Comparison of assist/control ventilation with and without volume guarantee in term or near-term infants
![](/xmlui/themes/Mirage2//images/mime.png)
Erişim
info:eu-repo/semantics/closedAccessTarih
2024Yazar
Bezirganoğlu, HandanOkur, Nilüfer
Büyüktiryaki, Mehmet
Oğuz, Şerife Suna
Alyamaç Dizdar, Evrim
Sarı, Fatma Nur
Üst veri
Tüm öğe kaydını gösterKünye
Bezirganoğlu, H., Okur, N., Büyüktiryaki, M., Oğuz, Ş. S., Alyamaç Dizdar, E. ve Sarı, F. N. (2024). Comparison of assist/control ventilation with and without volume guarantee in term or near-term infants. American Journal of Perinatology, 41, E174-E179. http://dx.doi.org/10.1055/a-1862-0078Özet
Objectives: This study aimed to compare the effects of volume guarantee (VG) combined with assist/control (AC) ventilation to AC alone on hypocarbia episodes and extubation success in infants born at or near term. Methods: In this prospective cohort study, infants >34 weeks of gestation at birth, who were born in our hospital supported by synchronized, time-cycled, pressure limited, assist/control ventilation (AC) or assist-controlled VG mechanical ventilation (AC + VG) were included. After admission, infants received either AC or VG + AC using by Leoni Plus ventilator. The ventilation mode was left to the clinician. In the AC group, peak airway pressure was set clinically. In the VG + AC group, desired tidal volume was set at 5 mL/kg, with the ventilator adjusting peak inspiratory pressure to deliver this volume. The study was completed once the patient extubated. Results: There were 35 patients in each group. Incidence of hypocarbia was lower in the VG + AC compared with AC (%17.1 and 22.8%, respectively) but statistically not significant. Out-of-range partial pressure of carbon dioxide (PCO2) levels were lower in the VG + AC group and it reached borderline statistical significance (p = 0.06). The median extubation time was 70 (42-110) hours in the VG + AC group, 89.5 (48.5-115.5) hours in the AC group, and it did not differ between groups (p = 0.47). Conclusion: We found combining AC and VG ventilation compared with AC ventilation alone yielded similar hypocarbia episodes and extubation time for infants of >34 gestational weeks with borderline significance lower out-of-range PCO2 incidence.
WoS Q Kategorisi
Q3Scopus Q Kategorisi
Q2Kaynak
American Journal of PerinatologyCilt
41Koleksiyonlar
- Makale Koleksiyonu [3738]
- PubMed İndeksli Yayınlar Koleksiyonu [4179]
- Scopus İndeksli Yayınlar Koleksiyonu [6500]
- WoS İndeksli Yayınlar Koleksiyonu [6562]