Abstract
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 language | English |
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Pages (from-to) | 18-25 |
Number of pages | 8 |
Journal | Seminars in Pediatric Surgery |
Volume | 28 |
Issue number | 1 |
DOIs | |
State | Published - Feb 2019 |
Bibliographical note
Publisher Copyright:© 2019 Elsevier Inc.
Keywords
- APRV
- Child
- High-frequency ventilation
- Mechanical ventilation
- NAVA
- Neonate
- Non-invasive ventilation
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
- Surgery