Delivery Room Stabilization, and Respiratory Support
Introduction Rapid and complex physiologic changes occur around the time of birth. The keys to a successful transition are the clearance of lung fluid and the establishment of a functional…
Introduction Rapid and complex physiologic changes occur around the time of birth. The keys to a successful transition are the clearance of lung fluid and the establishment of a functional…
Respiratory care encompasses a set of practices, usually implemented by a multidisciplinary team (physician, respiratory therapist, nurse), to ensure the optimal delivery of respiratory support to newborn infants with respiratory…
Introduction to Ventilators A ventilator is defined as an automatic machine designed to provide all or part of the work required to generate enough ventilation to satisfy the body’s respiratory…
Neonates needing respiratory support require close monitoring to detect subtle changes that can signal either the need for weaning or a deterioration requiring additional intervention. An interdisciplinary team with expertise…
Introduction Neonates requiring intensive care represent a particularly vulnerable population because of their frequent need for intubation (as part of resuscitation), prolonged mechanical ventilation, and susceptibility to hospital-acquired infections. Hospital-acquired…
First described in the 1970s, high-frequency ventilation (HFV) is a form of mechanical ventilation that uses small tidal volumes, sometimes less than anatomic dead space, and very rapid ventilator rates…
Optimal nutritional support is fundamental for the survival, good health, growth, and development of newborn infants who require intensive care, particularly those who require assisted ventilation. Most of these infants…
Background Although it is a life-saving intervention, mechanical ventilation is associated with many complications ( Box 24-1 ), making timely and safe weaning an important imperative. However, the process of…
When noninvasive respiratory support is insufficient to achieve adequate gas exchange, insertion of an endotracheal tube and mechanical ventilator support may be necessary. Once it is determined that mechanical ventilation…
Introduction The care of premature infants with respiratory failure has advanced considerably over the past decades, but a substantial proportion of very premature infants survive with some degree of respiratory,…