Ventilation of newborns and infants

Der Anaesthesist
T M Berger, M Stocker

Abstract

Anaesthesiologists must be familiar with the particularities of the respiratory physiology of newborns and infants when providing perioperative care to these patients. Even brief periods of inadequate respiratory support can cause atelectatrauma and volutrauma which in turn can have deleterious cardiorespiratory consequences and accentuate pre-existing lung disease. A variety of respirators and respiratory support strategies are available and should be selected to meet a patient's particular needs. Optimal PEEP and normal tidal volumes during conventional ventilation, high volume strategy during high frequency ventilation, and permissive hypercapnia are the corner stones of a lung protective strategy. Using an interdisciplinary approach, surgery in the intensive care unit using total intravenous anaesthesia with the uninterrupted use of the ICU equipment is an attractive option for the most vulnerable patients in this age group.

References

Jun 17, 1971·The New England Journal of Medicine·G A GregoryW K Hamilton
Feb 16, 1967·The New England Journal of Medicine·W H NorthwayD Y Porter
Jul 29, 1999·Chest·A S Slutsky
Aug 17, 1999·Archives of Disease in Childhood. Fetal and Neonatal Edition·C Morley
May 4, 2000·The New England Journal of Medicine·UNKNOWN Acute Respiratory Distress Syndrome NetworkArthur Wheeler
Sep 28, 2000·Journal of Applied Physiology·C C Dos Santos, A S Slutsky
Jun 23, 2001·Archives of Disease in Childhood. Fetal and Neonatal Edition·B N ManktelowD Field
Sep 26, 2001·Clinics in Perinatology·V K Bhutani, E M Sivieri
Sep 26, 2001·Clinics in Perinatology·N Ambalavanan, W A Carlo
Apr 3, 2002·Respiratory Care Clinics of North America·G P Priebe, J H Arnold
Aug 30, 2002·The New England Journal of Medicine·Arthur S Slutsky, Jeffrey M Drazen
Aug 30, 2002·The New England Journal of Medicine·Alice H JohnsonUNKNOWN United Kingdom Oscillation Study Group
Aug 30, 2002·The New England Journal of Medicine·Sherry E CourtneyUNKNOWN Neonatal Ventilation Study Group
Sep 17, 2002·American Journal of Respiratory and Critical Care Medicine·Stephen DerdakUNKNOWN Multicenter Oscillatory Ventilation For Acute Respiratory Distress Syndrome Trial (MOAT) Study Investigators
Apr 30, 2003·Archives of Disease in Childhood. Fetal and Neonatal Edition·A G De PaoliP G Davis
Sep 17, 2003·Critical Care : the Official Journal of the Critical Care Forum·Frank V Ritacca, Thomas E Stewart
May 1, 1959·A.M.A. Journal of Diseases of Children·M E AVERY, J MEAD
Apr 17, 2004·Anesthesiology·Jean-Christophe BouchutOlivier Claris

❮ Previous
Next ❯

Citations

May 27, 2021·Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS·Selinde Mertz

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Anesteziologiia i reanimatologiia
O E Mitkinov, V I Gorbachev
Monaldi Archives for Chest Disease = Archivio Monaldi Per Le Malattie Del Torace
J J HaitsmaB Lachmann
Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
Giuseppe A Marraro
Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses
Louise Rose
© 2022 Meta ULC. All rights reserved