Caring for the Ventilator Dependent Child: A Clinical Guide by Laura M. Sterni, John L. Carroll

By Laura M. Sterni, John L. Carroll

This e-book is a crucial new source for clinicians taking care of ventilator based teenagers, who usually have complicated overall healthiness care wishes, are supported by means of complex know-how and are at  high-risk of great problems. regardless of the complex healthiness care wishes of kids who depend on continual breathing help, there are few instructions and little facts to be had to lead the clinicians who deal with those sufferers. This e-book covers the various elements keen on the care of those advanced young ones, with enter from specialists within the fields of pediatric pulmonology, extensive care, ethics, respiration remedy, and nursing. intensive chapters offer an advent to using power invasive and non-invasive air flow in little ones and describe and evaluate what's identified approximately tools of providing ventilator help, care of the chronically ventilated sufferer in the neighborhood , use of continual ventilator help in sufferers with issues quite often resulting in respiration failure and results for sufferers and their caregivers. This ebook is meant to be valuable not just for pediatric pulmonologists, but in addition for intensivists, cardiologists, actual medicine/rehabilitation experts, nurses, breathing therapists and the first care physicians taken with the complexities of handling take care of this distinct staff of distinctive wishes children. 

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Extra resources for Caring for the Ventilator Dependent Child: A Clinical Guide

Sample text

40. Mellies U, Ragette R, Dohna SC, Boehm H, Voit T, Teschler H. Long-term noninvasive ventilation in children and adolescents with neuromuscular disorders. Eur Respir J. 2003;22:631–6. 41. Nickol AH, Hart N, Hopkinson NS, Moxham J, Simonds A, Polkey MI. Mechanisms of improvement of respiratory failure in patients with restrictive thoracic disease treated with non-invasive ventilation. Thorax. 2005;60:754–60. 42. Piper AJ, Sullivan CE. Effects of long-term nocturnal nasal ventilation on spontaneous breathing during sleep in neuromuscular and chest wall disorders.

The simplified equation of motion is written P = DVE + RV , where P is the pressure above end-expiratory pressure required to achieve an adequate breath, ΔV is the volume change desired (tidal volume), E is the elastance (the reciprocal of compliance, describing the tendency of the lung tissue to resist stretch), R is resistance, and V is the inspiratory flow. The pressure required to achieve the breath can be generated by a ventilator alone (in which case all of the pressure is positive or above airway opening pressure), by the patient’s respiratory muscles alone (where all inspiratory pressure is below airway opening pressure), or by a combination of the two.

11. Squier SB, Patil SP, Schneider H, Kirkness JP, Smith PL, Schwartz AR. Effect of endexpiratory lung volume on upper airway collapsibility in sleeping men and women. J Appl Physiol. 2010;109:977–85. 12. Carroll JL, McColley SA, Marcus CL, Curtis S, Loughlin GM. Inability of clinical history to distinguish primary snoring from obstructive sleep apnea syndrome in children. Chest. 1995;108:610–8. 13. Berry RB, Budhiraja R, Gottlieb DJ, Gozal D, Iber C, Kapur VK, Marcus CL, Mehra R, Parthasarathy S, Quan SF, et al.

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