Division of Pediatric Critical Care Medicine, Duke University Medical Center, Durham, NC, USA; Department of Pediatrics, Duke University School of Medicine, Durham, NC, USA.
Respiratory Care Services, Duke University Medical Center, Durham, NC, USA.
Pediatr Clin North Am. 2022 Jun;69(3):587-605. doi: 10.1016/j.pcl.2022.02.004.
Children admitted to the pediatric intensive care unit often require respiratory support for the treatment of respiratory distress and failure. Respiratory support comprises both noninvasive modalities (ie, heated humidified high-flow nasal cannula, continuous positive airway pressure, bilevel positive airway pressure, negative pressure ventilation) and invasive mechanical ventilation. In this article, we review the various essential elements and considerations involved in the planning and application of respiratory support in the treatment of the critically ill children.
儿童重症监护病房收治的患儿常因呼吸窘迫和衰竭需要呼吸支持治疗。呼吸支持包括无创方式(即加热湿化高流量鼻导管、持续气道正压通气、双水平气道正压通气、负压通气)和有创机械通气。本文就危重症患儿呼吸支持治疗的规划和应用所涉及的各种基本要素和注意事项进行复习。