Pediatr Crit Care Me
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Pediatr Crit Care Me · Jul 2003
Comparative StudyCorrection of compliance and resistance altered by endotracheal tube leaks.
Measurements of lung compliance and resistance are influenced by endotracheal tube leaks. To keep compliance and resistance reliable, we developed an algorithm to correct inspiratory and expiratory volume and flow mathematically. ⋯ Pulmonary compliance and resistance can be reliably corrected even in the presence of a substantial endotracheal tube leak, which makes pulmonary function tests more reliable.
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Pediatr Crit Care Me · Jul 2003
Comparative StudyHelium-oxygen therapy for pediatric acute severe asthma requiring mechanical ventilation.
To illustrate the use of helium-oxygen gas mixtures as therapy for pediatric patients with acute severe asthma requiring conventional mechanical ventilation. ⋯ In the pediatric patient with severe asthma requiring conventional mechanical ventilation, helium-oxygen administration appears to be a safe therapy and may assist in lowering peak inspiratory pressure and improving blood gas pH and partial pressure CO(2).
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Pediatr Crit Care Me · Jul 2003
Comparative StudyPrimary use of the venovenous approach for extracorporeal membrane oxygenation in pediatric acute respiratory failure.
To describe a single center's experience with the primary use of venovenous cannulation for supporting pediatric acute respiratory failure patients with extracorporeal membrane oxygenation (ECMO). ⋯ Venovenous ECMO can effectively provide adequate oxygenation for pediatric patients with severe acute respiratory failure receiving ECMO support. Additional cannulae placed at the initiation of venovenous ECMO could be beneficial in achieving flow rates necessary for adequate oxygenation and lung rest.