Abstract
The results of mechanical ventilation for severe hyaline membrane disease (HMD), and the changes in technique which took place, during the 6-year period 1967-72 are described. A pilot study of the effect of hydrocortisone among the most severely affected infants showed no benefit. After the introduction at the beginning of 1970 of a regimen for ventilating the infants at low peak airway pressures, slow respiratory frequencies, and high inspiration: expiration ratios, there was a sudden increase in survival rate which was largely accounted for by a reduction in the incidence of bronchopulmonary dysplasia. Evidence is presented that in infants with HMD mechanical factors are more important than oxygen toxicity in the pathogenesis of this condition.
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Selected References
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- Adamson T. M., Collins L. M., Dehan M., Hawker J. M., Reynolds E. O., Strang L. B. Mechanical ventilation in newborn infants with respiratory railure. Lancet. 1968 Aug 3;2(7562):227–231. doi: 10.1016/s0140-6736(68)92348-9. [DOI] [PubMed] [Google Scholar]
- Baden M., Bauer C. R., Colle E., Klein G., Taeusch H. W., Jr, Stern L. A controlled trial of hydrocortisone therapy in infants with respiratory distress syndrome. Pediatrics. 1972 Oct;50(4):526–534. [PubMed] [Google Scholar]
- Banerjee C. K., Girling D. J., Wigglesworth J. S. Pulmonary fibroplasia in newborn babies treated with oxygen and artificial ventilation. Arch Dis Child. 1972 Aug;47(254):509–518. doi: 10.1136/adc.47.254.509. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Becker M. J., Koppe J. G. Pulmonary structural changes in neonatal hyaline membrane disease treated with high pressure artificial respiration. Thorax. 1969 Nov;24(6):689–694. doi: 10.1136/thx.24.6.689. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Blake A. M., Durbin G. M., MacNab A. J., Collins L. M., Hunter N. J., Reynolds E. O., Sellens G. Simplified mechanical ventilation for hyaline-membrane disease. Lancet. 1973 Nov 24;2(7839):1176–1178. doi: 10.1016/s0140-6736(73)92941-3. [DOI] [PubMed] [Google Scholar]
- Blake A. M., Durbin G. M., MacNab A. J., Collins L. M., Hunter N. J., Reynolds E. O., Sellens G. Simplified mechanical ventilation for hyaline-membrane disease. Lancet. 1973 Nov 24;2(7839):1176–1178. doi: 10.1016/s0140-6736(73)92941-3. [DOI] [PubMed] [Google Scholar]
- Blake A. M., Langham J., Collins L. M., Reynolds E. O. Clinical assessment of apnoea-alarm mattress for newborn infants. Lancet. 1970 Jul 25;2(7665):183–185. doi: 10.1016/s0140-6736(70)92537-7. [DOI] [PubMed] [Google Scholar]
- Blake A. M., Langham J., Collins L. M., Reynolds E. O. Portable ventilator-incubator. Lancet. 1970 Jul 4;2(7662):25–25. doi: 10.1016/s0140-6736(70)92481-5. [DOI] [PubMed] [Google Scholar]
- Chernick V., Vidyasagar D. Continuous negative chest wall pressure in hyaline membrane disease: one year experience. Pediatrics. 1972 May;49(5):753–760. [PubMed] [Google Scholar]
- Cumarasamy N., Nüssli R., Vischer D., Dangel P. H., Duc G. V. Artificial ventilation in hyaline membrane disease: the use of positive end-expiratory pressure and continuous positive airway pressure. Pediatrics. 1973 Apr;51(4):629–640. [PubMed] [Google Scholar]
- Daily W. J., Sunshine P., Smith P. C. Mechanical ventilation of newborn infants. V. Five years' experience. Anesthesiology. 1971 Feb;34(2):132–138. doi: 10.1097/00000542-197102000-00006. [DOI] [PubMed] [Google Scholar]
- DeLemos R. A., Shermeta D. W., Knelson J. H., Kotas R., Avery M. E. Acceleration of appearance of pulmonary surfactant in the fetal lamb by administration of corticosteroids. Am Rev Respir Dis. 1970 Sep;102(3):459–461. doi: 10.1164/arrd.1970.102.3.459. [DOI] [PubMed] [Google Scholar]
- DeLemos R., Wolfsdorf J., Nachman R., Block A. J., Leiby G., Wilkinson H. A., Allen T., Haller J. A., Morgan W., Avery M. E. Lung injury from oxygen in lambs: the role of artificial ventilation. Anesthesiology. 1969 Jun;30(6):609–618. doi: 10.1097/00000542-196906000-00007. [DOI] [PubMed] [Google Scholar]
- Fedrick J., Butler N. R. Certain causes of neonatal death. II. Intraventricular haemorrhage. Biol Neonate. 1970;15(56):257–290. doi: 10.1159/000240232. [DOI] [PubMed] [Google Scholar]
- Gluck L., Kulovich M. V. Fetal lung development. Current concepts. Pediatr Clin North Am. 1973 May;20(2):367–379. doi: 10.1016/s0031-3955(16)32849-8. [DOI] [PubMed] [Google Scholar]
- Gregory G. A., Kitterman J. A., Phibbs R. H., Tooley W. H., Hamilton W. K. Treatment of the idiopathic respiratory-distress syndrome with continuous positive airway pressure. N Engl J Med. 1971 Jun 17;284(24):1333–1340. doi: 10.1056/NEJM197106172842401. [DOI] [PubMed] [Google Scholar]
- Harrison V. C., Heese H. de V., Klein M. Intracranial haemorrhage associated with hyaline membrane disease. Arch Dis Child. 1968 Feb;43(227):116–120. doi: 10.1136/adc.43.227.116. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hawker J. M., Reynolds E. O., Taghizadeh A. Pulmonary surface tension and pathological changes in infants dying after respirator treatment for severe hyaline membrane disease. Lancet. 1967 Jul 8;2(7506):75–77. doi: 10.1016/s0140-6736(67)92063-6. [DOI] [PubMed] [Google Scholar]
- Heese H. de V., Harrison V. C., Klein M., Malan A. F. Intermittent positive pressure ventilation in hyaline membrane disease. J Pediatr. 1970 Feb;76(2):183–193. doi: 10.1016/s0022-3476(70)80161-5. [DOI] [PubMed] [Google Scholar]
- Herman S., Reynolds E. O. Methods for improving oxygenation in infants mechanically ventilated for severe hyaline membrane disease. Arch Dis Child. 1973 Aug;48(8):612–617. doi: 10.1136/adc.48.8.612. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Liggins G. C., Howie R. N. A controlled trial of antepartum glucocorticoid treatment for prevention of the respiratory distress syndrome in premature infants. Pediatrics. 1972 Oct;50(4):515–525. [PubMed] [Google Scholar]
- Liggins G. C. Premature delivery of foetal lambs infused with glucocorticoids. J Endocrinol. 1969 Dec;45(4):515–523. doi: 10.1677/joe.0.0450515. [DOI] [PubMed] [Google Scholar]
- Linsao L. S., Levison H., Swyer P. R. Negative pressure artificial respiration: use in treatment of respiratory distress syndrome of the newborn. Can Med Assoc J. 1970 Mar 28;102(6):602–606. [PMC free article] [PubMed] [Google Scholar]
- Mikity V. G., Taber P. Complications in the treatment of the respiratory distress syndrome. Bronchopulmonary dysplasia, oxygen toxicity, and the Wilson-Mikity syndrome. Pediatr Clin North Am. 1973 May;20(2):419–431. doi: 10.1016/s0031-3955(16)32852-8. [DOI] [PubMed] [Google Scholar]
- Motoyama E. K., Orzalesi M. M., Kikkawa Y., Kaibara M., Wu B., Zigas C. J., Cook C. D. Effect of cortisol on the maturation of fetal rabbit lungs. Pediatrics. 1971 Oct;48(4):547–555. [PubMed] [Google Scholar]
- Northway W. H., Jr, Rosan R. C., Porter D. Y. Pulmonary disease following respirator therapy of hyaline-membrane disease. Bronchopulmonary dysplasia. N Engl J Med. 1967 Feb 16;276(7):357–368. doi: 10.1056/NEJM196702162760701. [DOI] [PubMed] [Google Scholar]
- PETERSON H. G., Jr, PENDLETON M. E. Contrasting roentgenographic pulmonary patterns of the hyaline membrane and fetal aspiration syndromes. Am J Roentgenol Radium Ther Nucl Med. 1955 Nov;74(5):800–817. [PubMed] [Google Scholar]
- Pusey V. A., Macpherson R. I., Chernick V. Pulmonary fibroplasia following prolonged artificial ventilation of newborn infants. Can Med Assoc J. 1969 Mar 8;100(10):451–457. [PMC free article] [PubMed] [Google Scholar]
- Reynolds E. O. Effect of alterations in mechanical ventilator settings on pulmonary gas exchange in hyaline membrane disease. Arch Dis Child. 1971 Apr;46(246):152–159. doi: 10.1136/adc.46.246.152. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Reynolds E. O. Hyaline membrane disease. Am J Obstet Gynecol. 1970 Mar;106(5):780–797. doi: 10.1016/0002-9378(70)90406-0. [DOI] [PubMed] [Google Scholar]
- Reynolds E. O. Indications for mechanical ventilation in infants with hyaline membrane disease. Pediatrics. 1970 Aug;46(2):193–202. [PubMed] [Google Scholar]
- Robinson F. R., Harper D. T., Jr, Thomas A. A., Kaplan H. P. Proliferative pulmonary lesions in monkeys exposed to high concentrations of oxygen. Aerosp Med. 1967 May;38(5):481–486. [PubMed] [Google Scholar]
- Stahlman M. T., Malan A. F., Shepard F. M., Blankenship W. J., Young W. C., Gray J. Negative pressure assisted ventilation in infants with hyaline membrane disease. J Pediatr. 1970 Feb;76(2):174–182. doi: 10.1016/s0022-3476(70)80160-3. [DOI] [PubMed] [Google Scholar]
- Stern L., Ramos A. D., Outerbridge E. W., Beaudry P. H. Negative pressure artificial respiration: use in treatment of respiratory failure of the newborn. Can Med Assoc J. 1970 Mar 28;102(6):595–601. [PMC free article] [PubMed] [Google Scholar]
- Stern L. The use and misuse of oxygen in the newborn infant. Pediatr Clin North Am. 1973 May;20(2):447–464. doi: 10.1016/s0031-3955(16)32854-1. [DOI] [PubMed] [Google Scholar]
- THOMAS D. V., FLETCHER G., SUNSHINE P., SCHAFER I. A., KLAUS M. H. PROLONGED RESPIRATOR USE IN PULMONARY INSUFFICIENCY OF NEWBORN. JAMA. 1965 Jul 19;193:183–190. doi: 10.1001/jama.1965.03090030005001. [DOI] [PubMed] [Google Scholar]
