High-Frequency Oscillatory Ventilation in the Neonate

Sep 26, 2016 by in PEDIATRICS Comments Off on High-Frequency Oscillatory Ventilation in the Neonate

(4) Department of Pediatrics, Service of Neonatology and Pediatric Intensive Care, University Hospital of Geneva, CH-1211, Geneva 14, Switzerland   45.1.1 Indication and General Considerations The classical approach was to…

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Drug Nebulization During Mechanical Ventilation

Sep 26, 2016 by in PEDIATRICS Comments Off on Drug Nebulization During Mechanical Ventilation

(7) Department of Respiratory Care, Seattle Children’s Hospital Foundation, Research Institute, 4800 Sand Point Way NE, Seattle, WA 98105, USA   Educational Goals Understand the basics of aerosol characteristics. Describe the…

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Setting the Ventilator in the NICU

Sep 26, 2016 by in PEDIATRICS Comments Off on Setting the Ventilator in the NICU

Situation Examples Predominant pathophysiological disturbance(s) Mode PEEP* V T range (mL/kg) Considerations regarding ventilator mode and settings Apnoea Preterm infant with apnoea of prematurity Ex-preterm infant with respiratory syncytial virus…

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Surfactant

Sep 26, 2016 by in PEDIATRICS Comments Off on Surfactant

and Roger F. Soll9 (8) Department of Neonatology, State University of New York at Buffalo and ONY, Inc., Amherst, NY, USA (9) Department of Pediatrics and Environmental Medicine, University of Rochester, Rochester,…

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Bronchiolitis

Sep 26, 2016 by in PEDIATRICS Comments Off on Bronchiolitis

Pulse oximetry should be performed in every child who attends hospital with acute bronchiolitis Infants with pulse oximetry oxygen saturation (SpO2) ≤ 92 % require inpatient care Decision about infants with SpO2…

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Post-extubation Stridor

Sep 26, 2016 by in PEDIATRICS Comments Off on Post-extubation Stridor

Fig. 36.1 Lateral radiograph of dynamic obstruction during inspiration for a child with subglottic (extrathoracic) airway obstruction from malacia. Notice how the airway caliber gets smaller during inspiration and returns…

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Clinical Use of Nonconventional Modes of Ventilator Support

Sep 26, 2016 by in PEDIATRICS Comments Off on Clinical Use of Nonconventional Modes of Ventilator Support

and David J. Durand9 (8) Section of Neonatology, Department of Pediatrics, University of Arkansas for Medical Sciences, Arkansas Children’s Hospital, 1900 Maryland, Little Rock, AR 72202, USA (9) Department of Physiology and Pediatrics,…

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Pediatric Acute Lung Injury

Sep 26, 2016 by in PEDIATRICS Comments Off on Pediatric Acute Lung Injury

Onset  Acute Oxygenation ALI PaO2/FiO2 < 300 (regardless of positive end-expiratory pressure level) ARDS PaO2/FiO2 < 200 (regardless of positive end-expiratory pressure level) Chest radiograph  Bilateral infiltration seen on frontal chest radiograph Pulmonary artery…

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Tracheostomy

Sep 26, 2016 by in PEDIATRICS Comments Off on Tracheostomy

Fig. 56.1 A T-tube may be used instead of a tracheotomy tube for special circumstances, such as after surgery on the larynx or trachea Fig. 56.2 Silver tracheotomy tube, containing…

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