[Alveolar recruitment maneuvers oxygenation effects in newborns with infant respiratory distress syndrome].

UNLABELLED

Infant respiratory distress syndrome (IRDS) is a most common neonatal critical condition which is accompanied by the hypoxemia increase and needs the use of the highly invasive respiratory support methods. Alveolar recruitment maneuver is a one of the most promising and pathogenetically grounded method. The method is widely used in adults. but its use in Pediatric patients requires evidence of the effectiveness.

RESEARCH OBJECTIVE

To study alveolar recruitment maneuver use effectiveness in newborns with IRDS by the examining patient's clinical status and the nearest and long-term outcomes.

METHODS

Alveolar recruitment maneuver was used in 45 newborns with IRDS accompanied by the hypoxemia (group 1). Retrospective analysis of conditions and outcomes in 19 newborns with IRDS, without use of alveolar recruitment maneuver, was conducted in 2009 (group 2).

RESULTS

Alveolar recruitment maneuver improves ventilation and oxygenation in newborns with IRDS (paO2 53 torr in group 1 vs. 36 torr in group 2 and SpO2 95% vs. 90%). Alveolar recruitment maneuver use decreases the long term implications frequency in newborns with IRDS.

CONCLUSION

Alveolar recruitment maneuver is highly effective in newborns with IRDS. Its use decreases implications frequency and improves long term outcomes.