BRONCONEUMONIA FISIOPATOLOGIA PEDIATRIA PDF

Atelectasis: mechanisms, diagnosis and treatment in the pediatric patient. Unitermos: Atelectasias. METHODS: An electronic data search was carried out in Medline and Scielo using the following inclusion criteria for articles published between and about: atelectasis etiology, physiopathology, functional consequences, evaluation, prevention, treatment and complications, in pediatrics. The used key words were atelectasis, children, pediatrics, mucus plugs, chest physiotherapy ; RESULTS: 45 pulmonary atelectasis articles were analyzed, 17 of them in pediatrics. Of the pediatric, 13 were case series, 3 literature reviews and one a case report. This demonstrates that there were few articles on atelectasis during the reviewed period and that these articles were at the D and E evidence level.

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Atelectasis: mechanisms, diagnosis and treatment in the pediatric patient. Unitermos: Atelectasias. METHODS: An electronic data search was carried out in Medline and Scielo using the following inclusion criteria for articles published between and about: atelectasis etiology, physiopathology, functional consequences, evaluation, prevention, treatment and complications, in pediatrics. The used key words were atelectasis, children, pediatrics, mucus plugs, chest physiotherapy ; RESULTS: 45 pulmonary atelectasis articles were analyzed, 17 of them in pediatrics.

Of the pediatric, 13 were case series, 3 literature reviews and one a case report. This demonstrates that there were few articles on atelectasis during the reviewed period and that these articles were at the D and E evidence level. Although clinical practice for treatment of atelectasis has evolved, mostly due to improvement of bronchoscopy and chest physiotherapy techniques, there is still a need to perform randomized clinical trials to address treatment of atelectasis in the pediatric patient.

Key words: Atelectasis, pediatrics. Respiratory diseases. Respiratory failure. Chest physiotherapy. Distribution and pathophysiology of acute lobar collapse in the pediatric intensive care unit.

Crit Care Med. Benumof JL. Mechanism of decreased blood flow to atelectatic lung. J Appl Physiol. Duggan M, Kavanagh BP. Atelectasis in the perioperative patient. Curr Opin Anaesthesiol. Hazinski TA.

In: Chermick and Boat, editors. Kendig's disorders of respiratory tract in children. Philadelphia: WB Saunders; Editora Artmed: Porto Alegre, Injurious ventilatory strategies increase cytokines and c-fos m-RNA expression in an isolated rat lung model. J Clin Invest. Atelectasis: mechanisms, diagnosis and management. Paediatr Respir Rev. Differencial diagnosis in pediatric radiology. Baltimore: Williams and Wilkins, ; Lobar atelectasis diagnostic pitfalls on chest radiography.

Br J Radiol. Radiologically undetectable pulmonary collapse in the supine position. Magnusson L, Spahn S. New concepts of atelectasis during general anaesthesia. Br J Anaesth.

Assessment of dependent lung densities in man during general anaesthesia. Acta Radiol. Alveolar recruitment prevents rapid reperfusion-induced injury of lung transplants.

J Heart Lung Transplant. Modifying pulmonary ischemia-reperfusion injury by altering ventilatory strategies during Ischemia. Impaired oxygenation in surgical patients during general anesthesia with controlled ventilation.

N Engl J Med. Analysis of lung density by computed tomography before and during general anaesthesia. Acta Anaesthesiol Scand. Lung collapse and gas exchange during general anesthesia: effects of spontaneous breathing, muscle paralysis, and positive endexpiratory pressure.

Distribution of blood ow in isolated lung: relations to vascular and alveolar pressure. Mechanisms of ventilator-induced lung injury. Mechanical ventilation affects local and systemic cytokines in an animal model of acute respiratory distress syndrome.

High inflation pressure pulmonary edema: respective effects of high airway pressure, high tidal volume, and positive end-expiratory pressure. Am Rev Respir Dis. Tidal ventilation at low airway pressures can augment lung injury.

Rivera R, Tibballs J. Complications of endotracheal intubation and mechanical ventilation in infants and children. Efficacy of recombinant human deoxyribonuclease I in the hospital management of respiratory syncytial virus bronchiolitis.

Effects of rhDNase on purulent airway secretions in chronic bronchitis. Eur Respir. J ; Pulmozyme Early Intervention Trial Study Group: A two-year randomized, placebo-controlled trial of dornase alfa in young patients with cystic fibrosis with mild lung function abnormalities.

J Pediatr. DNase and atelectasis in non-cystic fibrosis pediatric patients. Critical Care. Bronchoscopy for atelectasis in the ICU. Acute lobar atelectasis: effect of chest percussion and postural drainage CPPD on resolution. Acute lobar atelectasis: a comparison of two chest physiotherapy regimens. Chest physiotherapy and post-extubation atelectasis in infants.

Pediatr Pulmonol. The role of neonatal chest physiotherapy in preventing postextubation atelectasis. Acute lobar atelectasis: a prospective comparison of fiberoptic bronchoscopy and respiratory therapy. The effect of increased FIO 2 before tracheal extubation on postoperative atelectasis. Anesth Analg.

Respir Care. Treatment for collapsed lung in critically ill patients: selective intrabronchial air insufflation using the fiberoptic bronchoscope. Pulmonary atelectasis. Massive lung collapse with partial resolution after several years: a case report.

BMC Pediatrics. Removal of excessive bronchial secretions by asymmetric high-frequency oscillations. Analysis of forced expiratory maneuvers from raised lung volumes in preterm infants. Effect of expiratory flow increase technique on pulmonary function of infants on mechanical ventilation. Physiother Res Int. Thoracoabdominal compression and respiratory system compliance in HIV-infected Infants.

Effect of bi-level positive airway pressure BiPAP nasal ventilation on the postoperative pulmonary restrictive syndrome in obese patients undergoing gastroplasty. Reexpansion pulmonary edema. Ann Thorac Surg. Greene R. Acute lobar collapse: adults and infants differ in important ways. Intratracheal anti-tumor necrosis factor-alpha antibody attenuates ventilator-induced lung injury in rabbits.

Effect of granulocyte depletion in a ventilated surfactant-depleted lung. All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License. Services on Demand Journal. How to cite this article.

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Diretrizes brasileiras em pneumonia adquirida na comunidade em pediatria - Manejo de casos de infecciones respiratorias agudas en ninos em paises em desarrollo. Benguigui, Y. World Health Organization.

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