Summary
Respiratory monitoring of children during general anaesthesia and critical care is in its early stages. Acquisition of physical information remains of great importance because of the difficulties in obtaining specific and objective data from paediatric patients. Many of the obstacles presented by them, such as small and rapid respiration, lack of patient cooperation, use of an uncuffed tracheal tube and relatively higher airway humidity to keep the small airway patent, have been overcome recently by sophisticated technology based on well known principles and thoughtful use of computers. It is now possible to monitor and apply many pulmonary function tests at the bedside that were once confined to the laboratory.
Résumé
Le monitoring respiratoire des enfants pendant l’anesthésie générale et la réanimation est encore dans ses stages de développement. L’acquisition de données directes revêt une grande importance à cause des difficultés d’obtenir des données spécifiques et objectives chez les patients pédiatriques. Plusieurs des obstacles occasionnés par ces patients, tels qu’une respiration rapide et de petit volume, une absence de coopération du patient, l’utilisation de tube trachéaux sans ballonnet et une humidité dans les voies aériennes relativement plus élevée pour conserver ces petites voies aériennes perméables, ont récemment été surmontés par une technologie sophistiquée basée sur des principes bien connus et l’usage approprié d’ordinateurs. Il est maintenant possible d’utiliser plusieurs épreuves fonctionnelles respiratoires au chevet des patients, alors qu’auparavant elles étaient confinées au laboratoire.
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Miyasaka, K. Respiratory monitoring of the infant in anaesthesia and intensive care. Can J Anaesth 37 (Suppl 1), Scxxiv–Scxxxiii (1990). https://doi.org/10.1007/BF03006281
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DOI: https://doi.org/10.1007/BF03006281