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2017 ; 6
(ä): 290
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Recent Advances in Pediatric Ventilatory Assistance
#MMPMID28413621
Nardi N
; Mortamet G
; Ducharme-Crevier L
; Emeriaud G
; Jouvet P
F1000Res
2017[]; 6
(ä): 290
PMID28413621
show ga
In this review on respiratory assistance, we aim to discuss the following recent
advances: the optimization and customization of mechanical ventilation, the use
of high-frequency oscillatory ventilation, and the role of noninvasive
ventilation. The prevention of ventilator-induced lung injury and diaphragmatic
dysfunction is now a key aspect in the management of mechanical ventilation,
since these complications may lead to higher mortality and prolonged length of
stay in intensive care units. Different physiological measurements, such as
esophageal pressure, electrical activity of the diaphragm, and volumetric
capnography, may be useful objective tools to help guide ventilator assistance.
Companies that design medical devices including ventilators and respiratory
monitoring platforms play a key role in knowledge application. The creation of a
ventilation consortium that includes companies, clinicians, researchers, and
stakeholders could be a solution to promote much-needed device development and
knowledge implementation.