Procon clinical debate High-frequency oscillatory ventilation is better than conventional ventilation for premature infants 英文参考文献.docVIP

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Procon clinical debate High-frequency oscillatory ventilation is better than conventional ventilation for premature infants 英文参考文献.doc

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Procon clinical debate High-frequency oscillatory ventilation is better than conventional ventilation for premature infants 英文参考文献

Available online /content/7/6/423 Review Pro/con clinical debate: High-frequency oscillatory ventilation is better than conventional ventilation for premature infants Sherry E Courtney1, David J Durand2, Jeanette M Asselin3, Eric C Eichenwald4 and Ann R Stark5 1Neonatologist, Division of Neonatology, Schneider Children’s Hospital, North Shore Long Island Jewish Health System, New Hyde Park, NY, USA 2Neonatologist, Division of Neonatology, Children’s Hospital Oakland, Oakland, CA, USA 3Manager, Neonatal/Pediatric Research Group, Children’s Hospital Oakland, Oakland, CA, USA 4Associate Director, Neonatal Intensive Care Unit, Brigham and Women’s Hospital, and Assistant Professor of Pediatrics, Harvard Medical School, Boston, MA, USA 5Neonatologist, Brigham and Women’s Hospital, and Associate Clinical Professor of Pediatrics, Harvard Medical School, Boston, MA, USA Correspondence: Critical Care Editorial Office, editorial@ Published online: 14 April 2003 Critical Care 2003, 7:423-426 (DOI 10.1186/cc2178) This article is online at /content/7/6/423 ? 2003 BioMed Central Ltd (Print ISSN 1364-8535; Online ISSN 1466-609X) Abstract Arguably one of the most important advances in critical care medicine in recent years has been the understanding that mechanical ventilators can impart harm and that lung-protective ventilation strategies can save lives. High-frequency oscillatory ventilation appears ideally suited for lung protection at first glance. Two camps of opinion exist, however, even in neonates where this modality has been most extensively studied. In the present debate, the prevailing arguments from each of those camps are made available for the reader to decide. Keywords bronchopulmonary dysplasia, high-frequency oscillation, lung injury, mechanical ventilation, respiratory distress, surfactant deficiency The scenario A friend calls you just hours after the unexpected birth of his son at 28 weeks gestation. He tells you t