Setting the ventilator in the PICU

Book Section

The initiation of mechanical ventilation and selection of initial ventilator settings is a complex process that must address the underlying pathophysiology and the change in clinical status which may follow intubation and the implementation of positive pressure breathing. The initial ventilator settings must be instituted to target a patient’s specific clinical indication(s) for mechanical ventilation. Due to the substantial variation in disease processes, no single ventilator strategy can be successfully applied to all patients. The strategy used for a patient with acute respiratory distress syndrome (ARDS) will vary greatly from that for status asthmaticus or a chronic neuromuscular disorder. An additional factor in the approach to mechanical ventilation in the pediatric critical care setting is the tremendous variation in both patient age and size. These considerations are important elements in the development of an approach to mechanical ventilation of the pediatric patient.

Full Text

Duke Authors

Cited Authors

  • Cheifetz, IM; Turner, DA; Rehder, KJ

Published Date

  • January 1, 2015

Book Title

  • Pediatric and Neonatal Mechanical Ventilation: From Basics to Clinical Practice

Start / End Page

  • 1127 - 1142

International Standard Book Number 13 (ISBN-13)

  • 9783642012181

Digital Object Identifier (DOI)

  • 10.1007/978-3-642-01219-8_43

Citation Source

  • Scopus