RESPIRATION OF FULL TERM AND OF PREMATURE INFANTS

Harben Boutourline-Young

Archives of Pediatrics and Adolescent Medicine · 1950 · 53 citations · 12 references

Concepts

TL;DR

Ventilation measurement in infants has historically been limited by mask dead‑space errors and neck‑seal difficulties, until body plethysmography improved accuracy but introduced new sealing challenges. This study reports an improved plethysmograph with a neck‑sealed design and enhanced recording apparatus, highlighting its relaxed operation and additional data. The device uses an inflatable rubber headpiece allowing the infant’s face to protrude and a specially designed integrator, reducing leaks, easing analysis, and improving neck sealing.

Abstract

ALTHOUGH numerous attempts to measure ventilation in early infancy have been reported since that of Eckerlein in 1890,<sup>1</sup>reasonable accuracy was not obtained until the body plethysmograph technic<sup>2</sup>was introduced. While this eliminated the dead space error of the mask technic, it introduced the difficulty of sealing the apparatus around the infant's neck without unphysiological pressure. Cross<sup>3</sup>avoided this by allowing the infant's face to protrude through a head piece of inflatable rubber and connected the recording spirometer to a specially designed integrator.<sup>4</sup>The first innovation allowed prompter relaxation by the infant and achieved greater freedom from leaks; the latter greatly reduced the labor of record analysis. In the present investigation we used a plethysmograph sealed at the neck but improved both in this regard and in its recording apparatus. These features, plus the additional data secured, are considered worth reporting. <h3>METHODS</h3> The apparatus used was

References

12