Contemporary ventilatory strategies for surgical patients

Ana Ruzic

Research output: Contribution to journalArticlepeer-review

5 Scopus citations


Respiratory failure affects a significant percentage of critically ill children, necessitating both invasive and non-invasive respiratory support. As the outcomes of these patients have improved, children with higher acuity and more complex respiratory pathophysiology require mechanical ventilation. Despite growing understanding of lung-protective strategies and ventilation induced lung injury, certain patients still require harmful ventilatory settings with conventional mechanical ventilation (CMV). High frequency ventilation, neurally adjusted ventilatory assist, and airway pressure release ventilation offer feasible alternatives to CMV. In addition to minimizing the risk of ventilatory induced lung injury when used appropriately, they provide a unique environment to facilitate operations on certain neonates and older children. Finally, non-invasive ventilation is now commonly employed in children with surgical conditions.

Original languageEnglish
Pages (from-to)18-25
Number of pages8
JournalSeminars in Pediatric Surgery
Issue number1
StatePublished - Feb 2019

Bibliographical note

Publisher Copyright:
© 2019 Elsevier Inc.


  • APRV
  • Child
  • High-frequency ventilation
  • Mechanical ventilation
  • NAVA
  • Neonate
  • Non-invasive ventilation

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery


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