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| From: Dr Paul {:~)}
(Avatar) |
30/04/2001
13:47:29
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| Subject: re: Youngest preme
Baby? |
post id:
290116
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Hi SteveDeP,
the main
problem with premature babies is the lack of development of lecithin layer
on the 'exterior' surface of the lungs. Lecithin is a fatty substance
which lowers the surface tension of the alveoli. This allows the lungs to
expand and contract at the alveolar level allowing good O2 exchange.
Without the lecithin layer, the lungs are difficult to inflate, so
premature babies have serious breathing problems.
In addition to
this, many moons ago, there was a question on liquid breathing. In the
States, there has been research on using such systems (the fluorocarbon
liquids with high dissolved O2) for very premature babies. From memory of
reading about these, the application of the liquid for O2 delivery, rather
than air, means it is easier for the lungs to expand (the relative surface
tension is lower between the lung and the liquid as compared to the lung
and the air). Also, you can deliver drugs AND lecithin to the lung surface
whilst the babies are breathing this liquid. I thought it was great
research.
Paul
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