Post-operative respiratory management in infants

Kunihiko Hoshi, Kohji Saitoh

Research output: Contribution to journalArticlepeer-review

Abstract

Regarding postoperative respiratory management in infants, their postoperative circulatory and respiratory conditions are quite different among medical centers. The lung functions of infants are still immature. Respiratory rate of infants decreases from the birth (just after birth ; 47, 12 months ; 26 cycles·mimute-1). Tidal volume increases with body weight (just after birth ; 23.8, 12 months ; 89.1 ml), and tidal volume per body weight is constant (6.9-9.0 ml·kg-1). When we perform postoperative respiratory managements, we must discuss the ventilatory mode to use, permissible airway pressure, and values of blood gas analysis among postoperative care team. In infants with acute lung injury, we should select high frequency oscillation (HFO) according to lung protective ventilatory strategy theory (low tidal volume + open lung approach).

Original languageEnglish
Pages (from-to)542-553
Number of pages12
JournalJapanese Journal of Anesthesiology
Volume56
Issue number5
Publication statusPublished - 2007 May 1

Keywords

  • Acute lung injury
  • Immaturity
  • Lung protective ventilatory strategy
  • Post-operative respiratory management

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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