Mechanical Ventilation of Pediatric Patients in the Emergency Department | Digest
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Mechanical Ventilation of Pediatric Patients in the Emergency Department

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Points & Pearls Excerpt

  • Pediatric patients have higher resistance due to narrower airways, as well as high chest-wall compliance. A more pliable chest wall results in lower functional residual capacity.
  • Use a cuffed endotracheal tube in all children.
  • Clinicians should use the mode of ventilation that is most familiar to them; the choice should be based on clinician experience, patient pathophysiology, and ventilator availability.
  • Use synchronized intermittent mandatory ventilation (SIMV) for patients without spontaneous respiratory effort, and use SIMV with pressure support for patients with spontaneous respiratory effort.
  • Use assist-control ventilation in patients with little to no spontaneous respiratory effort or in those who require complete respiratory support, as the ventilator will assume full work of breathing

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Publication Information
Authors

Casey Carr, MD; Courtney W. Mangus, MD, FAAP; J. Kate Deanehan, MD, RDMS

Peer Reviewed By

Nicole Gerber, MD; Garrett S. Pacheco, MD

Publication Date

July 2, 2020

CME Expiration Date

July 3, 2023

CME Credits

4 AMA PRA Category 1 Credits™, 4 ACEP Category I Credits, 4 AAP Prescribed Credits, 4 AOA Category 2-A or 2-B Credits.

Pub Med ID: 32559028

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CME Information

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