Effect of Continuous Positive Airway Pressure on Breathing Pattern of Infants With Respiratory-Distress Syndrome

Lancet. 1975 Feb 8;1(7902):302-4. doi: 10.1016/s0140-6736(75)91208-8.

Abstract

The effect of continuous positive airway pressure (C.P.A.P.) on the breathing pattern of ten newborn infants with respiratory-distress syndrome (R.D.S.) has been studied using an impedance pneumograph; arterial oxygenation improved and respiration, previously disorganized, became regular in both rate and depth. Grunting usually ceased within 15 minutes of the start of C.P.A.P., and there was also on average a 30 percent increase in the respiratory-rate. The rapidity with which the breathing pattern changed suggests a reflex mechanism. Sudden reductions in airway pressure were frequently followed by apnoea, regular breathing restarting with the reintroduction of C.P.A.P. These observations suggest that C.P.P.A. provides a respiratory drive in babies with R.D.S., possibly mediated through the Hering-Breuer inflation reflex.

MeSH terms

  • Apnea / diagnosis
  • Birth Weight
  • Blood Pressure
  • Bradycardia / diagnosis
  • Carbon Dioxide / blood
  • Heart / physiopathology
  • Heart Rate
  • Humans
  • Infant
  • Infant, Newborn
  • Lung / physiopathology
  • Male
  • Oxygen / blood
  • Plethysmography, Impedance
  • Positive-Pressure Respiration*
  • Pulmonary Alveoli / blood supply
  • Respiration*
  • Respiratory Distress Syndrome, Newborn / blood
  • Respiratory Distress Syndrome, Newborn / physiopathology
  • Respiratory Distress Syndrome, Newborn / therapy*
  • Respiratory Function Tests
  • Time Factors
  • Ventilation-Perfusion Ratio

Substances

  • Carbon Dioxide
  • Oxygen