Asthma

Rotta, Alexandre T.

doi:10.1016/b978-032301808-1.50043-2

Cited by 4 publications

(5 citation statements)

References 193 publications

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“…It is, however, inadvisable to overhydrate patients with acute asthma as they are prone to transcapillary fluid migration and alveolar flooding. [57,58] …”

Section: Intravenous Fluidsmentioning

confidence: 99%

Guideline for the management of acute asthma in children: 2013 update

et al. 2013

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“…It is, however, inadvisable to overhydrate patients with acute asthma as they are prone to transcapillary fluid migration and alveolar flooding. [57,58] …”

Section: Intravenous Fluidsmentioning

confidence: 99%

Guideline for the management of acute asthma in children: 2013 update

et al. 2013

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“…A ventilation strategy that avoids dynamic hyperinflation and tolerates hypercapnia is the cornerstone of mechanical support of pediatric patients with diseases of abnormal airway resistance, such as near-fatal asthma. 6 A ventilation strategy that avoids volutrauma, atelectrauma and biotrauma in the treatment of patients with diseases of abnormal lung compliance, such as ARDS, is firmly based on experimental literature and clinical experience. [2][3][4][5]28,30,32 The application of a lung protective strategy incorporating reduced tidal volumes, effective lung recruitment, adequate PEEP to minimize alveolar collapse during expiration and permissive hypercapnia has been shown to be advantageous in adult patients with ARDS, 5 although it has not been systematically studied in children.…”

Section: Discussionmentioning

confidence: 99%

“…As such, these patients present with prolonged expiratory times, expiratory wheezing and dynamic pulmonary hyperinflation. 6 The increased airway resistance may result from bronchospasm, mucosal edema, mucous plugging, intraluminal debris, extrinsic compression, or, as it is often the case, a combination of these factors.…”

Section: Mechanical Ventilation In Diseases Of Abnormal Airway Resistmentioning

confidence: 99%

“…6 Status asthmaticus and its more severe counterpart near-fatal asthma are common causes of admission to the Pediatric Intensive Care…”

Section: Mechanical Ventilation In Diseases Of Abnormal Airway Resistmentioning

confidence: 99%

“…6 The incidence of In ARDS, a large portion of the dependent lung is consolidated or has markedly decreased compliance and may not be available to participate in gas exchange. 23,24 As a result, even tidal volumes of 10 to 12 mL/kg can lead to significant overdistension and injury of the healthier and more compliant non-dependent lung regions through the maldistribution of the tidal volume to the more compliant regions.…”

Section: Mechanical Ventilation In Diseases Of Abnormal Airway Resistmentioning

confidence: 99%

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Ventilação mecânica convencional em pediatria

Rotta¹,

Steinhorn²

2007

J. Pediatr. (Rio J.)

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Objective: To review the various challenges of providing mechanical ventilation to pediatric patients with diseases of increased airway resistance, diseases of abnormal lung compliance or normal lungs. Sources:Original data from our pediatric intensive care unit and animal research laboratory. Relevant articles included in the MEDLINE electronic database during the last 10 years. Also included were book chapters and definitive studies, as judged by the authors, in the fields of asthma, acute respiratory distress syndrome, mechanical ventilation, ventilator-induced lung injury and permissive hypercapnia. Summary of the findings:Mechanical ventilation of patients with diseases of increased airway resistance should center on avoidance of dynamic hyperinflation, allowing complete exhalation prior to the initiation of a subsequent breath and permissive hypercapnia. Positive end-expiratory pressure should be used sparingly to prevent atelectasis and facilitate synchrony in spontaneously breathing patients. Mechanical ventilation of patients with diseases of abnormal lung compliance should take into consideration the inhomogeneous distribution of lung disease. Focus should be on avoidance of volutrauma and atelectrauma that could result in ventilator-associated lung injury. Conclusions:The last decade was marked by significant advances in the management of pediatric respiratory failure. The choice of mechanical ventilation strategy can significantly influence the subsequent course of lung injury.Mechanical ventilation can no longer be viewed simply as a harmless support modality that is employed to keep patients alive while disease-specific treatments are used to ameliorate the underlying pathology.J Pediatr (Rio J). 2007;83(2 Suppl):S100-108: Mechanical ventilation, acute lung injury, acute respiratory distress syndrome, status asthmaticus, permissive hypercapnia.

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An Overview of Pulmonary Atresia and Major Aortopulmonary Collateral Arteries

Presnell

Blankenship

Cheatham

et al. 2015

World J Pediatr Congenit Heart Surg

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Pulmonary atresia with ventricular septal defect and major aortopulmonary collateral arteries (PA/VSD/MAPCAs) is a rare and complex congenital cardiac lesion that has historically carried a poor prognosis. With advancements in surgical management, we have seen an improvement in the outcomes for children affected by this disease. However, this population continues to present challenges due to the complex anatomy and physiology associated with PA/VSD/MAPCA. This summary of material presented during one of the nursing sessions of the 2014 Meeting of the Pediatric Cardiac Intensive Care Society provides an overview for those in cardiac intensive care units who do not have a large experience with this lesion. We will review the anatomy, physiology, surgical approach, postoperative management strategies, and cardiac catheter intervention options for PA/VSD/MAPCAs. We will also discuss recent innovations that may lead to continued improvement in outcomes for this challenging patient population.

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Asthma

Cited by 4 publications

References 193 publications

Guideline for the management of acute asthma in children: 2013 update

Guideline for the management of acute asthma in children: 2013 update

Ventilação mecânica convencional em pediatria

An Overview of Pulmonary Atresia and Major Aortopulmonary Collateral Arteries

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