ECMO-/ECLS

from the Surgical Critical Care Task Force of the American Pediatric Surgical Association April 2013 Editor-in-Chief: Marjorie J ...

EDITOR-IN-CHIEF CONTACT PERSON MARJORIE J. ARCA, MD PROFESSOR DEPARTMENTS OF SURGERY AND PEDIATRICS MEDICAL COLLEGE OF WISCONSIN ...

CONTRIBUTORS Marjorie J. Arca, MD Professor of Surgery Division of Pediatric Surgery, Department of Surgery Medical College of W ...

II Alessandra Gasior, DO Pediatric Surgical Critical Care Fellow Children’s Mercy HospitalKansas City, MO Pediatric Neurotrauma ...

III Jennifer Liedel, MD Assistant Professor of Pediatrics Children’s Hospital of WisconsinMedical College of Wisconsin Milwaukee ...

IV Anna Ruzic, MD Pediatric Surgery Fellow University of Florida, GainesvilleGainesville, FL Extracorporeal Membrane Oxygenation ...

V NOTICE The authors, editors, and APSA disclaim any liability, loss, injury, or damage incurred as a consequence, directly or i ...

VI INTRODUCTION (^) To the Members of APSA: Two years ago, a group of pediatric surgeons with interest and training in surgical ...

VII Oxygen Kinetics TABLE OF CONTENTS Mechanical Ventilation..............The Pediatric Airway ........................ ...

Chapter 1 OXYGEN KINETICS Marjorie J. Arca, MD I. Oxygen Consumption and Delivery In a state of equilibrium, oxygen demand equal ...

In a patient, optimizing oxygen delivery has more options than manipulating oxygen demand. To optimize oxygen delivery, one shou ...

(^) Starling Curve: CO = HR x Stroke Volume (^) In the adult literature, increasing hemoglobin levels to normal has been shown t ...

past the left heart “preload’ has been reported as the “wedge pressure” in a patient who had pulmonary arterial monitoring (aka ...

ablating seizures and treating hyperdynamic states such as sepsis, thyrotoxicosis and helpful in modulating oxygen consumption. ...

blood pressure. In essence, in a spontaneously breathing patient with baseline P thoracic=^ - 10, the LV has to generate pressur ...

No vasopressor or combination of agents show decrease in mortality. Achieving supraclinical indices of organ and tissue perfusio ...

p50 for O 2 dissociation is partial pressure of 26- 27 mm Hg. In some NICU and PICUs, near infrared regional tissue oximetry to ...

Chapter 2 THE PEDIATRIC AIRWAY Marjorie J. Arca. M.D. I. Anatomy and Physics The pediatric airway has unique characteristics tha ...

For instance, helium is less dense than nitrogen and slightly more viscous, thereby increasing the chance of laminar flow. This ...

Most infants and children who lose their spontaneously ability to breathe can have their breathing augmented by bag mask ventila ...