scholarly journals Gastroesophageal reflux in mechanically ventilated pediatric patients and its relation to ventilator acquired pneumonia

Critical Care ◽  
2009 ◽  
Vol 13 (Suppl 1) ◽  
pp. P294
Author(s):  
T Shahin ◽  
M El-Hodhod ◽  
H Ibrahim
Keyword(s):  
Gastroesophageal Reflux ◽  
Pediatric Patients ◽  
Mechanically Ventilated

scholarly journals Gastroesophageal reflux in mechanically ventilated pediatric patients and its relation to ventilator-associated pneumonia

Critical Care ◽  
2009 ◽  
Vol 13 (5) ◽  
pp. R164 ◽  
Author(s):  
Tarek A Abdel-Gawad ◽  
Mostafa A El-Hodhod ◽  
Hanan M Ibrahim ◽  
Yousef W Michael
Keyword(s):  
Gastroesophageal Reflux ◽  
Pediatric Patients ◽  
Ventilator Associated Pneumonia ◽  
Mechanically Ventilated

Protocolized Sedation vs Usual Care in Pediatric Patients Mechanically Ventilated for Acute Respiratory Failure

2016 ◽  
Vol 60 (4) ◽  
pp. 142-143
Author(s):  
Martha A. Q. Curley ◽  
David Wypij ◽  
R. Scott Watson ◽  
Mary Jo C. Grant ◽  
Lisa A. Asaro ◽  
...  
Keyword(s):  
Respiratory Failure ◽  
Acute Respiratory Failure ◽  
Usual Care ◽  
Pediatric Patients ◽  
Mechanically Ventilated

Association Between Anticholinergic Drug Burden and Adequacy of Enteral Nutrition in Critically Ill, Mechanically Ventilated Pediatric Patients

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Enid E. Martinez ◽  
Hongxing Dang ◽  
Jennifer Franks ◽  
Charles G. Callif ◽  
Robert C. Tasker ◽  
...  
Keyword(s):  
Enteral Nutrition ◽  
Critically Ill ◽  
Pediatric Patients ◽  
Anticholinergic Drug ◽  
Mechanically Ventilated

scholarly journals Estimation of change in pleural pressure in assisted and unassisted spontaneous breathing pediatric patients using fluctuation of central venous pressure: A preliminary study

PLoS ONE ◽  
2021 ◽  
Vol 16 (3) ◽  
pp. e0247360
Author(s):  
Nao Okuda ◽  
Miyako Kyogoku ◽  
Yu Inata ◽  
Kanako Isaka ◽  
Kazue Moon ◽  
...  
Keyword(s):  
Mechanical Ventilation ◽  
Spontaneous Breathing ◽  
Pediatric Patients ◽  
Venous Pressure ◽  
Balloon Catheter ◽  
Pleural Pressure ◽  
Respiratory Effort ◽  
Central Venous ◽  
Mechanically Ventilated ◽  
Esophageal Balloon

Background It is important to evaluate the size of respiratory effort to prevent patient self-inflicted lung injury and ventilator-induced diaphragmatic dysfunction. Esophageal pressure (Pes) measurement is the gold standard for estimating respiratory effort, but it is complicated by technical issues. We previously reported that a change in pleural pressure (ΔPpl) could be estimated without measuring Pes using change in CVP (ΔCVP) that has been adjusted with a simple correction among mechanically ventilated, paralyzed pediatric patients. This study aimed to determine whether our method can be used to estimate ΔPpl in assisted and unassisted spontaneous breathing patients during mechanical ventilation. Methods The study included hemodynamically stable children (aged <18 years) who were mechanically ventilated, had spontaneous breathing, and had a central venous catheter and esophageal balloon catheter in place. We measured the change in Pes (ΔPes), ΔCVP, and ΔPpl that was calculated using a corrected ΔCVP (cΔCVP-derived ΔPpl) under three pressure support levels (10, 5, and 0 cmH2O). The cΔCVP-derived ΔPpl value was calculated as follows: cΔCVP-derived ΔPpl = k × ΔCVP, where k was the ratio of the change in airway pressure (ΔPaw) to the ΔCVP during airway occlusion test. Results Of the 14 patients enrolled in the study, 6 were excluded because correct positioning of the esophageal balloon could not be confirmed, leaving eight patients for analysis (mean age, 4.8 months). Three variables that reflected ΔPpl (ΔPes, ΔCVP, and cΔCVP-derived ΔPpl) were measured and yielded the following results: -6.7 ± 4.8, − -2.6 ± 1.4, and − -7.3 ± 4.5 cmH2O, respectively. The repeated measures correlation between cΔCVP-derived ΔPpl and ΔPes showed that cΔCVP-derived ΔPpl had good correlation with ΔPes (r = 0.84, p< 0.0001). Conclusions ΔPpl can be estimated reasonably accurately by ΔCVP using our method in assisted and unassisted spontaneous breathing children during mechanical ventilation.

scholarly journals Methemoglobinemia Associated with Metoclopramide Therapy in a Neonate

2004 ◽  
Vol 9 (1) ◽  
pp. 49-54
Author(s):  
Kristine G. Palmer ◽  
Laura P. James
Keyword(s):  
Health Care ◽  
Gastroesophageal Reflux ◽  
Health Care Providers ◽  
Side Effect ◽  
Pediatric Patients ◽  
Care Providers ◽  
Young Infants ◽  
Age Appropriate ◽  
The U.S

With the removal of cisapride from the U.S. market, practitioners have increasingly used other medications, such as metoclopramide, to treat gastroesophageal reflux in pediatric patients. We describe the case of a neonate who developed methemoglobinemia after receiving metoclopramide at doses slightly above the recommended age-appropriate dosage. Health care providers should be aware of this potentially serious side effect in young infants who receive this medication.

Gastroesophageal Reflux Surgery in Neonatal Pediatric Patients: A Review

NeoReviews ◽  
2016 ◽  
Vol 17 (5) ◽  
pp. e271-e278
Author(s):  
J. Lopez ◽  
G. Stringel
Keyword(s):  
Gastroesophageal Reflux ◽  
Pediatric Patients
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