New Insights into Mechanical Ventilation During Paediatric Anaesthesia

  • J. O. C. AulerJr.
  • D. Fantoni
  • M. H. C. Pereira
Conference paper


Perioperative ventilation of small children submitted to major surgery has always been a challenge to anaesthesiologists. Most of the difficulties are related to the anaesthetic equipment itself which should be simultaneously able to ventilate the lungs correctly and at the same time deliver inhaled anaesthetics agents. Personal experience and knowledge of the peculiarities of the respiratory system of small children are also important. The natural problems involving superior airway assessment are not the main subject of this chapter. Our purpose is to present a brief review of the main differences between the respiratory system of children and adults, relevant anaesthetic practice, as well as the traditional paediatric breathing circuits employed routinely to administer inhalation agents and promote adequate gas exchange. After that, our discussion will be centred on the real benefit of new ventilatory modalities, available in modern work-station anaesthesia machines, such as pressure-controlled ventilation, low flow anaesthesia, and closed breathing circuits.


Chest Wall Tidal Volume Lung Volume Functional Residual Capacity Peak Inspiratory Pressure 
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Copyright information

© Springer-Verlag Italia 2000

Authors and Affiliations

  • J. O. C. AulerJr.
  • D. Fantoni
  • M. H. C. Pereira

There are no affiliations available

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