Volume and pressure modes of mechanical ventilation in pediatric patients.
There are few controlled pediatric studies comparing the various modes of ventilation in terms of patient outcomes. Thus at this time the choice of ventilator mode depends largely on the apparatus available, the patient's disease state, and personal preference based on one's experience. The next generation of ventilators may well allow the use of the best of both modes, setting both pressure and volume minimums and maximums, safely meeting ventilation targets. Today's challenges are to become familiar with the various modes of ventilators available, understand the developing physiology of the lung and lung disease pathophysiology, and incorporate all this into proper ventilator strategies to prevent ventilator-induced lung injury.
MacDonald
K D
KD
Department of Respiratory Care Service, Kaiser Permanente Medical Center, Los Angeles, California, USA.
Johnson
S R
SR
D000293:Adolescent; D000403:Airway Resistance; D002648:Child; D002675:Child, Preschool; D006801:Humans; D007223:Infant; D015278:Intensive Care Units, Pediatric; D008176:Lung Volume Measurements; D011175:Positive-Pressure Respiration / Q000009:adverse effects / Q000145:classification; D011659:Pulmonary Gas Exchange; D012121:Respiration, Artificial / Q000009:adverse effects / Q000145:classification / Q000379:methods*; D016896:Treatment Outcome; D012122:Ventilators, Mechanical / Q000009:adverse effects / Q000145:classification