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Outpatient Care of the Ventilator Dependent Child

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Caring for the Ventilator Dependent Child

Part of the book series: Respiratory Medicine ((RM))

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Abstract

Invasive mechanical ventilation via tracheostomy and noninvasive ventilator support have become increasingly utilized treatment options for pediatric patients with a wide variety of diagnoses. This is due to multiple factors including advancements in available technology, improved access to technology and medical care, increased clinical expertise, and a paradigm shift in patients, caregivers, and physicians’ attitudes towards quality of life and long-term care. Children who depend on chronic ventilator support are a medically complex and diverse group with high morbidity and mortality. The increased risk for severe illness and death in this group of patients is related both to progression of underlying conditions and to complications related to comorbid conditions or the presence of a tracheostomy (e.g., tracheal plugging or bleeding) [1–3]. Despite the complex healthcare needs of children who rely on chronic ventilator support, there are few guidelines and little published evidence available to guide the clinicians who care for these patients in the outpatient setting. The objective of this chapter is to review aspects of outpatient management that should be considered in all patients requiring ventilator support. While the indications for and methods used to provide respiratory support vary widely, there are many common themes in the outpatient care of these children.

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Author information

Authors and Affiliations

  1. Stanford Children’s Health Sleep Center, 770 Welch Road, Suite 350, Palo Alto, CA, 94304, USA

    Nanci Yuan M.D.

  2. Eudowood Division of Pediatric Respiratory Sciences, The Johns Hopkins University School of Medicine, 200 North Wolfe Street, Baltimore, MD, 21287, USA

    Laura M. Sterni M.D.

Authors
  1. Nanci Yuan M.D.
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  2. Laura M. Sterni M.D.
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Correspondence to Nanci Yuan M.D. .

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Editors and Affiliations

  1. Eudowood Division of Pediatric Respiratory Sciences, The Johns Hopkins University School of Medicine, BALTIMORE, Maryland, USA

    Laura M. Sterni

  2. Division of Pediatric Pulmonary and Sleep Medicine, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA

    John L. Carroll

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Yuan, N., Sterni, L.M. (2016). Outpatient Care of the Ventilator Dependent Child. In: Sterni, L., Carroll, J. (eds) Caring for the Ventilator Dependent Child. Respiratory Medicine. Humana Press, New York, NY. https://doi.org/10.1007/978-1-4939-3749-3_8

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  • DOI: https://doi.org/10.1007/978-1-4939-3749-3_8

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