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Review
. 2023 Feb 1:10:1016316.
doi: 10.3389/fmed.2023.1016316. eCollection 2023.

Complications during mechanical ventilation-A pediatric intensive care perspective

Shawn Sood  1 , Hammad A Ganatra  1 , Francesca Perez Marques  1 , Travis R Langner  1
Affiliations
Review

Complications during mechanical ventilation-A pediatric intensive care perspective

Shawn Sood et al. Front Med (Lausanne). .

Abstract

Mechanical ventilation is a common procedure performed in pediatric intensive care units, with over 20% of patients requiring invasive ventilator support. The most common indication for endotracheal intubation and ventilation in the pediatric population is respiratory failure either due to respiratory embarrassment or neurologic pathology. Despite the use of ventilation modes that are lung protective in the pediatric population, complications of mechanical ventilation occur frequently. These include atelectasis, post-extubation stridor, perioral tissue damage, ventilator associated pneumonia, mucus plugging, pneumothorax, pneumomediastinum, and ICU neuromyopathy. The purpose of this review is to discuss the risk factors, presentation and management of complications associated with mechanical ventilation in the pediatric population.

Keywords: atelectasis; complications; delirium; mechanical ventilation; myopathy; pediatric; pediatric intensive care; subglottic stenosis.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

FIGURE 1
FIGURE 1
Chest radiograph of a mechanically ventilated pediatric patient, demonstrating subcutaneous emphysema und pneumomediastinum, in the absence of hemodynamic compromise.
See this image and copyright information in PMC

References

    1. Khemani R, Markovitz B, Curley M. Characteristics of children intubated and mechanically ventilated in 16 PICUs. Chest. (2009) 136:765–71. 10.1378/chest.09-0207 - DOI - PMC - PubMed
    1. Albuali W, Singh R, Fraser D, Seabrook J, Kavanagh B, Parshuram C, et al. Have changes in ventilation practice improved outcome in children with acute lung injury? Pediatr Crit Care Med. (2007) 8:324–30. 10.1097/01.PCC.0000269390.48450.AF - DOI - PubMed
    1. Shaffner D, Nichols D. Rogers’ textbook of pediatric intensive care. Philadelphia: Lippincott Williams & Wilkins; (2015).
    1. Principi T, Fraser D, Morrison G, Farsi S, Carrelas J, Maurice E, et al. Complications of mechanical ventilation in the pediatric population. Pediatr Pulmonol. (2011) 46:452–7. 10.1002/ppul.21389 - DOI - PubMed
    1. Ganatra H, Varisco B. Respiratory complications of intensive care. In: Wilmott RW, Deterding R, Bush A. editors. Kendig’s disorders of the respiratory tract in children. Amsterdam: Elsevier; (2019). p. 596–605. 10.1016/B978-0-323-44887-1.00037-7 - DOI

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