Lung protective ventilation strategies in paediatrics-A review

被引：4

作者：

Jauncey-Cooke, Jacqui I. ^{[1
,2
]}

Bogossian, Fiona ^{[2
]}

East, Chris E. ^{[2
,3
,4
]}

机构：

[1] Mater Childrens Hosp, PICU, Brisbane, Qld 4101, Australia

[2] Univ Queensland, Sch Nursing & Midwifery, Herston, Qld, Australia

[3] Univ Melbourne, Royal Womens Hosp, Dept Perinatal Med, Melbourne, Vic 3010, Australia

[4] Univ Melbourne, Royal Womens Hosp, Dept Obstet & Gynaecol, Melbourne, Vic 3010, Australia

来源：

AUSTRALIAN CRITICAL CARE | 2010年 / 23卷 / 02期

关键词：

Mechanical ventilation; Lung protective; strategies; Lung recruitment; PEEP; Paediatrics; END-EXPIRATORY PRESSURE; CONVENTIONAL MECHANICAL VENTILATION; FREQUENCY OSCILLATORY VENTILATION; ACUTE RESPIRATORY-FAILURE; HYPERCAPNIC ACIDOSIS; RABBIT MODEL; TIDAL VOLUME; GAS-EXCHANGE; RISK-FACTORS; INJURY;

D O I：

10.1016/j.aucc.2009.11.002

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Ventilator Associated Lung Injury (VALI) is an iatrogenic phenomena that significantly impacts on the morbidity and mortality of critically ill patients. The hazards associated with mechanical ventilation are becoming increasingly understood courtesy of a large body of research. Barotrauma, volutrauma and biotrauma all play a role in VALI. Concomitant to this growth in understanding is the development of strategies to reduce the deleterious impact of mechanical ventilation. The majority of the research is based upon adult populations but with careful extrapolation this review will focus on paediatrics. This review article describes the physiological basis of VALI and discusses the various lung protective strategies that clinicians can employ to minimise its incidence and optimise outcomes for paediatric patients. (C) 2009 Australian College of Critical Care Nurses Ltd. Published by Elsevier Australia (a division of Reed International Books Australia Pty Ltd). All rights reserved.

引用

页码：81 / 88

页数：8

共 71 条

[21] Prone positioning can be safely performed in critically ill infants and children [J].

Fineman, Lori D. ;

LaBrecque, Michelle A. ;

Shih, Mei-Chiung ;

Curley, Martha A. Q. .

PEDIATRIC CRITICAL CARE MEDICINE, 2006, 7 (05) :413-422

[22] Science review: Mechanisms of ventilator-induced injury [J].

Frank, JA ;

Matthay, MA .

CRITICAL CARE, 2003, 7 (03) :233-241

[23]

Frye Allen D, 2005, Crit Care Nurs Clin North Am, V17, P311, DOI 10.1016/j.ccell.2005.07.008

[24] Positive end-expiratory pressure and pressure support in peripheral airways obstruction [J].

Graham, Alan S. ;

Chandrashekharaiah, Girish ;

Citak, Agop ;

Wetzel, Randall C. ;

Newth, Christopher J. L. .

INTENSIVE CARE MEDICINE, 2007, 33 (01) :120-127

[25] Effect of systematic prone positioning in hypoxemic acute respiratory failure - A randomized controlled trial [J].

Guerin, C ;

Gaillard, S ;

Lemasson, S ;

Ayzac, L ;

Girard, R ;

Beuret, P ;

Palmier, B ;

Le, QV ;

Sirodot, M ;

Rosselli, S ;

Cadiergue, V ;

Sainty, JM ;

Barbe, P ;

Combourieu, E ;

Debatty, D ;

Rouffineau, J ;

Ezingeard, E ;

Millet, O ;

Guelon, D ;

Rodriguez, L ;

Martin, O ;

Renault, A ;

Sibille, JP ;

Kaidomar, M .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2004, 292 (19) :2379-2387

[26]

Halter JM, 2007, CRIT CARE, V11, DOI 10.1186/cc5695

[27]

Hanson James H, 2006, Respir Care Clin N Am, V12, P349

[28] Atelectasis formation during anesthesia: Causes and measures to prevent it [J].

Hedenstierna, G ;

Rothen, HU .

JOURNAL OF CLINICAL MONITORING AND COMPUTING, 2000, 16 (5-6) :329-335

[29]

Hess D., 1996, ESSENTIALS MECH VENT

[30] Perspective on lung injury and recruitment - A skeptical look at the opening and collapse story [J].

Hubmayr, RD .

AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2002, 165 (12) :1647-1653

← 1 2 3 4 5 6 7 8 →