Related Experiment Video
Updated: Aug 2, 2026

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation
Published on: January 17, 2011
[Indications for use of artificial ventilation and its complications in pediatric surgery]
M Cvejanov1, L Pejakov, V Peković
1Klinika za decju hirurgiju, Novi Sad.
Insights
Artificial respiration is crucial for pediatric surgical patients, especially neonates, due to their unique physiological needs. This study analyzed its application and complications in 82 children over five years.
Area of Science:
- Pediatric Surgery
- Respiratory Physiology
- Anesthesiology
Context:
- Pediatric surgical patients exhibit unique respiratory characteristics influenced by age, preoperative status, and surgical/anesthetic factors.
- The neonatal period presents heightened risks due to immature vital functions, high metabolism, and increased oxygen demand.
- Surgical stress and anesthesia can significantly compromise respiratory function in young patients.
Purpose:
- To analyze the indications for artificial respiration in pediatric surgical patients.
- To review the methods, parameters, and complications of artificial respiration use.
- To examine a five-year data set from the Clinic for Child Surgery in Novi Sad.
Summary:
- Artificial respiration was administered to 82 pediatric surgical patients.
- Newborns operated for ileus (46.34%) and larger children with polytrauma (43.90%) were the primary recipients.
- Complications, particularly in neonates, included pneumonia, atelectasis, ductus arteriosus reopening, lung bleeding, and pneumothorax.
Impact:
- Highlights the critical role of artificial respiration in managing pediatric surgical patients.
- Identifies specific patient groups and conditions requiring mechanical ventilation.
- Provides insights into common complications, aiding in risk mitigation and improved patient outcomes.
Abstract:
Artificial respiration is often indicated in the child surgical patient preoperatively, as well as postoperatively because of the specific features of this age group. The characteristics of the respiratory function which are various in different ages, as well as the preoperative condition of the child and the nature of the surgical procedure and anaesthesia are factors which influence the indications for artificial respiration. Of particular importance is the neonatal period of the child where beside the immaturity of vital functions, and a high metabolism level with small calorie reserves, as well as a large consumption of oxygen, there is the addition of stress due to the surgical procedure and anaesthesia which can seriously endanger respiration. The paper analyzes indications for applying artificial respiration at the Clinic for Child Surgery in Novi Sad during a five-year period. Ways of applying artificial respiration, its parameters, as well as the complications during its use are followed. Artificial respiration was applied in 82 children, 46.34% were newborns operated on because of ileus conditions and 43.90% were larger children treated due to polytrauma. The most frequent complications were in the group of newborns: pneumonia, atelectasis, ductus arteriosus opening, lung bleeding and pneumothorax.
Related Concept Videos
Tracheostomy Decannulation
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
Mechanical Ventilation I: Indication and Settings
Mechanical Ventilation II: Invasive Ventilation
Negative-Pressure Ventilators
Negative-pressure ventilators create a vacuum around the chest or body to draw air into the lungs, simulating breathing. This method does not require an...
Mechanical Ventilation III: Noninvasive Ventilation
Noninvasive Positive-Pressure Ventilation (NIPPV)
Cardiopulmonary Resuscitation II: ACLS Airway Management
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

