Current concepts in acute respiratory support for neonates and children. Semin Pediatr Surg 2015 Feb;24(1):2-7
Date
02/03/2015Pubmed ID
25639802DOI
10.1053/j.sempedsurg.2014.11.001Scopus ID
2-s2.0-84921786313 (requires institutional sign-in at Scopus site) 6 CitationsAbstract
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 MAuthors
Michael R. Uhing MD Professor in the Pediatrics department at Medical College of WisconsinMartin K. Wakeham MD Professor in the Pediatrics department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
ChildChild, Preschool
Humans
Infant
Infant, Newborn
Lung Diseases
Respiration, Artificial