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Published on: November 19, 2015
Control of respiration in newborn babies. III. Developmental changes of respiratory depth and rate responses to CO2
Insights
Preterm infants under 37 weeks respond to CO2 by increasing breathing rate, unlike older infants and adults. This suggests preterm babies may rely on lung vagal reflexes for breathing regulation.
Area of Science:
- Neonatal Physiology
- Respiratory Regulation
- Developmental Pediatrics
Background:
- Infant respiratory control mechanisms differ from adults.
- Understanding developmental changes in breathing regulation is crucial for preterm infants.
Purpose of the Study:
- To investigate respiratory responses to hypercapnia in healthy infants.
- To differentiate responses based on postmenstrual age.
Main Methods:
- Studied 13 healthy infants with postmenstrual ages from 32 to 43 weeks.
- Assessed respiratory depth and rate changes upon exposure to 4% CO2 in air.
Main Results:
- Infants >37 weeks showed adult-like responses (tidal volume increase precedes rate increase).
- Infants <37 weeks (preterm) exhibited a prompt rate increase without significant tidal volume change.
- Two distinct response patterns ('Type A' and 'Type B') were observed based on postmenstrual age.
Conclusions:
- Preterm infants (<37 weeks) may depend on pulmonary vagal mechanoreceptors for eupneic breathing regulation.
- This differs from the respiratory control mechanisms seen in full-term infants and adults.
Abstract:
Thirteen healthy babies with PM ages varying between 32 and 43 weeks were investigated with regard to respiratory depth and rate changes on exposure to 4% CO2 in air. Two different types of responses were seen: above 37 weeks of postmenstrual age, the changes of depth and rate corresponded mostly to what is known in the adult human with a rate increase appearing only when the tidal volume had increased markedly ("Type A" responses). The preterm babies (i.e. under 37 weeks of PM age) responded mostly with a prompt rate increase without any preceding increase of the tidal volume ("Type B" response). The results indicate that the preterm baby in contrast to fullterm babies and adults may be dependent on the pulmonary vagal mechanoreceptor system for the regulation of the breathing in eupnoe.
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