在家庭入侵性机械通风治疗的儿童中与呼吸机相关的呼吸道感染
Cristina Tomatis-Souverbielle1, Elizabeth Lyman2, Terace Thomas3
1Division of Infectious Diseases, Nationwide Children's Hospital, The Ohio State University College of Medicine, Columbus, Ohio, USA.
Pediatric pulmonology
|June 5, 2024
概括
与呼吸器相关的呼吸道感染 (VARTI) 在需要家庭通风的儿童中很常见. 本综述涵盖了VARTI诊断,管理以及这一群体面临的挑战.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 传染病流行病学 传染病流行病学
- 呼吸系统药物 呼吸系统药物
背景情况:
- 与呼吸器相关的呼吸道感染 (VARTI) 是患有需要家用机械通风的慢性呼吸衰竭儿童的一个重大问题.
- 这些感染有助于增加儿科患者的住院和医疗负担.
研究的目的:
- 提供对慢性呼吸衰竭儿童家庭VARTI的全面概述.
- 在这个特定的患者群体中划分VARTI的关键临床特征,诊断策略和管理指南.
- 识别和讨论与在家庭环境中诊断和管理VARTI相关的固有挑战.
主要方法:
- 系统的文献综述研究的重点是VARTI在家用通风的儿科患者.
- 分析临床病例报告和队列研究,以确定共同的表现和结果.
- 综合目前关于诊断和治疗的指导方针和专家意见.
主要成果:
- VARTI在儿童中呈现出各种不同的临床表现,需要家庭通风,通常模仿潜在的呼吸系统疾病.
- 诊断方法需要仔细考虑临床症状,微生物学数据和患者特定因素.
- 管理策略涉及及及时的抗菌疗法,优化通风设置,并解决潜在的并发症.
结论:
- 儿童家庭VARTI的有效管理需要采用多学科方法,整合肺病学,传染病和家庭医疗保健方面的专业知识.
- 解决诊断和管理方面的挑战对于改善患者的治疗结果和减少再入院至关重要.
- 进一步的研究是有必要的,以建立在这个脆弱的儿科群体中VARTI预防和治疗的标准化方案.
更多相关视频
11:32Following in Real Time the Impact of Pneumococcal Virulence Factors in an Acute Mouse Pneumonia Model Using Bioluminescent Bacteria
Published on: February 23, 2014
15.1K
06:22Surfactant Depletion Combined with Injurious Ventilation Results in a Reproducible Model of the Acute Respiratory Distress Syndrome ARDS
Published on: April 7, 2021
3.4K
相关概念视频
01:23Mechanical Ventilation II: Invasive Ventilation
125
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...
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...
125
01:23Mechanical Ventilation III: Noninvasive Ventilation
99
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...
Noninvasive Positive-Pressure Ventilation...
99
01:29Mechanical Ventilation I: Indication and Settings
294
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...
294
01:30Pneumonia I: Introduction
221
Pneumonia is an acute respiratory infection that targets the lungs, specifically the alveoli. These tiny air sacs, essential for oxygen exchange, become engorged with pus and fluid, severely hindering breathing, decreasing oxygen absorption, and causing significant pain and discomfort during respiration.
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
221
01:21Acute Respiratory Failure-I
196
Acute respiratory failure is a condition characterized by the inability of the lungs to perform their primary function: gas exchange. This failure leads to insufficient oxygen levels (hypoxemia) in the blood, elevated carbon dioxide levels (hypercapnia), or both, causing critical impairment in organ function.
Definition: It is defined by specific criteria based on blood gas measurements. Hypoxemia happens when the partial pressure of oxygen (PaO2) falls below 60 mmHg. At the same time,...
Definition: It is defined by specific criteria based on blood gas measurements. Hypoxemia happens when the partial pressure of oxygen (PaO2) falls below 60 mmHg. At the same time,...
196
01:21Acute Respiratory Failure-II
208
Type I Respiratory Failure, or hypoxemic respiratory failure, occurs when the partial pressure of oxygen (PaO2) in arterial blood falls below 60 mmHg while breathing room air without a corresponding increase in arterial carbon dioxide levels (PaCO2). This condition highlights a significant impairment in the lungs' capacity to oxygenate the blood.
The underlying physiological abnormalities that contribute to hypoxemic respiratory failure include:
The underlying physiological abnormalities that contribute to hypoxemic respiratory failure include:
208