Abstract
While the basic principles of lung protective ventilation have been embraced by pediatric intensive care physicians, there is still great variability in ventilator management (Santschi et al. 2010). Although most critical care practitioners believe they are being lung protective, it is likely that replicable and consistent decisions are not made to minimize ventilator support across the duration of mechanical ventilation for patients with lung injury.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
Al-Majed SI, Thompson JE, Watson KF, Randolph AG (2004) Effect of lung compliance and endotracheal tube leakage on measurement of tidal volume. Crit Care 8(6):R398–R402
ARDSNet (2000) Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. The Acute Respiratory Distress Syndrome Network. N Engl J Med 342(18):1301–1308
Blaser R, Schnabel M, Biber C (2007) Improving pathway compliance and clinician performance by using information technology. Int J Med Inform 76:151–156
Claure N, D’Ugard C, Bancalari E (2009) Automated adjustment of inspired oxygen in preterm infants with frequent fluctuations in oxygenation: a pilot clinical trial. J Pediatr 155(5):640–645
Clemmer TP (2004) Computers in the ICU: where we started and where we are now. J Crit Care 19(4):201–207
East TD, Heermann LK, Bradshaw RL, Lugo A, Sailors RM, Ershler L et al (1999) Efficacy of computerized decision support for mechanical ventilation: results of a prospective multi-center randomized trial. Proc AMIA Symp 251–255
Gauld LM, Kappers J, Carlin JB, Robertson CF (2003) Prediction of childhood pulmonary function using ulna length. Am J Respir Crit Care Med 168(7):804–809
Jouvet P, Farges C, Hatzakis G, Monir A, Lesage F, Dupic L et al (2007) Weaning children from mechanical ventilation with a computer-driven system (closed-loop protocol): a pilot study. Pediatr Crit Care Med 8(5):425–432
Khemani RG, Conti D, Alonzo TA, Bart RD III, Newth CJ (2009a) Effect of tidal volume in children with acute hypoxemic respiratory failure. Intensive Care Med 35(8):1428–1437
Khemani RG, Patel NR, Bart RD, Newth CJ (2009b) Comparison of the pulse oximetric saturation/fraction of inspired oxygen ratio and the PaO2/fraction of inspired oxygen ratio in children. Chest 135(3):662–668
Khemani R, Sward K, Newth CJ (2010) Adaptation of an adult based mechanical ventilation protocol for application in pediatric ALI/ARDS. Am J Respir Crit Care Med 181:A3903
Kohn LT, Corrigan JM, Donaldson M (1999) To err is human: building a safer health system. Washington, DC: National Academy Press: 1999. Available at www.nap.edu/catalog/9728.html. Accessed 20 Dec 2013
Morris AH (2000) Developing and implementing computerized protocols for standardization of clinical decisions. Ann Intern Med 132(5):373–383
Morris AH (2003) Treatment algorithms and protocolized care. Curr Opin Crit Care 9(3):236–240
Morris AH, Wallace CJ, Menlove RL, Clemmer TP, Orme JF Jr, Weaver LK et al (1994) Randomized clinical trial of pressure-controlled inverse ratio ventilation and extracorporeal CO2 removal for adult respiratory distress syndrome. Am J Respir Crit Care Med 149:295–305
Morris AH, East TD, Wallace CJ, Franklin M, Heerman L, Kinder T et al (1996) Standardization of clinical decision making for the conduct of credible clinical research in complicated medical environments. Proc AMIA Annu Fall Symp 418–422
Morris AH, Orme J Jr, Truwit JD, Steingrub J, Grissom C, Lee KH et al (2008) A replicable method for blood glucose control in critically Ill patients. Crit Care Med 36(6):1787–1795
Mullett CJ, Evans RS, Christenson JC, Dean JM (2001) Development and impact of a computerized pediatric antiinfective decision support program. Pediatrics 108(4):E75
Newth CJL (1979) Recognition and management of respiratory failure. In: Levison H (ed) Pediatric clinics of North America. WB Saunders, Philadelphia. 26(3):617–643
Newth CJL (1986) Respiratory disease and respiratory failure: implications for the young and the old. Br J Dis Chest 80:209–217
Randolph AG, Wypij D, Venkataraman ST, Hanson JH, Gedeit RG, Meert KL et al (2002) Effect of mechanical ventilator weaning protocols on respiratory outcomes in infants and children: a randomized controlled trial. JAMA 288(20):2561–2568
Rosen WC, Mammel MC, Fisher JB, Coleman JM, Bing DR, Holloman KK et al (1993) The effects of bedside pulmonary mechanics testing during infant mechanical ventilation: a retrospective analysis. Pediatr Pulmonol 16(3):147–152
Santschi M, Jouvet P, Leclerc F, Gauvin F, Newth CJ, Carroll CL et al (2010) Acute lung injury in children: therapeutic practice and feasibility of international clinical trials*. Pediatr Crit Care Med 11:11
Shortliffe EH, Cimeno JJ (2006) Biomedical informatics: computer applications in health care and biomedicine, 3rd edn. Springer, New York
Slonim AD, Pollack MM (2005) Integrating the Institute of Medicine’s six quality aims into pediatric critical care: relevance and applications. Pediatr Crit Care Med 6(3):264–269
Stenson BJ, Glover RM, Wilkie RA, Laing IA, Tarnow-Mordi WO (1998) Randomised controlled trial of respiratory system compliance measurements in mechanically ventilated neonates. Arch Dis Child Fetal Neonatal Ed 78(1):F15–F19
Thompson BT, Orme JF, Zheng H, Luckett PM, Truwit JD, Willson DF et al (2008) Multicenter validation of a computer-based clinical decision support tool for glucose control in adult and pediatric intensive care units. J Diabetes Sci Technol 2(3):357–368
von Ungern-Sternberg BS, Trachsel D, Erb TO, Hammer J (2009) Forced expiratory flows and volumes in intubated and paralyzed infants and children: normative data up to 5 years of age. J Appl Physiol 107(1):105–111
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2015 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Newth, C.J.L., Khemani, R.G., Jouvet, P., Wilson, D. (2015). Automation of ALI/ARDS Ventilation in Children. In: Rimensberger, P. (eds) Pediatric and Neonatal Mechanical Ventilation. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-01219-8_62
Download citation
DOI: https://doi.org/10.1007/978-3-642-01219-8_62
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-01218-1
Online ISBN: 978-3-642-01219-8
eBook Packages: MedicineMedicine (R0)