Physiological sex differences in mechanically ventilated premature neonates: A pilot study

Type of content
Journal Article
Thesis discipline
Degree name
Publisher
Elsevier BV
Journal Title
Journal ISSN
Volume Title
Language
en
Date
2020
Authors
Kim KT
Knopp J
Dixon B
Chase, Geoff
Abstract

Mechanical ventilation (MV) is commonly used in neonatal intensive care units (NICUs) to support breathing. Anecdotally, male infants are harder to ventilate than females. In this study, the pulmonary mechanics of 10 invasively mechanically ventilated neonates from Christchurch Women’s Hospital, recorded during an observational trial with no protocolised change to care, are compared. We hypothesise males have higher specific lung elastance (elastance corrected for weight) than females, due to stiffer and less developed lungs. The specific elastance and resistance is identified for every breath using a single compartment model with a pressure loss term added to compensate for endotracheal tube resistance. Variability is determined by relative percent breath-to-breath variability (%ΔE) in specific elastance. Male infants had higher specific elastance compared to females (P≤0.01) with median [interquartile range] of 1.91[1.33‐2.48] cmH2O.kg/ml and 1.31[0.86‐2.02] cmH2O.kg/mL respectively. Males also had lower %ΔE median IQR of -0.03 [-7.56 - 8.01] and females had 0.59[-12.56 - 12.86]. The results validates our hypothesis that boys have higher elastance than girls. These results also suggests males and females should be ventilated differently.

Description
Citation
Kim KT, Knopp J, Dixon B, Chase JG (2020). Physiological sex differences in mechanically ventilated premature neonates: A pilot study. IFAC-PapersOnLine. 53(2). 16173-16178.
Keywords
physiological model, respiratory mechanics, elastance, model-based, NICU
Ngā upoko tukutuku/Māori subject headings
ANZSRC fields of research
Fields of Research::32 - Biomedical and clinical sciences::3213 - Paediatrics::321303 - Neonatology
Fields of Research::40 - Engineering::4003 - Biomedical engineering::400303 - Biomechanical engineering
Rights
All rights reserved unless otherwise stated