Pediatric and Neonatal Mechanical Ventilation 2nd Edition | Rincón Médico

Pediatric and Neonatal Mechanical Ventilation 2nd Edition

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Pediatric and Neonatal Mechanical Ventilation
After the first edition came out in 2006, Pediatric and Neonatal Mechanical Ventilation became instantly popular with pediatric residents in the Pediatric Intensive Care Unit (PICU) due to its small size and simple and practice-oriented approach.

Recently, more advances have come up in the field of mechanical ventilation including newer modes such as airway pressure release ventilation, neurally adjusted ventilatory assist (NAVA) and high frequency oscillatory ventilation (HFOV).
Newer ventilators with sophisticated microchip technology are able to offer better ventilation with precision with graphics and monitoring of dynamic parameters on a real-time basis as well as sophisticated alarm systems to check pressures (over distention) and volumes delivered to the patient via the breathing circuit (leaks if any). Newer advances such as FiO2 weaning by feedback loop with real-time sensing of SpO2 in the patient by the microchip built in the ventilator are soon going to be a reality.
In the second edition, newer chapters on specific scenarios of Ventilation in Asthma, ARDS, Extracorporeal Membrane Oxygenation (ECMO), Patient ventilator synchrony have been added. Flow charts have also been included in most of the chapters for ready reference. Some newer ventilators and their information have also been added in chapter on commonly available ventilators.
I sincerely hope that this book will continue to be of practical use to the residents and fellows in the pediatric and neonatal intensive care unit.


1. Structure and Function of Conventional Ventilator
• Ventilator

2. Mechanical Ventilation: Basic Physiology
• Basic Respiratory Physiology
• Applied Respiratory Physiology for Mechanical Ventilation

3. Oxygen Therapy
• Definition
• Physiology

4. Basic Mechanical Ventilation
• Indications of Mechanical Ventilation
• Basic Fundamentals of Ventilation

5. Advanced Mechanical Ventilation: Newer Modes
• Inverse Ratio Ventilation (IRV)
• Airway Pressure Release Ventilation (APRV)
• Pressure Support Ventilation (PSV)
• Pressure-regulated Volume Control (PRVC)
• Proportional Assist Ventilation (PAV)
• Nonconventional Techniques
• Neurally Adjusted Ventilatory Assist (NAVA)

6. Patient Ventilator Dyssynchrony
• Ventilator-related Factors that affect Patient-ventilator Interaction
• Trigger Variable
• Ineffective Triggering

7. Blood Gas and Acid Base Interpretation
• Acidosis
• Alkalosis
• Buffering System
• Homeostasis
• Pathophysiology
• Metabolic Acidosis
• Treatment
• Metabolic Alkalosis
• Respiratory Acidosis
• Respiratory Alkalosis
• Mixed Acid-base Disorders

8. Care of the Ventilated Patient
• Physiotherapy
• Appendix: Humidification and Mechanical Ventilation

9. Ventilator Graphics and Clinical Applications
• Technique of Respiratory Mechanics Monitoring
• Types of Waveforms
• Scalars
• Loops
• Abnormal Waveforms

10. Ventilation for Acute Respiratory Distress Syndrome
• Epidemiology of Acute Lung
• Diagnosing Acute Lung Injury
• Management of Pediatric ALI and ARDS
• Respiratory Support in Children with ALI and ARDS
• Endotracheal Intubation and Ventilation
• Rescue Therapies for ChIldren with ALI/ARDS
• Potentially Promising Therapies for Children with ALI/ARDS

11. Mechanical Ventilation in Acute Asthma
• Criteria for Intubation
• Intubation Technique
• Sedation during Intubation and Ventilation
• Effects of Intubation
• Ventilation Control
• Medical Management of Asthma in the Intubated Patient
• Noninvasive Mechanical Ventilation

12. Weaning from Mechanical Ventilation
• Determinants of Weaning Outcome
• Extubation

13. Complications of Mechanical Ventilation
• Complications Related to Adjunctive Therapies

14. Non-Invasive Ventilation
• Mechanism of Improvement with Non-invasive Ventilation

15. Neonatal CPAP (Continuous Positive Airway Pressure)
• Definition
• Effects of CPAP in the Infant with Respiratory Distress
• The CPAP Delivery System

16. Neonatal Ventilation
17. High Frequency Ventilation

• Ventilator Induced Lung Injury
• Protective Strategies of Conventional Mechanical Ventilation
• Basic Concepts of HFV (High Frequency Ventilation)
• Types of High Frequency Ventilation
• Clinical Application
• Practical Aspects of High Frequency Ventilation of Pediatric and Neonatal Patients

18. Inhaled Nitric Oxide
19. Extracorporeal Membrane Oxygenation

• Recent Evidence on Use of ECMO

20. Commonly Available Ventilators
• VELA Ventilator: Viasys Health Care (USA)
• Neonatal Ventilator Model Bearcub 750 PSV–Viasys Health Care (USA)
• Ventilator Model Avea- Viasys Health Care (USA)
• The SLE 2000 – For Infant Ventilation
• SLE 5000
• The Puritan Bennett® 840™ Ventilator

Appendix 1: Literature Review of Pediatric Ventilation
Appendix 2: Adolescent and Adult Ventilation

Title: Pediatric and Neonatal Mechanical Ventilation
Edition: Second Edition
Author: Praveen Khilnani
Language: English


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