4th Pediatric Infectious Diseases Conference
 
 
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Asthma in Children
ASTHMA IN CHILDREN
Dr C.T.Deshmukh
Professor of Pediatrics, K.E.M Hospital
Asthma Management and References
Asthma Management and References
Asthma Management and References
Continued...
Treatment in PICU
Treatment in PICU:                                                                        
Treatment in PICU
Mechanical Ventilation
Mechanical Ventilation:
Indication for Mechanical Ventilation
Indications:
Indication for Mechanical Ventilation
Cardiorespiratory arrest
Indication for Mechanical Ventilation
Severe altered mental status
Indication for Mechanical Ventilation
Progressive exhaustion
Indication for Mechanical Ventilation
Failure to respond to maximal medical treatment (acidotic, pCO2 > 50 and rising, minimal chest movements, cyanosis and hypoxemia).
Indication for Mechanical Ventilation
Pneumomediastinum
Goals of ventilation
Goals of ventilation:
Goals of ventilation
Oxygenate and ventilate.
Goals of ventilation
Let trapped air escape
Goals of ventilation
Prevent barotrauma
Goals of ventilation
Give rest to respiratory muscles
Goals of ventilation
Give time for anti-inflammatory medications to work
Non-conventional interventions
Non-conventional interventions
Non-conventional interventions
CPAP/ non-invasive positive pressure ventilation
Non-conventional interventions
Inhalation anesthetics
Non-conventional interventions
Heliox
Non-conventional interventions
ECMO
Non-conventional interventions
NO
Mechanical Ventilation
Patients may be discharged if they are comfortable at rest without retractions or use of accessory muscles of respiration, and if O2 saturation is greater than 90% on room air. Early follow-up is important.

patient management summary
Our patient management summary                                                
patient management summary
Main areas: Treatment, education and follow-up

Treatment - Start or continue appropriate anti-inflammatory drugs (inhaled steroids). Use Bronchodilators when needed and also to prevent exercise induced asthma. Change to MDI in hospital before discharge. Treat exacerbating factors (GER, sinusitis, allergies).

Education - About signs and symptoms of asthma, what are the precipitating factors and how to detect and remove them, what to do if an attack occurs, importance of follow-up regularly and use of PEFR meter

Asthma in Children
Asthma in Children
 
 
Educational Section
 
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