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Continuing Education in Anaesthesia, Critical Care & Pain 2004 4(6):197-201; doi:10.1093/bjaceaccp/mkh053
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Continuing Education in Anaesthesia, Critical Care & Pain | Volume 4 Number 6 2004 © The Board of Management and Trustees of the British Journal of Anaesthesia 2004

Paediatric ventilatory support

David Stewart, BSc MB ChB MRCP FRCPCH, Consultant Paediatric Intensivist, Manchester Children's University Hospital
Current Address: Department of Intensive Care Medicine, Manchester Children's Hospital, Hospital Road, Pendlebury, Manchester, M27 4HA, England
E-mail: david.stewart{at}cmmc.nhs.uk

Over the past decade, inspired gas delivery has become more physiologically appropriate. This development arose from a deeper understanding of the physiological limits of the alveolus, and the mechanical changes that the pathophysiology of acute lung injury produces. At the same time a number of technological advances and adjuncts to ventilation have been described, some of which have established a place in clinical practice. The aim of this article is to review these developments and provide insight into the currently available modes of ventilation and adjuncts when dealing with acute lung injury and ARDS, rather than pathologies typified by gas trapping.


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