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Measurements of Pulmonary Mechanics Prior to the Elective Extubation of Neonates by Dr. Michael J. Balsan; Judith G. Jones; Jon F. Watchko; Robert D. Guthrie is a Medicine article available to read on EtoBox.
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## Abstract We measured total respiratory system compliance (C~RS~) and resistance (R~RS~) by the passive expiratory flow technique prior to the elective extubation of 61 neonates with a history of respiratory distress syndrome. Successful trials of extubation were characterized by a higher mean value of C~RS~ when compared to trials that led to reintubation (1.52 vs. 1.10 mL/cm H~2~O, __P__ = 0.004). Low values of C~RS~ (0.9 mL/cm H~2~O or less) were invariably associated with extubation failure, whereas high values of C~RS~ (1.3 mL/cm H~2~O or greater) were associated with extubation success in 94% of patients. A higher mean value of R~RS~ was recorded in the group of infants who failed extubation when compared to those who were successful (0.22 vs. 0.17 cm H~2~O/mL/s, __P__ = 0.042). We propose that measurements of pulmonary mechanics, particularly C~RS~, may by useful in identifying infants who will be at risk for extubation failure. Pediatr Pulmonal 1990; 9:238–243.
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- Author
- Dr. Michael J. Balsan; Judith G. Jones; Jon F. Watchko; Robert D. Guthrie
- Publisher
- John Wiley and Sons; Wiley (John Wiley & Sons); John Wiley & Sons Inc.; Wiley (ISSN 8755-6863)
- Published
- 1990
- Language
- EN
- Field
- Medicine (Health Sciences)