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Chronic Ventilatory Support for Children Following Trauma or Severe Neurologic Injury

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Caring for the Ventilator Dependent Child

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

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Abstract

Traumatic injuries are a leading cause of death and significant morbidity. Children who survive can suffer from respiratory failure and need for chronic ventilatory support. Care of children following trauma or severe neurologic injury includes providing for adequate ventilation, optimizing pulmonary care with airway clearance and prevention of recurrent pneumonias. There are several options for ventilatory support including positive pressure ventilation which is the most common, noninvasive positive pressure ventilation (NPPV) and diaphragm pacing. In this chapter, we review the pulmonary complications of trauma, the pathophysiology of respiratory failure, and the care of trauma survivors needing chronic assisted ventilation and respiratory care.

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Authors and Affiliations

  1. Division of Pediatric Pulmonology and Sleep Medicine, Children’s Hospital Los Angeles, Keck School of Medicine of the University of Southern California, 4650 Sunset Blvd, Box #83, Los Angeles, CA, 90027, USA

    Iris A. Perez M.D., Sally L. Davidson Ward M.D., Sheila Kun R.N., M.S. & Thomas G. Keens M.D.

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  1. Iris A. Perez M.D.
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  2. Sally L. Davidson Ward M.D.
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  3. Sheila Kun R.N., M.S.
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  4. Thomas G. Keens M.D.
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Correspondence to Iris A. Perez 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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Perez, I.A., Ward, S.L.D., Kun, S., Keens, T.G. (2016). Chronic Ventilatory Support for Children Following Trauma or Severe Neurologic Injury. 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_16

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