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新生儿呼吸监测领域的热点是什么?

What's hot in neonatal respiratory monitoring?

作者信息

Williams Emma, Dassios Theodore

机构信息

Department of Women and Children's Health, School of Life Course Sciences, Faculty of Life Sciences and Medicine, King's College London, London, UK.

Neonatal Intensive Care Unit, University of Patras, Patras, Greece.

出版信息

Pediatr Res. 2024 Nov 17. doi: 10.1038/s41390-024-03746-8.

DOI:10.1038/s41390-024-03746-8
PMID:39551845
Abstract

Respiratory monitoring is an essential part of routine clinical care of the newborn. Recent technological developments have improved respiratory monitoring and allowed for a two-way interaction between the monitored parameter and the level of the provided respiratory support. We herein discuss applications of monitoring by neurally adjusted ventilatory assist, closed-loop oxygen control, tidal capnography, lung ultrasound, diaphragmatic electromyography and lung magnetic resonance imaging.

摘要

呼吸监测是新生儿常规临床护理的重要组成部分。最近的技术发展改善了呼吸监测,并实现了被监测参数与所提供呼吸支持水平之间的双向交互。我们在此讨论神经调节通气辅助、闭环氧控制、潮气二氧化碳监测、肺部超声、膈肌肌电图和肺部磁共振成像监测的应用。

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Pediatr Res. 2024 Nov 17. doi: 10.1038/s41390-024-03746-8.
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本文引用的文献

1
Non-invasively estimated alveolar surface area in extreme preterms: development and respiratory outcomes at two years of age.极早早产儿肺泡表面积的无创估计:两岁时的发育及呼吸结局
Pediatr Res. 2025 Apr;97(5):1462-1464. doi: 10.1038/s41390-024-03527-3. Epub 2024 Aug 25.
2
Early respiratory system reactance predicts respiratory outcomes in preterm infants: a retrospective, multicentre study.早期呼吸系统电抗可预测早产儿的呼吸结局:一项回顾性多中心研究。
Eur Respir J. 2025 Jan 2;65(1). doi: 10.1183/13993003.00246-2024. Print 2025 Jan.
3
Assessment of lung ventilation of premature infants with bronchopulmonary dysplasia at 1.5 Tesla using phase-resolved functional lung magnetic resonance imaging.
使用相位分辨功能磁共振成像评估 1.5T 场强下患有支气管肺发育不良的早产儿的肺通气功能。
Pediatr Radiol. 2023 May;53(6):1076-1084. doi: 10.1007/s00247-023-05598-6. Epub 2023 Feb 4.
4
Physiological dead space and alveolar ventilation in ventilated infants.通气婴儿的生理死腔和肺泡通气。
Pediatr Res. 2022 Jan;91(1):218-222. doi: 10.1038/s41390-021-01388-8. Epub 2021 Feb 18.
5
Precision Medicine in Neonates: Future Perspectives for the Lung.新生儿精准医学:肺部的未来展望
Front Pediatr. 2020 Oct 30;8:586061. doi: 10.3389/fped.2020.586061. eCollection 2020.
6
Lung ultrasound in the neonatal intensive care unit: Review of the literature and future perspectives.新生儿重症监护病房中的肺部超声:文献回顾与未来展望。
Pediatr Pulmonol. 2020 Jul;55(7):1550-1562. doi: 10.1002/ppul.24792. Epub 2020 Apr 27.
7
Multicenter Experience with Neurally Adjusted Ventilatory Assist in Infants with Severe Bronchopulmonary Dysplasia.多中心应用神经调节辅助通气治疗严重支气管肺发育不良婴儿的经验。
Am J Perinatol. 2021 Aug;38(S 01):e162-e166. doi: 10.1055/s-0040-1708559. Epub 2020 Mar 24.
8
Electrical activity of the diaphragm following a loading dose of caffeine citrate in ventilated preterm infants.咖啡因柠檬酸盐负荷剂量对机械通气早产儿膈肌电活动的影响。
Pediatr Res. 2020 Mar;87(4):740-744. doi: 10.1038/s41390-019-0619-x. Epub 2019 Oct 17.
9
Targeting Arterial Oxygen Saturation by Closed-Loop Control of Inspired Oxygen in Preterm Infants.经鼻间歇正压通气新生儿闭环控制吸氧目标动脉血氧饱和度研究。
Clin Perinatol. 2019 Sep;46(3):567-577. doi: 10.1016/j.clp.2019.05.007. Epub 2019 Jun 19.
10
Neonatal Pulmonary Magnetic Resonance Imaging of Bronchopulmonary Dysplasia Predicts Short-Term Clinical Outcomes.新生儿肺部磁共振成像预测支气管肺发育不良的短期临床结局。
Am J Respir Crit Care Med. 2018 Nov 15;198(10):1302-1311. doi: 10.1164/rccm.201711-2287OC.