Rotta Alexandre T, Alibrahim Omar, Miller Andrew G
Drs. Rotta, Alibrahim and Mr. Miller are affiliated with Division of Pediatric Critical Care Medicine, Duke University School of Medicine, Durham, North Carolina, USA.
Dr. Rotta and Mr. Miller are affiliated with Respiratory Care Services, Duke University Medical Center, Durham, North Carolina, USA.
Respir Care. 2025 May;70(5):574-582. doi: 10.1089/respcare.12810. Epub 2025 Feb 25.
Children admitted to the pediatric intensive care unit frequently require invasive mechanical ventilation, a critical intervention central to managing severe respiratory failure and supporting gas exchange. This article highlights notable articles on pediatric mechanical ventilation published between 2023 and 2024, curated for clinicians and researchers dedicated to optimizing respiratory care. Key topics include lung-protective ventilation strategies, ventilator liberation practices, assessments of pulmonary function, cardiopulmonary interactions, and the impact of quality improvement initiatives on safety and outcomes, emphasizing the role of structured interventions to reduce preventable adverse events. Together, these studies underscore the complexity of pediatric mechanical ventilation and the importance of individualized, evidence-based strategies in advancing respiratory care for critically ill children.
入住儿科重症监护病房的儿童经常需要有创机械通气，这是治疗严重呼吸衰竭和支持气体交换的关键干预措施。本文重点介绍了2023年至2024年间发表的关于儿科机械通气的重要文章，这些文章是为致力于优化呼吸护理的临床医生和研究人员精心挑选的。关键主题包括肺保护性通气策略、呼吸机撤离实践、肺功能评估、心肺相互作用以及质量改进举措对安全性和结局的影响，强调了结构化干预措施在减少可预防不良事件方面的作用。这些研究共同强调了儿科机械通气的复杂性以及个性化、循证策略在推进危重症儿童呼吸护理方面的重要性。
