Neonatal And Pediatric Respiratory Care: A Pati...
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Inside, you'll find everything you need to know about perinatal lung diseases - common neonatal complications - congenital diseases - pediatric pulmonary and upper airway diseases - and neuromuscular disorders. A streamlined presentation helps you easily grasp the background, pathophysiology, clinical manifestations, management and treatment, and the course and prognosis of each disease.
Rueda joined the faculty in the fall of 2022. Born in Eagle Pass, Texas, Rueda received most of her early and secondary education in Piedras Negras, Mexico. She then embarked on an educational path in health care that began with following in the footsteps of her father to become a physician. She earned her medical degree from the University of Monterrey in Mexico, did her residency in pediatrics and practiced in a community health clinic before returning to the U.S., where she obtained a Master of Health Administration. She then earned a Master of Science in Respiratory Care from UT Health San Antonio in 2019 and worked as a pediatric respiratory therapist at University Hospital.
Intro: Extracorporeal membrane oxygenation for neonatal and pediatric respiratory failure continues to demonstrate improving outcomes, largely due to advances in technology along with refined management strategies despite mounting patient acuity and complexity. Successful use of ECMO requires thoughtful initiation and candidacy strategies, along with reducing the risk of ventilator induced lung injury and the progression to multiorgan failure.Areas Covered: This review describes current ECMO management strategies for neonatal and pediatric patients with acute refractory respiratory failure and summarizes relevant published literature. ECMO initiation and candidacy, along with ventilator and sedation management, are highlighted. Additionally, rapidly expanding areas of interest such as anticoagulation strategies, transfusion thresholds, rehabilitation on ECMO, and drug pharmacokinetics are described.Expert Opinion: Over the last few decades, published studies supporting ECMO use for acute refractory respiratory failure, along with institutional experience, have resulted in increased utilization although more randomized-controlled trials are needed. Future research should focus on filling the knowledge gaps that remain regarding anticoagulation, transfusion thresholds, ventilator strategies, sedation, and approaches to rehabilitation to subsequently implement into clinical practice. Additionally, efforts should focus on well-designed trials, including population pharmacokinetic studies, to develop dosing recommendations.
But when it comes to neonatal and pediatric patients, the process can be slightly different. In this article, we will discuss the process of neonatal and pediatric patient assessment. We included helpful practice questions on this topic as well.
40. What are signs of respiratory distress with pediatricsGrunting, Retractions, Nasal flaring, Tachypnea, Cyanosis, Abdominal breathing, Head bobbing, and Respiratory Distress.
The Neonatal/Pediatric Respiratory Care Specialty (NPS) Examination objectively measures the knowledge and skills of respiratory therapists working in this specialty area. It goes above and beyond general respiratory care activities to focus specifically on competencies that are unique to neonatal/pediatric respiratory care. Therefore, wearing the RRT-NPS badge of distinction signals to employers, colleagues, and patients that your skills are highly specialized.
In developing our NPS program, we sought input from a variety of organizations representing neonatal/pediatric respiratory care, and we collaborated with other organizations that have a vested interest in protecting the public and improving care for neonatal and pediatric patients. Because of this effort, our NPS program is well respected and supported by several professional organizations, including the American Association for Respiratory Care (AARC), the American College