Register for email alerts and news feeds:
This journal | BMJ Group
rss
Archives of Disease in Childhood - Fetal and Neonatal Edition 2000;83:F203-F206; doi:10.1136/fn.83.3.F203
Copyright © 2000 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health.
Arch Dis Child Fetal Neonatal Ed 2000;83:F203-F206 ( November )

Resonance frequency in respiratory distress syndrome

S Lee, A D Milner

Newborn Respiratory Unit, Department of Paediatrics, 4th floor, North Wing, St Thomas' Hospital, London SE1 7EH, UK

Correspondence to: Prof. Milner email: anthony.milner{at}kcl.ac.uk

Accepted 28 April 2000

AIM---To observe how the resonance frequency changes with the course of respiratory distress syndrome (RDS), by examining the effect of changing static compliance on the resonance frequency in premature infants.
METHODS---In 12 ventilated premature infants with RDS (mean gestational age 26.6 weeks, mean birth weight 0.84 kg), resonance frequency and static compliance were determined serially using phase analysis and single breath mechanics technique respectively in the first seven days of life.
RESULTS---The minimum number of measurements done in any one baby was three and maximum was five in this seven day study period. The first measurement in each baby was done within the first 72 hours of life. The increase in compliance in this period varied from 27% to 179%. The variation in the corresponding resonance frequency was within 2 Hz in eight babies and within 6 Hz in all recruited babies.
CONCLUSIONS---The resonance frequency of the respiratory system in preterm infants with RDS remains remarkably constant in the early stages of the illness, despite relatively large changes in static compliance.


Key messages

(1)   HFOV decreases risk of barotrauma by reducing pressure swings in the airways during artificial ventilation
(2)   CO2 elimination is dependent on the oscillating frequency
(3)   Resonance frequency is the frequency at which oscillatory ventilation is most efficient owing to the elimination of elastance through the mechanics of oscillation
(4)   Resonance frequency remains relatively stable despite significant changes in compliance in the early stages of respiratory distress syndrome
(5)   It is possible that resonance frequency can be incorporated as part of the management strategy to provide more efficient HFOV




Keywords: resonance frequency; respiratory distress syndrome; high frequency oscillation; compliance


© 2000 by Archives of Disease in Childhood

Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?

This Article

Services
Citing Articles
Google Scholar
PubMed
Topic Collections
Bookmark with

Register for free content

The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.

Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.

Latest from ADC

 

ADC is co-owned by the RCPCH and is the official journal of the European Academy of Paediatrics

BMJ Careers - Latest Paediatrics and Paediatric Surgery Jobs

Paediatrics and Paediatric Surgery Jobs