HIV In Children
 
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PRACTICAL GUIDELINES FOR MECHANICAL VENTILATION
Mechanical Ventilatory Support
Giuseppe A. Marraro, MD
Director
Department of Anesthesia and Intensive Care
Pediatric Intensive Care Unit
Fatebenefratelli and Ophthalmiatric Hospital
Milano Italy


Correspondence:
Corso Porta Nuova 23 - I 20121, Milano, Italy. E-Mail gmarraro@picu.it

MECHANICAL VENTILATORY SUPPORT :

Ventilatory support includes use of artificial breathing devices (ventilator, CPAP system, etc.) and a connector. Prostheses largely used are nasal (Figure 4) and facial masks to perform non-invasive ventilation, and tracheal tubes (Figure 5) for invasive ventilation (13).

Figure 4 - Nasal mask for Non-Invasive Positive Pressure Ventilation




Figure 5 -Endotracheal intubation (in the figure naso-tracheal intubation) allows connecting the patient to any ventilatory support.




Depending on connecting prosthesis, mechanical ventilation is defined:

  • non-invasive ventilation when inferior airways are not invaded to introduce external gases into lungs

  • invasive ventilation when tracheal intubation or tracheostomy are used to connect patient to ventilator.


 
 
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