Anesteziologiia i reanimatologiia · 2014
[Application of exogenous surfactant and recruitment maneuver in newborns with respiratory distress-syndrome].
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Aleksandrovich Yu S, Pechueva O A, Pshenisnov K V
Аннотация
UNLABELLED: Respiratory distress-syndrome (RDS) in newborns is a one of the most frequent critical conditions of neonatal period requires the use of invasive methods of respiratory support.
PURPOSE OF THE STUDY: To define an efficiency of complex application of exogenous surfactant and recruitment maneuver in newborns with RDS.
MATERIALS AND METHODS: 30 newborns with RDS and progressive hypoxemia were included in the study. Average mass of body was 1575 grams. In 11 newborns RDS was accompanied severe hypoxemia and required the application of recruitment maneuver and exogenous surfactant administration.
RESULTS: Application of recruitment maneuver with exogenous surfactant administration allow to improve gas exchange and blood oxygenation in newborns with RDS (PaO2 54 vs 39 mmHg; SpO2 95 vs 90% and blood pH 7.34 vs 7.28). Application of recruitment maneuver with exogenous surfactant administration decrease number of complications and improve outcomes.
PURPOSE OF THE STUDY: To define an efficiency of complex application of exogenous surfactant and recruitment maneuver in newborns with RDS.
MATERIALS AND METHODS: 30 newborns with RDS and progressive hypoxemia were included in the study. Average mass of body was 1575 grams. In 11 newborns RDS was accompanied severe hypoxemia and required the application of recruitment maneuver and exogenous surfactant administration.
RESULTS: Application of recruitment maneuver with exogenous surfactant administration allow to improve gas exchange and blood oxygenation in newborns with RDS (PaO2 54 vs 39 mmHg; SpO2 95 vs 90% and blood pH 7.34 vs 7.28). Application of recruitment maneuver with exogenous surfactant administration decrease number of complications and improve outcomes.