A novel system that continuously visualizes and analyzes respiratory sounds to promptly evaluate upper airway abnormalities: a pilot study

Kikutani, Kazuya; Ohshimo, Shinichiro; Sadamori, Takuma; Giga, Hiroshi; Ohki, Shingo; Nishida, Tetsuo; Yamaga, Satoshi; Shime, Nobuaki

doi:10.1007/s10877-020-00641-5

Cited by 3 publications

(1 citation statement)

References 15 publications

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“…Early detection of airway edema and impending airway obstruction even before the clinical manifestation of post-extubation stridor could be crucial in improving outcomes in recently extubated children. Kikutani et al ( 35 ) have developed a novel system that continuously monitors respiratory sounds and produces a visual representation that allows clinicians to detect sub-clinical post-extubation stridor. Although this tool needs to be validated through widespread testing, it could be invaluable in pediatric ICU setting if it allows earlier intervention with L-epinephrine nebulization and/or steroids that may have a greater impact if administered quickly, and prevent further airway instrumentation and intubation.…”

Section: Pediatric Complications Of Mechanical Ventilationmentioning

confidence: 99%

Complications during mechanical ventilation—A pediatric intensive care perspective

Sood

Ganatra²,

Marques³

et al. 2023

Front. Med.

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Mechanical ventilation is a common procedure performed in pediatric intensive care units, with over 20% of patients requiring invasive ventilator support. The most common indication for endotracheal intubation and ventilation in the pediatric population is respiratory failure either due to respiratory embarrassment or neurologic pathology. Despite the use of ventilation modes that are lung protective in the pediatric population, complications of mechanical ventilation occur frequently. These include atelectasis, post-extubation stridor, perioral tissue damage, ventilator associated pneumonia, mucus plugging, pneumothorax, pneumomediastinum, and ICU neuromyopathy. The purpose of this review is to discuss the risk factors, presentation and management of complications associated with mechanical ventilation in the pediatric population.

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Section: Pediatric Complications Of Mechanical Ventilationmentioning

confidence: 99%