EFFICIENCY AND SAFETY OF VOLUME-TARGETED LUNG VENTILATION IN INFANTS WITH BRONCHOPULMONARY DYSPLASIA

Abstract

According to the literature, not enough attention is paid to the problems of long term ventilation in infants with bronchopulmonary dysplasia. As perinatal care has improved, the number of such children has steadily increased, this group of patients is decisive in the development of disability and infant mortality. We studied 79 infants who retrospectively, with bronchopulmonary dysplasia on a long term ventilation. We used SIMV-VC mode with a downward form of flow waveform. The ventilator parameters: Vt 11(8-13) ml/kg, РIP 29(25-32) cm Н2О, PEEP 8(7-9) cm Н2О, ventilator rate - 24(20-30) inflation/min, that go beyond the limits of acceptable safe values, but are well tolerated by children of this group, we identified. The applied ventilator mode can be considered effective and save for children with bronchopulmonary dysplasia and are on long term ventilation.