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Indications for ventilation in children and adolescents

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Presentation on theme: "Indications for ventilation in children and adolescents"— Presentation transcript:

1 Indications for ventilation in children and adolescents
Indications for ventilation in children and adolescents. * Statistically significant P value: various congenital disorders, P =. 001; chest wall, P = .02; obesity hypoventilation, P < .001. Indications for ventilation in children and adolescents. * Statistically significant P value: various congenital disorders, P =. 001; chest wall, P = .02; obesity hypoventilation, P < IMV = invasive mechanical ventilation; NIV = noninvasive ventilation; SCI = spinal cord injury; ALS = amyotrophic lateral sclerosis; other = see text for full description. Louise Rose et al. Respir Care 2015;60: (c) 2012 by Daedalus Enterprises, Inc.

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The changes in peak flow and inspiratory time between a minimum rise time (first 2 breaths) and a maximum rise time (last 2 breaths), with the Servo-i.

The changes in peak flow and inspiratory time between a minimum rise time (first 2 breaths) and a maximum rise time (last 2 breaths), with the Servo-i.
Propagation of pneumonia and lung injury.

Propagation of pneumonia and lung injury.
Mask fit process. Mask fit process. The mask fit process begins with 3-dimensional surface images of the subject's face (A). Three-dimensional scans are.

Mask fit process. Mask fit process. The mask fit process begins with 3-dimensional surface images of the subject's face (A). Three-dimensional scans are.
Trigger pressure-time product (PTP) with zero pressure support, with no leak, medium leak, and large leak. Trigger pressure-time product (PTP) with zero.

Trigger pressure-time product (PTP) with zero pressure support, with no leak, medium leak, and large leak. Trigger pressure-time product (PTP) with zero.
Matrix used to calculate the kappa statistic.

Matrix used to calculate the kappa statistic.
Trigger delays and leaks.

Trigger delays and leaks.
Time frames for the application of noninvasive positive-pressure ventilation in acute respiratory failure (ARF) according to the severity and end-of-life.

Time frames for the application of noninvasive positive-pressure ventilation in acute respiratory failure (ARF) according to the severity and end-of-life.
Picture of bubble PEP devices.

Picture of bubble PEP devices.
Noninvasive ventilation-neurally adjusted ventilatory assist (NIV-NAVA) where each patient effort is captured but support is insufficient (maximum electrical.

Noninvasive ventilation-neurally adjusted ventilatory assist (NIV-NAVA) where each patient effort is captured but support is insufficient (maximum electrical.
A: Pressure (green) and volume (black)/time curve in airway pressure release ventilation (APRV). A: Pressure (green) and volume (black)/time curve in airway.

A: Pressure (green) and volume (black)/time curve in airway pressure release ventilation (APRV). A: Pressure (green) and volume (black)/time curve in airway.
A 13-month-old subject had a deep tissue injury on the nose bridge when a nasal mask was used as a full face mask. A 13-month-old subject had a deep tissue.

A 13-month-old subject had a deep tissue injury on the nose bridge when a nasal mask was used as a full face mask. A 13-month-old subject had a deep tissue.
Likert-scale agreement ratings regarding the use of extubation readiness parameters by pediatric critical care physicians. Likert-scale agreement ratings.

Likert-scale agreement ratings regarding the use of extubation readiness parameters by pediatric critical care physicians. Likert-scale agreement ratings.
Simulated screenshot of flow starvation in volume control continuous mandatory ventilation. Simulated screenshot of flow starvation in volume control continuous.

Simulated screenshot of flow starvation in volume control continuous mandatory ventilation. Simulated screenshot of flow starvation in volume control continuous.
Obesity hypoventilation syndrome (OHS) management strategy.

Obesity hypoventilation syndrome (OHS) management strategy.
Indications for ventilation in adults

Indications for ventilation in adults
Sensitivity, Specificity, Positive Predictive Value, Negative Predictive Value, Area Under the Curve, and 95% CIs for the 0, 10, 25, 50, and 100 SatSeconds.

Sensitivity, Specificity, Positive Predictive Value, Negative Predictive Value, Area Under the Curve, and 95% CIs for the 0, 10, 25, 50, and 100 SatSeconds.
Representative tracings of transcutaneous CO2 (PtcCO2), Spo2, and heart rate during an apnea test designed to raise Paco2 to 100 mm Hg. At baseline, PtcCO2.

Representative tracings of transcutaneous CO2 (PtcCO2), Spo2, and heart rate during an apnea test designed to raise Paco2 to 100 mm Hg. At baseline, PtcCO2.
Comparison of airway pressure release ventilation (APRV) (blue curve) and biphasic positive airway pressure (BIPAP) (black curve). Comparison of airway.

Comparison of airway pressure release ventilation (APRV) (blue curve) and biphasic positive airway pressure (BIPAP) (black curve). Comparison of airway.
A: Machine-triggered intermittent mandatory ventilation (IMV) with inadequate patient triggering of mandatory breaths. A: Machine-triggered intermittent.

A: Machine-triggered intermittent mandatory ventilation (IMV) with inadequate patient triggering of mandatory breaths. A: Machine-triggered intermittent.
Trigger and synchronization windows.

Trigger and synchronization windows.

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