Continuous positive pressure ventilation in children with bronchopneumonia.

Abstract

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.

• Authors: A G Wesley, A K Thambiran, M Pather, C J Cronje
• Journal: Anaesthesia (Anaesthesia) Vol. 33 Issue 5 Pg. 466-72 (May 1978) ISSN: 0003-2409 [Print] England
• PMID: 352185 (Publication Type: Comparative Study, Journal Article)

Chemical References

• Oxygen

Topics

• Age Factors
• Bronchopneumonia (therapy)
• Child, Preschool
• Humans
• Infant
• Intermittent Positive-Pressure Breathing
• Oxygen (blood)
• Positive-Pressure Respiration (methods)
• Time Factors