Articolo speciale
L’ossigeno nella rianimazione neonatale
Oxygen in neonatal intensive care
Egisto Scalini, Mariano Manzionna
Struttura Complessa di Pediatria e Neonatologia, Ospedale “S. Giacomo”, Monopoli (Bari)
Aprile 2012 - pagg. 233 -239
Abstract
The article reports the partly exciting, partly tragic and partly confused, anyhow instructive
story of the use of oxygen in neonatal intensive care. Oxygen, the “eminently breathable
gas”, starts to be used in medicine already by the end of 1700. At the beginning of
the last century the first CPAP is invented. In the great exhibition held in Chicago in 1933
the first oxygen tanks are on display. However, the wider and greater use of oxygen produces
a new pathology in the preterm infants: retrolenticular fibroplasia, the critical sign
of the capacity of oxygen to produce free radicals through the action of xantina oxidase.
The story continues with the same caution that the construction of EBM must exercise in such
a difficult sector. The latest conclusions on the debate “air/oxygen mixtures in intensive
care” are that “it is better to start the intensive care with air, add oxygen only when needed
and control the oximetry case by case”.
Parole chiave
Suggerite dall'AI
Classificazione MeSH
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Corrispondenza: e.scalini@libero.it