Tracheal Gas Insufflation in Pediatric Patients with Severe Respiratory Failure

Czech version

Authors: M. Fedora; M. Šeda; M. Klimovič; R. Nekvasil; P. Dominik
Authors‘ workplace: ARO a ECMO centrum Fakultní dětské nemocnice Brno, přednosta ARO prim. MUDr. Michal Klimovič, vedoucí ECMO centra doc. MUDr. Roman Nekvasil
Published in: Anest. intenziv. Med., , 2000, č. 1, s. 24-27
Category:

Overview

Objective:
To evaluate the effects of tracheal gas insufflation (TGI) on blood gases exchange (especially paCO2) in children with severe respiratoryfailure.Study design: Prospective observational study.Setting: Department of Anesthesiology and Intensive Care ECMO Center; University Children’s Hospital, Brno.Patients: 8 children with acute hypoxemic respiratory failure with pronounced hypercapnia.Methods: Patients were mechanically ventilated in PCV or PRVC mode; oxygenation was optimalized with increase of mean airway pressure (Paw)by increasing PEEP with limited peak airway pressure (PIP) with respect to the lowest possible FiO2. Tidal volumes were 10.0 kPa and/or pH

Key words:
tracheal gas insufflation –⁠ respiratory failure –⁠ CO2 elimination –⁠ children

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