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Effects of hyperoxia on the lungs of very low birth weight infants
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Effects of hyperoxia on the lungs of very low birth weight infants
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Description
Identifier
Thesis
2126
Author
Guerrera, Margaret, 1961-
Title
Effects
of
hyperoxia
on the
lungs
of
very
low
birth
weight
infants
Publisher
Central Connecticut State University
Date
2010
Resource Type
Master's Thesis
Notes
Supplemental
oxygen
is
one
of the
most
prescribed
interventions
in the
newborn
intensive
care
unit
(NICU)
.
Hyperoxia
is
toxic
to the
lung
tissue
of
preterm
newborns
particularly
the
very
low
birth
weight
infant
and
it
has been
implicated
in the
development
of
bronchopulmonary
dysplasia
(BPD)
in these
patients
. The
BDP
observed
in the
NICU
today
(“new”
BPD)
has a
different
pathophysiology
from the
BPD
that
occurred
during
the
era
before
the
widespread
use
of
surfactant
replacement
(“old”
BPD)
.
While
the
“new”
BPD
is
milder
than the
“old”
BPD
,
it
continues
to
contribute
to
long
term
health
problems
in these
infants
. The
work
presented
here
supports
the
role
of
hyperoxia
in the
development
of the
“new”
BPD
. In
various
experimental
models
,
hyperoxia
was
implicated
in the
dysregulation
of the
pulmonary
vasculature
and
alveolar
simplification
through
the
disruption
of
important
cell
signaling
pathways
.
Furthermore
, the
work
illustrates
that
it
is
the
exposure
of the
lung
tissue
itself
to the
oxygen
that
contributes
to
abnormal
lung
development
and
supports
the
conclusion
that the
lower
the
FIO2
breathed
by the
preterm
VLBW
infant
the
better
it
is
for the
health
of the
lung
tissue
.
Caregivers
in the
NICU
who
are
titrating
oxygen
according
to a
specified
target
SPO2
range
may
find
that their
patients
go
on to
develop
BPD
in
spite
of their
efforts
.
Until
safe
levels
and
appropriate
outcomes
are
determined
, a
conservative
approach
for
manipulating
FIO2
is
recommended
with the
goal
of
avoiding
wide
swings
in
oxygenation
.
Before
the
oxygen
level
is
increased
, a
brief
yet
thorough
bedside
assessment
that
includes
evaluating
the
infant’s
respiratory
and
hemodynamic
status
in
addition
to
monitoring
the
infant’s
SPO2
is
necessary
.
Furthermore
,
it
is
crucial
that the
caregiver
be
cognizant
of how
much
and for how
long
oxygen
is
being
administered
to
maintain
a
particular
SPO2
.
Subject
Birth weight, Low
Premature infants--Physiology
Oxygen therapy for premature infants--Complications
Department
Department of Biology
Advisor
Rollin, Ruth
Type
Text
Digital Format
Application/pdf
Language
eng
OCLC number
706480186
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