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  • Book
    Christopher W. Mastropietro, Kevin M. Valentine, editors.
    Digital : Springer2018
    Important Topics for Further DiscussionFuture Directions; References; 2: Extracorporeal Membrane Oxygenation for Acute Pediatric Respiratory Failure; Introduction; Indications for ECMO; Hypoxemic Respiratory Failure and Pediatric Acute Respiratory Distress Syndrome; Hypercarbic Respiratory Failure; Airway Disorders; Patient Selection; Diagnosis; Duration of Mechanical Ventilation; Patient Comorbidities; ECMO Modality and Cannulation Strategy; Pulmonary Management; Ventilator Management; Secretion Clearance on ECMO; Extubation on ECMO; Recommendations Centralization of ECMO and the Effect of Center VolumeProlonged ECMO and Lung Transplantation; Long-Term ECMO; ECMO as a Bridge to Lung Transplant; Considerations on Prolonged ECMO; Termination of Extracorporeal Support; Conclusion; References; 3: Weaning and Extubation Readiness Assessment in Pediatric Patients; Introduction; Definitions; Ventilator Weaning Versus Extubation Readiness; Extubation Failure; Post-Extubation Stridor and Upper Airway Obstruction; Ventilator Weaning; Causes of Ventilator Weaning Failure; Respiratory Muscle Weakness; Cardiac Dysfunction and Pulmonary Hypertension Fluid OverloadSedation Optimization; Mucociliary Clearance; Extubation Readiness Assessment in Pediatric ICU; Screening for Entry Criteria into the ERT; Respiratory Support during the ERT; Duration of the ERT; Criteria for What Constitutes a Successful ERT; Anticipation of Post-Extubation Respiratory Support; Establishing a Respiratory Therapist-Driven Extubation Readiness Assessment Protocol; Potential Adjuncts to Extubation Readiness Assessment; Extubation Failure; Strategies to Prevent Post-Extubation Upper Airway Obstruction; Extubation in Special Patient Populations Intro; Foreword; Preface; Contents; List of Contributors; Part I: Respiratory Controversies; 1: Ventilator Management for Pediatric Acute Respiratory Distress Syndrome; Pathogenesis of Acute Respiratory Distress Syndrome; Definition of Pediatric ARDS; Noninvasive Respiratory Support; Lung-Protective Strategies; Tidal Volume Delivery: Volutrauma; PEEP Titration: Atelectrauma; Plateau Pressure and Drive Pressure (ΔP): Barotrauma; High-Frequency Oscillatory Ventilation; Adjunctive Therapies; Recruitment Maneuvers; Prone Positioning; Inhaled Nitric Oxide; Surfactant Congenital or Acquired Cardiac DiseaseTraumatic Brain Injury; Neuromuscular Disease; Patient with Chronic Respiratory Support; Future Directions; References; 4: Management of Status Asthmaticus in Critically Ill Children; Introduction; Pathophysiology: A Brief Précis; Clinical Assessment; Diagnostic Evaluation; Fiberoptic Bronchoscopy; Xenon Ventilation Computed Tomography; Exhaled Nitric Oxide; Pharmacological Management; Inhaled β-Adrenergic Agonists; Anticholinergic Agents; Anti-inflammatory Drugs; Magnesium; Methylxanthine Drugs; Intravenous Albuterol; Intravenous Terbutaline