Premium
Continuous positive pressure ventilation in children with bronchopneumonia
Author(s) -
WESLEY A.G.,
THAMBIRAN A.K.,
PATHER M.,
CRONJE C.J.
Publication year - 1978
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.1978.tb12466.x
Subject(s) - medicine , ventilation (architecture) , bronchopneumonia , shunt (medical) , dead space , positive pressure , anesthesia , intermittent mandatory ventilation , arterial blood , positive end expiratory pressure , artificial ventilation , functional residual capacity , positive pressure ventilation , mechanical ventilation , cardiology , respiratory disease , respiratory failure , lung , pediatrics , lung volumes , mechanical engineering , engineering
The application of a small end-expiratory pressure of 5 cmH2O to the assisted ventilation of nineteen children (mean age 19 months) with bronchopneumonia was compared with intermittent positive pressure ventilation. Within 1 h of introducing continuous positive pressure ventilation the alveolar-to-arterial oxygen gradient was reduced in most patients, with an increase in functional residual capacity and a decrease in total pulmonary blood shunt. Physiological dead space was also reduced, a feature not observed in other studies, and the significance of this finding is discussed. The use of continuous positive pressure ventilation in broncho-pulmonary infection was shown to be effective even at small pressures, and can be recommended especially for patients requiring long-term ventilation.