کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4171008 1275639 2014 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Non-invasive ventilation for children with acute respiratory failure in the developing world: Literature review and an implementation example
ترجمه فارسی عنوان
تهویه غیر تهاجمی برای کودکان مبتلا به نارسایی حاد تنفسی در کشورهای در حال توسعه: بررسی ادبیات و مثال اجرای آن
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پریناتولوژی (پزشکی مادر و جنین)، طب اطفال و بهداشت کودک
چکیده انگلیسی

SummaryOver 2 million children die of acute respiratory infection every year, with around 98% of these deaths occurring in developing countries. Depending upon the clinical status of the patient, supplemental oxygen is usually the first line therapy. However this often proves inadequate for acute respiratory failure (ARF), in which case intubation and mechanical positive pressure ventilation are required. Adult intensive care successfully introduced non-invasive positive pressure ventilation (NIPPV) to treat ARF over a decade ago. This experience, coupled with the use of NIPPV in children with chronic respiratory insufficiency, has led to increasing use of NIPPV to treat ARF in paediatric populations. NIPPV can have similar or improved outcomes to IPPV, but with fewer complications. However there are no controlled trials of its use in children, and most data come from observational studies and retrospective reviews. In a developing world setting, where mortality from ARF is high and the risks of intubation are great and often not feasible, NIPPV can be a simple and cost-effective way to treat these patients. Its implementation in rural Northern Ghana shows NIPPV for ARF can be delivered safely with minimal training, and appears to impact significantly on mortality in those under 5 years.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Paediatric Respiratory Reviews - Volume 15, Issue 2, June 2014, Pages 181–187
نویسندگان
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