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Current concepts in acute respiratory support for neonates and children. Semin Pediatr Surg 2015 Feb;24(1):2-7 PMID: 25639802

Pubmed ID

25639802

DOI

10.1053/j.sempedsurg.2014.11.001

Abstract

Current trends in mechanical respiratory support are evolving toward gentle approaches to avoid short- and long-term problems that are historically associated with mechanical ventilation. These ventilator-associated issues include the need for long-term sedation, muscle deconditioning, ventilator-associated lung injury (VALI), and ventilator-associated pneumonia (VAP). This article will describe recent trends of ventilatory support in neonates and children: (1) utilization of volume ventilation in infants, (2) synchrony and improving patient-ventilator interaction specifically using neurally adjusted ventilatory assist (NAVA), and (3) use of noninvasive ventilation techniques. When applicable, their uses in the surgical newborn and pediatric patients are described.

Author List

Arca MJ, Uhing M, Wakeham M

Authors

Marjorie J. Arca MD Professor in the Surgery department at Medical College of Wisconsin
Michael R. Uhing MD Professor in the Pediatrics department at Medical College of Wisconsin
Martin K. Wakeham MD Associate Professor in the Pediatrics department at Medical College of Wisconsin




Scopus

2-s2.0-84921786313   1 Citations

MESH terms used to index this publication - Major topics in bold

Child
Child, Preschool
Humans
Infant
Infant, Newborn
Lung Diseases
Respiration, Artificial
jenkins-FCD Prod-321 98992d628744e349846c2f62ac68f241d7e1ea70