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Mechanical Ventilation Beyond the PICU

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Anaesthesia, Pharmacology, Intensive Care and Emergency Medicine A.P.I.C.E.

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Abstract

Long-term ventilation is referred to any child who, when medically stable, requires mechanical aid for breathing after an acknowledged failure to wean, or a slow wean 3 months after ventilation initiation [1]. The number of children with chronic respiratory failure requiring long-term ventilation support, even 24 h a day, is constantly increasing as a consequence of better medical treatment and technological advances that have contributed to longer survival of critical patients and to the development of suitable home medical equipment [2–4]. However, the hospital — and especially the intensive care unit (ICU) — is definitely an inadequate environment in which to assist these patients, particularly in regard to their physical and psychological development [5, 6]. Furthermore, in these cases long-term hospitalisation represents inappropriate exploitation of resources [7]. Therefore, for children who are medically stable, home care is an appropriate alternative despite the resulting radical change in family life.

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Authors
  1. G. Ottonello
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  2. A. Franceschi
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Editors and Affiliations

  1. Department and School of Anaesthesia and Intensive Care, Catania University-Hospital, Catania, Italy

    Antonino Gullo

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Ottonello, G., Franceschi, A. (2011). Mechanical Ventilation Beyond the PICU. In: Gullo, A. (eds) Anaesthesia, Pharmacology, Intensive Care and Emergency Medicine A.P.I.C.E.. Springer, Milano. https://doi.org/10.1007/978-88-470-2014-6_8

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  • DOI: https://doi.org/10.1007/978-88-470-2014-6_8

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-2013-9

  • Online ISBN: 978-88-470-2014-6

  • eBook Packages: MedicineMedicine (R0)

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