Bronchoscopy in Pediatric and Neonatal Intensive Care

Sep 26, 2016 by in PEDIATRICS Comments Off on Bronchoscopy in Pediatric and Neonatal Intensive Care

Fig. 37.1 (a) Severe unilateral pulmonary interstitial empysema (PIE) in a premature ventilated baby causing mediastinal shift and cardiovascular compromise. (b) Unilateral intubation guided by fiberoptic bronchoscopy. (c) Resolution of…

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Fluid Management in the Ventilated Patient

Sep 26, 2016 by in PEDIATRICS Comments Off on Fluid Management in the Ventilated Patient

(5) Division of Asthma, Allergy and Lung Biology, MRC Centre for Allergic Mechanisms for Asthma, King’s College London, London, UK (6) Newborn Unit, Neonatal Intensive Care Centre, King’s College London…

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Permissive Hypercapnia in Neonates: Specific Experience and Limitations

Sep 26, 2016 by in PEDIATRICS Comments Off on Permissive Hypercapnia in Neonates: Specific Experience and Limitations

Potential benefits Potential risks Decrease lung injury Cerebral vasodilation/loss of cerebral auto regulation/intraventricular hemorrhage Neuroprotection in hypoxia-ischemia Increase pulmonary vascular resistance Reduction of adverse effects of hypocapnia including periventricular leukomalacia…

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Nasal CPAP: An Evidence-Based Assessment

Sep 26, 2016 by in PEDIATRICS Comments Off on Nasal CPAP: An Evidence-Based Assessment

Fig. 7.1 Bubble NCPAP. (A) Respiratory inductance plethysmography abdominal and chest bands; (B) esophageal balloon connected to pressure transducer. (A, B) are being used for pulmonary mechanics measurements in this…

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Airway Humidification

Sep 26, 2016 by in PEDIATRICS Comments Off on Airway Humidification

Fig. 9.1 The relative humidity of a gas depends on its absolute water content and gas temperature. At 37.0 °C and 100 % relative humidity, the respiratory gas has 44…

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Basic and Practically Useful Respiratory Monitoring of a Mechanically Ventilated Patient in Resource-Limited Countries

Sep 26, 2016 by in PEDIATRICS Comments Off on Basic and Practically Useful Respiratory Monitoring of a Mechanically Ventilated Patient in Resource-Limited Countries

Mode Process Comment Blood gas related Blood gas analysis Requires collection of blood specimens, and is thus invasive, and may be associated with increased need for blood transfusion Generally used…

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