Skip to main content
Journal cover image
Pediatric and Neonatal Mechanical Ventilation: From Basics to Clinical Practice

Indications for invasive conventional mechanical ventilation

Publication ,  Chapter
Bancalari, E; Cheifetz, IM; Rehderkyle, KJ; Schulze, A; Turner, DA
January 1, 2015

The spectrum and severity of respiratory illness in the newly born has been changing over the past three decades with the introduction of antenatal steroids, improved management of the fetus during preterm labor and birth, and postnatal exogenous surfactant administration. Early pulmonary parenchymal failure requiring invasive ventilation occurs less frequently. Moderately preterm infants who received invasive mechanical ventilation in the past can often be managed nowadays with noninvasive respiratory support. There is, however, a “new generation” of surviving extremely small infants who depend on early initiation of invasive ventilation and who stay on the ventilator for extended periods of time with substantial risks for ventilator-induced lung injury. Such infants often require invasive ventilation for reasons other than surfactant deficiency. These comprise, among others, respiratory pump failure and intermittent failure of the immature respiratory rhythm generator and control of breathing. Diverse invasive mechanical ventilation strategies and modalities have been developed to better address these problems; however, evidence of their effectiveness is still scarce. Therefore, the clinician’s expertise in some of the basic invasive ventilation techniques and devices probably remains the key determinant of a successful application.

Duke Scholars

DOI

ISBN

9783642012181

Publication Date

January 1, 2015

Start / End Page

535 / 557
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Bancalari, E., Cheifetz, I. M., Rehderkyle, K. J., Schulze, A., & Turner, D. A. (2015). Indications for invasive conventional mechanical ventilation. In Pediatric and Neonatal Mechanical Ventilation: From Basics to Clinical Practice (pp. 535–557). https://doi.org/10.1007/978-3-642-01219-8_18
Bancalari, E., I. M. Cheifetz, K. J. Rehderkyle, A. Schulze, and D. A. Turner. “Indications for invasive conventional mechanical ventilation.” In Pediatric and Neonatal Mechanical Ventilation: From Basics to Clinical Practice, 535–57, 2015. https://doi.org/10.1007/978-3-642-01219-8_18.
Bancalari E, Cheifetz IM, Rehderkyle KJ, Schulze A, Turner DA. Indications for invasive conventional mechanical ventilation. In: Pediatric and Neonatal Mechanical Ventilation: From Basics to Clinical Practice. 2015. p. 535–57.
Bancalari, E., et al. “Indications for invasive conventional mechanical ventilation.” Pediatric and Neonatal Mechanical Ventilation: From Basics to Clinical Practice, 2015, pp. 535–57. Scopus, doi:10.1007/978-3-642-01219-8_18.
Bancalari E, Cheifetz IM, Rehderkyle KJ, Schulze A, Turner DA. Indications for invasive conventional mechanical ventilation. Pediatric and Neonatal Mechanical Ventilation: From Basics to Clinical Practice. 2015. p. 535–557.
Journal cover image

DOI

ISBN

9783642012181

Publication Date

January 1, 2015

Start / End Page

535 / 557