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Related Concept Videos

Ventilatory Modes01:14

Ventilatory Modes

Mechanical ventilators are life-saving devices that support or replace spontaneous breathing. They deliver breaths to patients through varying methods known as ventilator modes. Understanding these modes is critical for healthcare providers managing patients with respiratory failure.
There are three ventilatory modes: full support, partial support, and spontaneous. These are described below.
Full Support Modes
Full support modes include controlled mechanical ventilation, continuous mandatory...
Mechanical Ventilation I: Indication and Settings01:29

Mechanical Ventilation I: Indication and Settings

Mechanical ventilation is a life-saving technique for managing acute respiratory failure and other respiratory complications. The process involves using a machine known as a ventilator to supply oxygen to the lungs and assist in removing carbon dioxide. It serves as a bridge to long-term mechanical ventilation or a temporary measure until ventilatory support is discontinued. The ventilator can maintain this function for a prolonged period, providing critical support for patients until they can...
Mechanical Ventilation III: Noninvasive Ventilation01:23

Mechanical Ventilation III: Noninvasive Ventilation

Noninvasive positive-pressure ventilation (NIPPV), continuous positive airway pressure (CPAP), and bilevel positive airway pressure (BiPAP) are essential methods in respiratory care. These ventilation techniques offer unique benefits for patients with various respiratory conditions, providing adequate support without requiring intubation. Let's explore how each method is crucial in improving patient outcomes and enhancing respiratory therapy.
Noninvasive Positive-Pressure Ventilation (NIPPV)
Mechanical Ventilation II: Invasive Ventilation01:23

Mechanical Ventilation II: Invasive Ventilation

Ventilators are essential medical equipment used to aid patients with respiratory difficulties. Their primary function is to assist or replace spontaneous breathing by providing mechanical ventilation. There are two general classes of mechanical ventilators: negative-pressure and positive-pressure ventilators.
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...

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Related Experiment Video

Updated: May 10, 2026

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
06:10

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock

Published on: June 12, 2021

Partial mechanical circulatory support in children.

Ali Dodge-Khatami1, Paul A Checchia

  • 1Department of Pediatric Cardiac Surgery, University Hospital Erlangen, Erlangen, Germany.

Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
|June 6, 2013
PubMed
Summary
This summary is machine-generated.

Partial mechanical support devices offer limited circulatory assistance, rarely used in pediatric congenital heart disease. They serve as a bridge to decisions or more comprehensive support systems.

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Area of Science:

  • Cardiology
  • Pediatric Critical Care
  • Mechanical Circulatory Support

Background:

  • Partial mechanical support devices unload a single ventricle, typically the systemic one, during acute circulatory failure.
  • Their use in pediatrics is limited due to complex congenital heart disease often involving biventricular or right ventricular failure.
  • Examples include intra-aortic balloon pumping, Impella, TandemHeart, and CentriMag.

Purpose of the Study:

  • To review the application and limitations of partial mechanical support devices in pediatric acute circulatory failure.
  • To discuss their role as a bridge strategy in patients with congenital heart disease.
  • To identify current indications for their use despite the availability of more complete support systems.

Main Methods:

  • Literature review of partial mechanical support devices in pediatric circulatory failure.
  • Analysis of device application in congenital heart disease contexts.
  • Discussion of current clinical practice and indications.

Main Results:

  • Partial support devices are infrequently used in pediatric patients with congenital heart disease.
  • These devices are more commonly utilized as a bridge-to-decision or bridge-to-conversion rather than bridge-to-recovery.
  • Indications for use persist due to limitations in advanced support systems, cost, and infrastructure.

Conclusions:

  • Partial mechanical support has a limited but defined role in pediatric acute circulatory failure, particularly in congenital heart disease.
  • Their utility is often as a temporary measure, guiding decisions for more definitive treatments.
  • Challenges with advanced biventricular support necessitate continued use of partial support in select scenarios.