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Ipratropium bromide for symptomatic preterm infants

  • Neonatology
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Abstract

Twelve preterm infants, median gestational age 31.5 weeks, were entered into a randomised, placebocontrolled trial of bronchodilator therapy. Their postnatal age was a median of 17.5 months and all suffered from recurrent respiratory symptoms. The infants received either inhaled placebo or 40 μg of ipratropium bromide (active therapy) three times a day utilising a coffee cup as a spacer device. Each therapy was administered for 2 weeks. The symptom score during the active period was reduced by 59% compared to the placebo period (P<0.01) and this was associated with 38% improvement in lung function in the active period compared to a 20% change in functional residual capacity over the placebo period (P<0.01). We conclude inhaled ipratropium bromide appears to be an effective treatment for symptomatic infants at follow up.

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Abbreviations

FRC:

functional residual capacity

TGV:

thoracic gas volume

FRC:TGV:

functional residual capacity: thoracic gas volume ratio

References

  1. Bowman E, Yu V (1989) Continuing morbity in extremely low birthweight infants. Early Hum Dev 18:165–174

    Article  Google Scholar 

  2. Conner WT, Dolovich MB, Frame RA, Newhome MT (1989) Reliable salbutamol administration in 6 to 36 months children by means of a metered dose inhaler and aerochamber with mask. Pediatr Pulmonal 6:263–267

    Google Scholar 

  3. De Troyer A, Yernault J-C, Rodenstein D (1979) Effects of vagal blockade as lung mechanics in normal man. J Appl Physiol 46:217–226

    PubMed  Google Scholar 

  4. Ellul-Micallel R, Moren F, Wetterlin K, Hidingen KL (1980) Use of a special inhaler attachment in asthmatic children. Thorax 35:620–623

    PubMed  Google Scholar 

  5. Greenough A (1990) Personal practice — bronchopulmonary dysplasia. Arch Dis Child 65:1082–1088

    PubMed  Google Scholar 

  6. Greenough A, Pool JB, Price JF (1989) Changes in functional residual capacity in response to bronchodilator therapy among young asthmatic children. Pediatr Pulmonol 7:8–11

    PubMed  Google Scholar 

  7. Greenough A, Maconochie I, Yuksel B (1990) Recurrent respiratory symptoms in the first year of life following preterm delivery. J Perinat Med 18:489–494

    PubMed  Google Scholar 

  8. Henry RL, Milner AD, Davies JG (1983) Simple drug delivery system for use by young asthmatics. Br Med J 286:2021

    Google Scholar 

  9. Henry RL, Hiller EJ, Milner AD, Hodges IGS, Stokes GM (1984) Nebulised ipratropium bromide and sodium cromoglycate in the first two years of life. Arch Dis Child 59:54–57

    PubMed  Google Scholar 

  10. Hensley MJ, O'Cain CF, McFadden ER, Ingram RH (1978) Distribution of bronchodilation in normal subjects: beta agonist versus atropine. J Appl Physiol 45:778–782

    PubMed  Google Scholar 

  11. Hodges IGC, Groggins RC, Milner GM (1981) Bronchodilator effects of inhaled ipratropium bromide in wheezy toddlers. Arch Dis Child 56:729–732

    PubMed  Google Scholar 

  12. Lee HS, Evans HE (1984) Aerosol bag for administration of bronchodilator to young asthmatic children. Pediatrics 73:230–232

    PubMed  Google Scholar 

  13. Levison H, Reilly PH, Worsley GH (1985) Spacing devices and metered dose inhaler in childhood asthma. J Pediatr 107:662–668

    PubMed  Google Scholar 

  14. Mallol J, Barrueto L, Girardi G, Toro O (1987a) Bronchodilator effect of feneterol and ipratropium bromide in infants with acute wheezing. Pediatr Pulmonol 3:352–356

    PubMed  Google Scholar 

  15. Mallol J, Barrueto L, Girardi G, Munoz R, Puppo H, Ulloa V, Toro O, Queredo F (1987b) Use of nebulised bronchodilators in infants under one year of age: analysis of four forms of therapy. Pediatr Pulmonol 3:298–303

    PubMed  Google Scholar 

  16. Mallol J, Munoz R, Puppo H, Ulloa V, Toro O, Girardi G, Barrueto L (1987c) Effects of nebulished fenoterol associated with ipratropium bromide or steroids on the heart rate of infants under one year of age with acute wheezing. Pediatr Pulmonol 3:83–85

    PubMed  Google Scholar 

  17. Sauve RS, Singhal N (1985) Long term morbidity of infants with bronchopulmonary dysplasia. Pediatrics 76:725–733

    PubMed  Google Scholar 

  18. Schuh S, Canny G, Reismann JJ, Kerem E, Brentur L, Petric M, Levison H (1990) Nebulized albuterol in acute bronchiolitis. J Pediatr 117:633–637

    PubMed  Google Scholar 

  19. Smyth JA, Tobachnik E, Duncan WJ, Reilly BJ, Levison H (1981) Pulmonary function and bronchial hyperreactivity in long term survivors of bronchopulmonary dysplasia. Pediatrics 68:336–340

    PubMed  Google Scholar 

  20. Tal A, Levy N, Bearman JE (1990) Methylprednisolone therapy for acute asthma in infants and toddlers: a controlled clinical trial. Pediatrics 86:350–356

    PubMed  Google Scholar 

  21. Taussig LM, Harris TR, Lebowitz MD (1977) Lung function in infants and young children, functional residual capacity, tidal volume and respiration. Am Rev Respir Dis 116:233–239

    PubMed  Google Scholar 

  22. Teo J, Kwang LW, Yip WCL (1988) An inexpensive spacer for use with metered dose bronchodilators in young asthmatic children. Pediatr Pulmonol 5:244–246

    PubMed  Google Scholar 

  23. Yuksel B, Greenough A (1991a) Lung function abnormalities at six months of age following neonatal intensive care. Arch Dis Child 66:472–476

    PubMed  Google Scholar 

  24. Yuksel B, Greenough A, Maconochie I (1990) Effective bronchodilator therapy by a simple spacer device for wheezy premature infants in the first two years of life. Arch Dis Child 65:728–785

    PubMed  Google Scholar 

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Yuksel, B., Greenough, A. Ipratropium bromide for symptomatic preterm infants. Eur J Pediatr 150, 854–857 (1991). https://doi.org/10.1007/BF01955008

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  • DOI: https://doi.org/10.1007/BF01955008

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