Mechanical Ventilation

If an endotracheal tube is placed, then mechanical ventilation should soon be instituted. Determining appropriate initial settings for the mechanical ventilation of children can be difficult. For children weighing less than 10 kg, time-flow or pressure preset ventilators should be used. For time-flow ventilators, inspiratory and

expiratory times are needed. Typical inspiratory times are 2 to 1 s, depending on ventilation frequency. For pressure ventilators, inflating pressures are determined by using pressures necessary to inflate the lungs and cause the chest to rise. Pressures usually range from 15 to 40 mmHg. Excess pressures can cause barotrauma. For older children, volume ventilators can be used, starting with a tidal volume of 10 mL/kg, as for adults. If the lungs have normal compliance and the child does not

require hyperventilation, then the respiratory rate should be started at 2 the normal rate for age (20 breaths/min for infants, 15 breaths/min for young children, and 10 breaths/min for older children and adolescents). Children should be adequately sedated and paralyzed during mechanical ventilation until definitive care is started in a pediatric intensive care unit.

Getting to Know Anxiety

Getting to Know Anxiety

Stop Letting Anxiety Rule Your Life And Take Back The Control You Desire Right Now! You don't have to keep letting your anxiety disorder run your life. You can take back your inner power and change your life for the better starting today! In order to have control of a thing, you first must understand it. And that is what this handy little guide will help you do. Understand this illness for what it is. And, what it isn't.

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