Báo cáo y học: "Pro/con clinical debate: High-frequency oscillatory ventilation is better than conventional ventilation for premature infants"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về y học đề tài: Pro/con clinical debate: High-frequency oscillatory ventilation is better than conventional ventilation for premature infants. | Available online http content 7 6 423 Review Pro con clinical debate High-frequency oscillatory ventilation is better than conventional ventilation for premature infants Sherry E Courtney1 David J Durand2 Jeanette M Asselin3 Eric C Eichenwald4 and Ann R Stark5 1 Neonatologist Division of Neonatology Schneider Children s Hospital North Shore Long Island Jewish Health System New Hyde Park NY USA 2Neonatologist Division of Neonatology Children s Hospital Oakland Oakland CA USA 3Manager Neonatal Pediatric Research Group Children s Hospital Oakland Oakland CA USA 4Associate Director Neonatal Intensive Care Unit Brigham and Women s Hospital and Assistant Professor of Pediatrics Harvard Medical School Boston MA USA 5Neonatologist Brigham and Women s Hospital and Associate Clinical Professor of Pediatrics Harvard Medical School Boston MA USA Correspondence Critical Care Editorial Office editorial@ Published online 14 April 2003 Critical Care 2003 7 423-426 DOI cc2178 This article is online at http content 7 6 423 2003 BioMed Central Ltd Print ISSN 1364-8535 Online ISSN 1466-609X Abstract Arguably one of the most important advances in critical care medicine in recent years has been the understanding that mechanical ventilators can impart harm and that lung-protective ventilation strategies can save lives. High-frequency oscillatory ventilation appears ideally suited for lung protection at first glance. Two camps of opinion exist however even in neonates where this modality has been most extensively studied. In the present debate the prevailing arguments from each of those camps are made available for the reader to decide. Keywords bronchopulmonary dysplasia high-frequency oscillation lung injury mechanical ventilation respiratory distress surfactant deficiency The scenario A friend calls you just hours after the unexpected birth of his son at 28 weeks gestation. He tells you the neonatologist would like to transfer his child to a .

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