Download or read book Respiratory Support Strategies in the Prevention and Treatment of Bronchopulmonary Dysplasia written by Huayan Zhang and published by Frontiers Media SA. This book was released on 2023-07-26 with total page 124 pages. Available in PDF, EPUB and Kindle. Book excerpt: Infant chronic lung disease (CLD), or bronchopulmonary dysplasia (BPD), one of the most common complications of prematurity, carries consequences of high mortality and morbidity. Lengthy hospitalizations, frequent readmissions, chronic cardiopulmonary impairment, poor growth, and long-term neurodevelopmental impairment are common in these patients. As a result, it is a disease with high social-economic impact, both to the health care system and society. Over the past few decades, advances in neonatal intensive care have led to improved survival of extremely premature infants world-wide, especially in low and middle-income countries (LMICs). This increased survival has also led to a larger number of infants with extremely immature lungs that are prone to abnormal lung development and lung injury. Consequently, the incidence of BPD has not decreased. Although respiratory support is a mainstay therapy for premature infants with acute or chronic respiratory insufficiency, there is currently a lack of strong evidence-based respiratory support strategies both in the prevention of BPD and treatment of infants with established BPD. Over the years, there has been a series of advancements in the respiratory management of premature infants, including but not limited to: less invasive methods of pulmonary surfactant delivery, multiple modalities of non-invasive respiratory support, neonatal-specific ventilators with better synchronization and monitoring capabilities, use of permissive hypercapnia to minimize the level of ventilation support, and international agreement on the oxygen saturation target. However, there have been controversies in the safety and efficacy of some of these treatments, and much more needs to be learned in how to best apply some of these therapies, especially in infants with evolving BPD and established BPD, as well as in resource-limited settings. This Research Topic will focus on respiratory support strategies in the prevention and treatment of BPD. We welcome both experimental and clinical research articles exploring the impacts of respiratory support on pulmonary mechanics, lung injury, lung growth and overall health in premature infants both during their early postnatal days and after they are diagnosed with BPD. This article collection will explore, but is not limited to, the following thematic areas: 1. Delivery room respiratory management in the prevention of BPD 2. Use of non-invasive respiratory support in premature infants with respiratory distress syndrome (RDS), evolving BPD or established BPD 3. Mechanical ventilation strategies in intubated premature infants with RDS, evolving BPD or established BPD 4. Neurally Adjusted Ventilatory Assist (NAVA) use in the prevention or treatment of BPD 5. Cardio-pulmonary interaction during respiratory support in preterm infants 6. Effects of different respiratory support modalities on pulmonary mechanics, lung injury and BPD-associated pulmonary hypertension 7. Impact of respiratory support on the growth and development of premature infants 8. Nursing care of premature infants on invasive or non-invasive respiratory support 9. Tracheostomy and long-term ventilation for infants with BPD 10. Post-discharge respiratory support management and respiratory follow up for infants with BPD 11. Impact of infection (bacterial or viral: including but not limited to gram negative oranisms, RSV, influenza, COVID-19, and others) on respiratory function in infants with BPD 12. Adjunctive therapies in addition to respiratory support in BPD prevention or in the treatment of BPD 13. Utility of bedside imaging (e.g. lung ultrasound, bronchoscopy, electric impedance tomography, etc.) in the selection and adjustment of respiratory support 14. Respiratory support-related quality improvement in the prevention or management of BPD 15. Family and staff education to care for premature infants with respiratory support.
Download or read book Bronchopulmonary Dysplasia An Update An Issue of Clinics in Perinatology written by Suhas G. Kallapur and published by Elsevier Health Sciences. This book was released on 2016-01-07 with total page 289 pages. Available in PDF, EPUB and Kindle. Book excerpt: Bronchopulmonary dysplasia (BPD) as a chronic lung disease affecting preterm infants has been recognized for more than 45 years. However, little progress has been made in the prevention and treatment of the disease. BPD continues to be a major morbidity affecting preterm infants. Studies in pre-adolescent children demonstrate that the abnormal lung function from BPD persists well into childhood. Infants with BPD also have an increased risk for adverse neurodevelopmental outcome. Thus BPD imposes a significant burden of adverse health outcomes in preterm infants. The major risk factors for BPD are prematurity, mechanical ventilation, exposure to noxious insults such as oxygen, infections. New research data both in basic science and clinical studies have shed light on the pathogenesis, and possible new treatment or management strategies for the future. In the proposed issue of the Clinics in Perinatology, we would like to comprehensively cover BPD both from a basic science and clinical perspective. Our attempt is to balance new information along with classic topics. The proposed authors for the issue are recognized experts in the topic area/s. We hope that the issue will be of interest to a broad array of readership.
Download or read book Ventilatory Management of Severe Bronchopulmonary Dysplasia written by Nd Tan and published by Independently Published. This book was released on 2024-06-25 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ventilatory Management of Severe Bronchopulmonary Dysplasia (BPD): A Very Short Review Bronchopulmonary dysplasia (BPD) remains a significant challenge in neonatal care, with its incidence alarmingly high despite advancements in medical technology and treatment. "Ventilatory Management of Severe Bronchopulmonary Dysplasia (BPD): A Very Short Review" offers an insightful review and critical analysis of current strategies for managing this complex condition, tailored specifically for medical professionals. Overview: This concise guide delves into the pathophysiology of BPD, characterized by parenchymal, vascular, and airway damage. It examines both the "new" and "old" forms of BPD, highlighting how changes in disease patterns have influenced current treatment approaches. The book meticulously describes the transition from acute respiratory illness to chronic BPD, outlining the different respiratory patterns observed in preterm infants and their implications for prognosis. Physiological Principles and Respiratory Support Strategies: Medical professionals will find detailed discussions on common errors in ventilation management, such as treating BPD infants as if they are still in the acute phase of respiratory distress syndrome (RDS) or attempting early extubation. The book advocates for a nuanced understanding of the multi-compartment lung model, emphasizing the need for tailored ventilation strategies that address the heterogeneous nature of BPD-affected lungs. Recommended Ventilation Strategies: The guide provides a thorough evaluation of various ventilation modes, with a focus on the combined use of volume-guaranteed synchronized intermittent mechanical ventilation (SIMV+VG) and pressure support ventilation (PSV). While these recommendations are not supported by randomized controlled trials, they are based on sound physiologic principles and aim to optimize ventilation based on regional lung mechanics. Detailed recommendations on optimal settings-frequency, tidal volume, PEEP, inspiratory to expiratory ratio, and peak inspiratory pressure-are provided. Advanced Ventilatory Techniques: A significant portion of the book is dedicated to Airway Pressure Release Ventilation (APRV), explaining its principles, mechanisms, and the rationale for its use in severe BPD. The text highlights how APRV's high continuous positive airway pressure supports alveolar recruitment, enhances oxygenation, reduces ventilator-induced lung injury, and supports spontaneous breathing, making it a compelling option for managing the complex lung pathology seen in severe BPD. Monitoring, Weaning, and Tracheostomy Considerations: Practical guidance on monitoring clinical indicators, blood gas targets, and the use of echocardiography for managing pulmonary hypertension is provided. The book also discusses strategies for weaning, emphasizing the importance of a slow and cautious approach to ensure adequate gas exchange and support growth. Additionally, it addresses tracheostomy considerations, outlining when it may be necessary and the potential respiratory and neurodevelopmental outcomes. Conclusion: "Ventilatory Management of Severe Bronchopulmonary Dysplasia (BPD): A Very Short Review" is an essential resource for neonatologists, pediatric pulmonologists, and critical care specialists. While the recommendations are based on physiologic principles rather than randomized controlled trials, this book provides valuable insights and practical guidance for managing severe BPD. It underscores the importance of tailored ventilatory strategies based on a nuanced understanding of the evolving pathophysiology of BPD, making it a vital addition to any medical professional's library.
Download or read book Questions from NeoReviews written by Henry C. Lee and published by . This book was released on 2020 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Enhance your knowledge of neonatal-perinatal medicine and/or study for Neonatal-Perinatal Medicine board certification or recertification with this new study guide from the editors of NeoReviews. This new guide includes more than 1,200 questions previously published in NeoReviews from January 2007 to December 2017. Each question is followed by a short explanation of the correct answer with references, including the original article. Chapters include Cardiology Dermatology Endocrinology ENT and Ophthalmology Fluids, Electrolytes, Nutrition Gastrointestinal Genetics and Inborn Errors of Metabolism Hematology/Oncology Immunology Infectious Diseases Maternal-Fetal Medicine Neonatal Resuscitation Neurology Renal Respiratory Statistics, Research, Health Services, and Ethics
Download or read book Surfactant Replacement Therapy written by Donald L. Shapiro and published by Alan R. Liss. This book was released on 1989 with total page 344 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Pediatric and Neonatal Mechanical Ventilation written by Peter C. Rimensberger and published by Springer. This book was released on 2014-11-12 with total page 1584 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written by outstanding authorities from all over the world, this comprehensive new textbook on pediatric and neonatal ventilation puts the focus on the effective delivery of respiratory support to children, infants and newborns. In the early chapters, developmental issues concerning the respiratory system are considered, physiological and mechanical principles are introduced and airway management and conventional and alternative ventilation techniques are discussed. Thereafter, the rational use of mechanical ventilation in various pediatric and neonatal pathologies is explained, with the emphasis on a practical step-by-step approach. Respiratory monitoring and safety issues in ventilated patients are considered in detail, and many other topics of interest to the bedside clinician are covered, including the ethics of withdrawal of respiratory support and educational issues. Throughout, the text is complemented by numerous illustrations and key information is clearly summarized in tables and lists.
Download or read book The Newborn Lung written by Eduardo Bancalari and published by Elsevier Health Sciences. This book was released on 2018-06-19 with total page 464 pages. Available in PDF, EPUB and Kindle. Book excerpt: Dr. Richard Polin’s Neonatology Questions and Controversies series highlights the most challenging aspects of neonatal care, offering trustworthy guidance on up-to-date diagnostic and treatment options in the field. In each volume, renowned experts address the clinical problems of greatest concern to today’s practitioners, helping you handle difficult practice issues and provide optimal, evidence-based care to every patient. Stay fully up to date in this fast-changing field with The Newborn Lung, 3rd Edition. The most current clinical information throughout, including key management strategies that may reduce some of the chronic sequelae of neonatal respiratory failure. New content on the role of microbiome in lung injury and lung development. Current coverage of non-invasive respiratory support, perinatal events and their influence on lung development and injury, cell-based lung therapy, automation of respiratory support, and oxygenation targeting in preterm infants. Consistent chapter organization to help you find information quickly and easily. The most authoritative advice available from world-class neonatologists who share their knowledge of new trends and developments in neonatal care. Purchase each volume individually, or get the entire 7-volume set! Gastroenterology and Nutrition Hematology, Immunology and Genetics Hemodynamics and Cardiology Infectious Disease and Pharmacology New Volume! Nephrology and Fluid/Electrolyte Physiology Neurology The Newborn Lung
Download or read book Foundations in Neonatal and Pediatric Respiratory Care written by Teresa A. Volsko and published by Jones & Bartlett Learning. This book was released on 2022-05-25 with total page 723 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Foundations in Neonatal and Pediatric Respiratory Care is unique. The approach and layout of each chapter is standardized, much like the format for scientific papers published in medical journals. Each chapter provides the reader with a thorough review of the literature on the subject, and the text is written in a clear and concise manner. Illustrations, tables, and figures enhance the learning experience. The supplemental web-based materials provide relevant, evidence-based materials to enhance the reader's current practice and prepare them for the exam"--
Download or read book Preterm Birth written by Institute of Medicine and published by National Academies Press. This book was released on 2007-05-23 with total page 791 pages. Available in PDF, EPUB and Kindle. Book excerpt: The increasing prevalence of preterm birth in the United States is a complex public health problem that requires multifaceted solutions. Preterm birth is a cluster of problems with a set of overlapping factors of influence. Its causes may include individual-level behavioral and psychosocial factors, sociodemographic and neighborhood characteristics, environmental exposure, medical conditions, infertility treatments, and biological factors. Many of these factors co-occur, particularly in those who are socioeconomically disadvantaged or who are members of racial and ethnic minority groups. While advances in perinatal and neonatal care have improved survival for preterm infants, those infants who do survive have a greater risk than infants born at term for developmental disabilities, health problems, and poor growth. The birth of a preterm infant can also bring considerable emotional and economic costs to families and have implications for public-sector services, such as health insurance, educational, and other social support systems. Preterm Birth assesses the problem with respect to both its causes and outcomes. This book addresses the need for research involving clinical, basic, behavioral, and social science disciplines. By defining and addressing the health and economic consequences of premature birth, this book will be of particular interest to health care professionals, public health officials, policy makers, professional associations and clinical, basic, behavioral, and social science researchers.
Download or read book Anesthesiology written by Kai Matthes and published by Oxford University Press. This book was released on 2013-05-23 with total page 653 pages. Available in PDF, EPUB and Kindle. Book excerpt: Containing 1000 board-style questions and answers with explanations, Anesthesiology Key Words and Questions for the Boards provides a high-yield, efficient review for residents preparing for board examinations and practitioners preparing for recertification.
Download or read book Respiratory Management of Newborns written by Hany Aly and published by BoD – Books on Demand. This book was released on 2016-08-31 with total page 180 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this book, you'll learn multiple new aspects of respiratory management of the newborn. For example, ventilator management of infants with unusually severe bronchopulmonary dysplasia and infants with omphalocele is discussed, as well as positioning of endotracheal tube in extremely low birth weight infants, noninvasive respiratory support, utilization of a protocol-driven respiratory management, and more. This book includes a chapter on noninvasive respiratory function monitoring during chest compression, analyzing the efficacy and quality of chest compression and exhaled carbon dioxide. It also provides an overview on new trends in the management of fetal and transitioning lungs in infants delivered prematurely. Lastly, the book includes a chapter on neonatal encephalopathy treated with hypothermia along with mechanical ventilation. The interaction of cooling with respiration and the strategies to optimize oxygenation and ventilation in asphyxiated newborns are discussed.
Download or read book Assisted Ventilation of the Neonate written by Jay P. Goldsmith and published by Elsevier Health Sciences. This book was released on 2016-10-24 with total page 658 pages. Available in PDF, EPUB and Kindle. Book excerpt: Assisted Ventilation of the Neonate, 5th Edition, by Drs. Jay P. Goldsmith and Edward Karotkin, guides you through the latest innovations in ventilatory assistance, helping you improve outcomes and quality of life in newborns. With a new emphasis on non-invasive ventilation and earlier extubation, it covers basic concepts of pulmonary pathophysiology and offers practical guidance on both basic and advanced ventilation management strategies. Access expert coverage of all aspects of neonatal pulmonary care—including complications, nutrition, transport, outcomes, follow-up, and parental education. Sharpen your diagnostic and clinical skills with case studies drawn from actual patients. Find key facts fast with more than 30 quick-reference appendices: normal values, assessment charts, ICU flow charts, procedure steps, and other useful tools. Learn how to best use assisted ventilation equipment and pharmacologic agents to prevent long-term pulmonary and neurologic damage. Benefit from Drs. Goldsmith and Karotkin’s widely acknowledged expertise in neonatology and pulmonology. Incorporate the latest innovations in ventilatory strategies in your practice. Gain new insight into today’s hottest topics including Ventilator Associated Pneumonia; Quality Improvement; Ventilation of Neonates in Developing Countries; and Human Interactions with Mechanical Ventilators. Understand the pros and cons of non-invasive ventilation and earlier extubation. Avoid ventilator-associated illness and injury with practical guidance in this vital area. Get coverage of basic concepts and advanced neonatal ventilation management strategies in one volume. Master the art of mechanical ventilation with the latest innovations in ventilatory assistance and improve outcomes and quality of life in newborns.
Download or read book Oxford Desk Reference Critical Care written by Carl Waldmann and published by OUP Oxford. This book was released on 2008-11-27 with total page 632 pages. Available in PDF, EPUB and Kindle. Book excerpt: Critical care medicine is an evolving speciality in which the amount of available information is growing daily and spread across a myriad of books, journals and websites. This essential guide brings together this information in an easy-to-use format. Up-to-date, relevant, and evidence-based information on the management of the critically ill is combined in one resource, ideal for the use of Intensive Care Units, High Dependency Units, acute medical or surgical wards, Accident and Emergency departments and operating theatres. The book is designed such that each subject will form a self-contained topic in its own right, laid out across two or four pages to facilitate the key aim of rapid and easy access to information. This makes the information included simple to find, read and absorb, so that the book can be consulted in the clinic or ward setting for information on the optimum management of a particular condition. With chapters written by internationally renowned critical care specialists and edited by the three of the leading figures in UK Critical Care, this book should be an essential resource for all critical care physicians.
Download or read book Egan s Fundamentals of Respiratory Care E Book written by Robert M. Kacmarek and published by Elsevier Health Sciences. This book was released on 2012-04-19 with total page 1429 pages. Available in PDF, EPUB and Kindle. Book excerpt: Updated content aligned with the 2009 NBRC CRT Summary Content Outline ensures the text is both current and clinically accurate. Expanded use of the NBRC Exam Matrix Correlation Chart throughout all Evolve online resources makes test preparation easier.
Download or read book Perinatal Intensive Care written by Silvio Aladjem and published by . This book was released on 1977 with total page 472 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Fetal and Neonatal Lung Development written by Alan H. Jobe and published by Cambridge University Press. This book was released on 2016-04-18 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Lung disease affects more than 600 million people worldwide. While some of these lung diseases have an obvious developmental component, there is growing appreciation that processes and pathways critical for normal lung development are also important for postnatal tissue homeostasis and are dysregulated in lung disease. This book provides an authoritative review of fetal and neonatal lung development and is designed to provide a diverse group of scientists, spanning the basic to clinical research spectrum, with the latest developments on the cellular and molecular mechanisms of normal lung development and injury-repair processes, and how they are dysregulated in disease. The book covers genetics, omics, and systems biology as well as new imaging techniques that are transforming studies of lung development. The reader will learn where the field of lung development has been, where it is presently, and where it is going in order to improve outcomes for patients with common and rare lung diseases.
Download or read book Respiratory Diseases of the Newborn Infant written by Sinha, Ian P and published by European Respiratory Society. This book was released on 2021-06-01 with total page 387 pages. Available in PDF, EPUB and Kindle. Book excerpt: So much of our lung health throughout life is determined by what happens before birth and when we are born. Managing respiratory problems in newborn infants requires experience and teamwork, an understanding of the background to the problems, and knowledge of the evidence behind the clinical options available. In this Monograph, science, evidence and expertise are brought together in a collection of comprehensive, state-of-the-art reviews that cover: the structure and function of the newborn respiratory system; neonatal lung disease in preterm infants; developmental, structural and functional diseases of the respiratory system; and more. This book will prove a valuable resource for neonatal clinicians, scientists researching the area and adult clinicians managing lung health.