Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2016 Sep;5(3):95-100.
doi: 10.1055/s-0035-1568161. Epub 2015 Nov 18.

Computerized Decision Support Systems for Mechanical Ventilation in Children

Katherine A Sward  1 , Christopher J L Newth  2
Affiliations
Review

Computerized Decision Support Systems for Mechanical Ventilation in Children

Katherine A Sward et al. J Pediatr Intensive Care. 2016 Sep.

Abstract

Mechanical ventilation is an effective treatment in the ICU but can have significant adverse effects. Approaches from adult research have been adopted in pediatric critical care despite known differences in respiratory physiology and ICU processes. There continues to be considerable variation in how ventilators are managed. Computerized decision support systems implement explicit protocols, and are designed to make mechanical ventilation management safer, more consistent, and more lung protective. Variable results and low or unknown compliance with protocols and CDSS tools have been reported. To date, there has been limited research regarding CDSS for mechanical ventilation in children.

Keywords: computerized decision support; mechanical ventilation.

PubMed Disclaimer

References

    1. Khemani R G, Markovitz B P, Curley M A. Characteristics of children intubated and mechanically ventilated in 16 PICUs. Chest. 2009;136(3):765–771. - PMC - PubMed
    1. Randolph A G. A practical approach to evidence-based medicine: lessons learned from developing ventilator management protocols. Crit Care Clin. 2003;19(3):515–527. - PubMed
    1. Randolph A G. How are children mechanically ventilated in pediatric intensive care units? Intensive Care Med. 2004;30(5):746–747. - PubMed
    1. Slutsky A S. History of mechanical ventilation. From Vesalius to ventilator-induced lung injury. Am J Respir Crit Care Med. 2015;191(10):1106–1115. - PubMed
    1. Hickling K G, Henderson S J, Jackson R. Low mortality associated with low volume pressure limited ventilation with permissive hypercapnia in severe adult respiratory distress syndrome. Intensive Care Med. 1990;16(6):372–377. - PubMed