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Instrumental dead space in neonatology, and its elimination by continuous tracheal gas insufflation during conventional ventilation
Author(s) -
Kalous P,
Kokstein Z
Publication year - 2003
Publication title -
acta pædiatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/j.1651-2227.2003.tb02499.x
Subject(s) - dead space , medicine , insufflation , ventilation (architecture) , controlled ventilation , neonatology , anesthesia , intensive care medicine , mechanical ventilation , mechanical engineering , pregnancy , biology , engineering , genetics
Instrumental dead space (iDS) is a major part of total dead space in newborns, and thus significantly determines effective alveolar ventilation. Continuous tracheal gas insufflation (CTGI) is a method for reducing the role of iDS, allowing a reduction in respiratory support and secondary lung injury. The literature and authors' experience with the method are reviewed. Major attention is paid to the risks in providing CTGI, optimal equipment and optimal management of CTGI.