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Invasive and Noninvasive Neonatal Mechanical Ventilation

By Donn, Steven M

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Book Id: WPLBN0003761161
Format Type: PDF eBook :
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Reproduction Date: 2015

Title: Invasive and Noninvasive Neonatal Mechanical Ventilation  
Author: Donn, Steven M
Language: English
Subject: Programming, Medical, Neonatology
Collections: Technical eBooks and Manuals Collection, Technical Books Center Collection
Publication Date:
Publisher: Technical Books Center


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Donn, S. M. (2003). Invasive and Noninvasive Neonatal Mechanical Ventilation. Retrieved from

Description: The spectrum of mechanical support for neonatal respiratory failure has widened substantially over the past 4 decades. Continuous positive airway pressure (CPAP) and time-cycled, pressure-limited intermittent mandatory ventilation (IMV) became the primary treatment modalities for a quarter of a century, until the technologic breakthroughs of the 1980s and 1990s introduced high-frequency ventilation (HFV) and advanced ventilatory techniques into neonatal intensive care. In conjunction with the enhanced monitoring capabilities, the strategies for treating neonatal respiratory failure have become both patient- and diseasespecific. Unfortunately, the advancement of the technology has occurred over a very relatively short period of time, limiting the ability to establish an evidence-based approach for comparisons and decision-making. However, this should not preclude clinicians from using the principles of pulmonary mechanics and respiratory physiology in applying these techniques to critically ill ewborns. Philosophies of respiratory management differ widely, even in highly developed countries. Some institutions favor others are more aggressive in their strategies. Treatments range from the relatively noninvasive CPAP to the most invasive, extracorporeal membrane oxygenation (ECMO). This review discusses the most widely used modalities and the rationale for each. Particular emphasis will be placed on nomenclature, which has been a source of confusion


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