Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Management of oxygenation in pediatric acute hypoxemic respiratory failure
Autore:
Matthews, BD; Noviski, N;
Indirizzi:
MassGen Hosp Children, Div Pediat Crit Care Med, Boston, MA USA MassGen Hosp Children Boston MA USA Pediat Crit Care Med, Boston, MA USA
Titolo Testata:
PEDIATRIC PULMONOLOGY
fascicolo: 6, volume: 32, anno: 2001,
pagine: 459 - 470
SICI:
8755-6863(200112)32:6<459:MOOIPA>2.0.ZU;2-I
Fonte:
ISI
Lingua:
ENG
Soggetto:
INHALED NITRIC-OXIDE; ACUTE LUNG INJURY; FREQUENCY OSCILLATORY VENTILATION; INVERSE RATIO VENTILATION; END-EXPIRATORY PRESSURE; CONVENTIONAL MECHANICAL VENTILATION; EXTRACORPOREAL MEMBRANE-OXYGENATION; EUROPEAN CONSENSUS CONFERENCE; RANDOMIZED CONTROLLED TRIAL; DISTRESS-SYNDROME ARDS;
Keywords:
children; pediatrics; acute respiratory distress syndrome; oxygenation; mechanical ventilation; respiratory failure; ventilator-induced lung injury;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
117
Recensione:
Indirizzi per estratti:
Indirizzo: Noviski, N Massachusetts Gen Hosp, Ellison 317,55 Fruit St, Boston, MA 02114 USA Massachusetts Gen Hosp Ellison 317,55 Fruit St Boston MA USA 02114
Citazione:
B.D. Matthews e N. Noviski, "Management of oxygenation in pediatric acute hypoxemic respiratory failure", PEDIAT PULM, 32(6), 2001, pp. 459-470

Abstract

The prognosis for patients with acute respiratory distress syndrome (ARDS)in adults and children has improved since its formal acceptance as a clinical entity in 1967. Because acute hypoxemic respiratory failure is the hallmark of acute lung injury and ARDS, the management of oxygenation is crucial. Physicians managing pediatric patients with acute lung injury or ARDS are faced with a complex array of options influencing oxygenation. Certain treatment strategies can influence clinical outcomes, such as a lung-protective ventilation strategy that specifies a low tidal volume (6 mL/kg) and a plateau pressure limit (30 cm H2O) (Acute Respiratory Distress Network, N Engl J Med 2000;342:1301-1308). Other lung-protective strategies such as different levels of positive end-expiratory pressure, altered inspiratory:expiratory ratios, recruitment maneuvers, prone positioning, and extraneous gases or drugs may impact clinical outcomes but require further clinical study. This paper reviews state-of-the-art strategies on the management of oxygenation in acute hypoxemic respiratory failure and attempts to guide pediatric pulmonologists in managing children with respiratory failure. (C) 2001 Wiley-Liss, Inc.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 22/01/20 alle ore 12:41:53