Respiratory System and Mechanical Ventilation in Patients with CHD

  • Giuseppe IsgròEmail author
  • Simona Silvetti


To manage pediatric ventilation in children with congenital heart disease, the knowing of the many differences from adult respiratory system is not enough.

In fact, into the wide contest of pediatric cardiac defect, lung and cardiac systems work affecting continuously their function. Any interventions designed to improve the function of one system may lead to unwanted effects on another. For these reasons, to have an optimal manage on this interaction, a thorough understanding of respiratory mechanics, patient-ventilator interactions, intrapulmonary gas exchange mechanisms, hemodynamics under physiologic and pathophysiologic conditions, and a complete knowledge of the procedures are therefore required and mandatory.

In this chapter are summarized the bases of the respiratory system in pediatric patients, the physiology of cardiopulmonary interaction, the principal respiratory support methods, and finally the specific considerations for each pathological cardiopulmonary interaction.


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© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of CardioVascular Anesthesia and Intensive CareIRCCS Policlinico San DonatoMilanItaly

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