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Mechanical Ventilation

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Pediatric Critical Care Medicine

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Abstract

Mechanical ventilation is perhaps the cornerstone of contemporary critical care. Indeed, the history of critical care medicine, especially pediatric critical care medicine, is inextricably tied with that of mechanical ventilation. The first Pediatric Intensive Care Units (PICUs) arose during the polio epidemic with negative pressure ventilation (the so-called “iron lung”). However, while mechanical ventilation is clearly life-sustaining, one should remember that it is only a supportive modality and does not reverse the underlying disease process. Moreover, mechanical ventilation can be associated with a number of adverse effects, which in turn can be associated with significant morbidity and risk of mortality. A thorough understanding of the physiologic basis of mechanical ventilation is therefore essential to providing safe, effective care in the PICU.

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Authors and Affiliations

  1. Department of Pediatric Critical Care, London Health Sciences Centre, Children’s Hospital, Pediatric Critical Care, 800 Commissioners Rd. East, 5010, London, ON, N6A 5W9, Canada

    Alik Kornecki MD

  2. Division of Critical Care Medicine, Cincinnati Children’s Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH, USA

    Derek S. Wheeler MD, MMM

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  1. Alik Kornecki MD
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  2. Derek S. Wheeler MD, MMM
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Correspondence to Alik Kornecki MD .

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  1. Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA

    Derek S. Wheeler

  2. Div. of Critical Care Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA

    Hector R. Wong

  3. Pediatric Critical Care Medicine, University of Michigan Medical School, Ann Arbor, Michigan, USA

    Thomas P. Shanley

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Kornecki, A., Wheeler, D.S. (2014). Mechanical Ventilation. In: Wheeler, D., Wong, H., Shanley, T. (eds) Pediatric Critical Care Medicine. Springer, London. https://doi.org/10.1007/978-1-4471-6356-5_8

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