Abstract
Hypoxemia in the neonatal period can result from multiple causes ventilation/perfusion mismatch, increased physiologic dead space and extrapulmonary (right-to-left) shunts. Hypoventilation (reduced alveolar ventilation, reduction in tidal volume and/or frequency) is distinguished by a high PaCO2 in association with hypoxemia. Reduced lung volume, ventilatory pump failure, increased ventilatory muscle workload and disorders affecting the alveolar-capillary interface can also result in respiratory failure.
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Aldrich TK, Prezant DJ. Indications for mechanical ventilation. In: Tobin MJ, editor. Principles and practice of mechanical ventilation. New York: McGraw-Hill Inc.; 1994. p. 155–89.
Bazzy-Asaad A. Respiratory muscle function: Implications for ventilatory failure. In: Haddad GG, Abman SH, Chernick V, editors. Basic mechanisms of pediatric respiratory disease. 2nd ed. Hamilton: BC Decker; 2002. p. 250–71.
Dassios T, Dixon P, Hickey A, Fouzas S, Greenough A. Physiological and anatomical dead space in mechanically ventilated newborn infants. Pediatr Pulmonol. 2018;53:57–63.
Dassios T, Dixon P, William EE, Greenough A. Volumetric capnography slopes in ventilated term and preterm infants. Physiol Meas. 2020;41:055001.
Greenough A, Milner AD. Pulmonary disease of the newborn; Part 1 Physiology. In: Rennie JM, Roberton NRC, editors. Textbook of neonatology. 5th ed. Edinburgh: Churchill Livingstone; 2011.
Marini JJ, Slutsky AS. Physiological basis of ventilatory support. In: Lenfant C, editor. Lung biology in health and disease, vol. 188. New York: Marcel Dekker Inc.; 1988.
Roussos C, Macklem PT. The respiratory muscles. N Engl J Med. 1982;307:786–97.
Williams EE, Dassios T, Greenough A. Assessment of sidestream end-tidal capnography in ventilated infants on the neonatal unit. Pediatr Pulmonol. 2020;55:1468–73.
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Greenough, A., Milner, A.D. (2022). Mechanisms of Respiratory Failure. In: Donn, S.M., Mammel, M.C., van Kaam, A.H. (eds) Manual of Neonatal Respiratory Care. Springer, Cham. https://doi.org/10.1007/978-3-030-93997-7_65
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DOI: https://doi.org/10.1007/978-3-030-93997-7_65
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