mode was evaluated with pressure control and volume guarantee option compared with routine pressure ventilation. For the comparative characteristic of the compared ventilation methods, we used targets, such as the duration of artificial pulmonary ventilation, reduction of FiO2, dynamics of venous blood lactate, peak and average pressure in the respiratory tract, dynamics of lung compliance, and the development of complications.
Results and conclusions. Given the heterogeneity of lung damage in newborns, the use of the guaranteed volume option reduced the duration of mechanical ventilation, the development frequency of IVH, and the frequency of surfactant use.
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##article.viewOnOriginalSite##About the authors
Il’dar M. Ziganshin
Kazan State Medical University; City Clinical Hospital No. 7
Author for correspondence.
Email: ildar.w@mail.ru
ORCID iD: 0000-0003-3462-3209
SPIN-code: 9939-6264
assistant of the department anesthesiology and intensive care, disaster medicine; Doctor of the NICU
Russian Federation, KazanAjnagul’ Zh. Bayalieva
Kazan State Medical University; City Clinical Hospital No. 7
Email: bayalieva1@yandex.com
ORCID iD: 0000-0001-7577-3284
Dr. Sci. (Med.), professor, Head of the department anesthesiology and intensive care, disaster medicine; scientific of the departments anesthesiology and intensive care
Russian Federation, KazanAnna A. Babintseva
Kazan State Medical University; City Clinical Hospital No. 7
Email: amela05@mail.ru
ORCID iD: 0000-0002-9527-3284
Cand. Sci. (Med.), assistant of the department hospital pediatrics; deputy chief physician for newborn care
Russian Federation, KazanGul’nar R. Shaimardanova
City Clinical Hospital No. 7
Email: gulnar52355@gmail.com
ORCID iD: 0000-0001-9718-187X
Doctor of the NICU
Russian Federation, KazanReferences
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