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Erschienen in: Intensive Care Medicine 6/2004

01.06.2004 | Editorial

What does chest physiotherapy do to sick infants and children?

verfasst von: Andrew C. Argent, Brenda M. Morrow

Erschienen in: Intensive Care Medicine | Ausgabe 6/2004

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Excerpt

Endotracheal suctioning (ET) and chest physiotherapy (CP) are part of the accepted care of intubated children in many paediatric intensive care units in spite of a limited evidence-base [1, 2], largely because of the risks of endotracheal tube obstruction. A wide variety of deleterious effects of ET on children and infants have been reported including bacteraemia [3], lobar atelectasis [4, 5], hypoxia [6], decreased cerebral oxygenation [7, 8], hypertension and raised intracranial pressure [9, 10], pneumothoraces [11] and death. Some of the side effects may be minimised by reduction of suction pressure and limitation of the depth of insertion of the suction catheter [5], appropriate pre-oxygenation [12, 13], adequate sedation and analgesia [14] and muscle paralysis [9]. …
Literatur
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Metadaten
Titel
What does chest physiotherapy do to sick infants and children?
verfasst von
Andrew C. Argent
Brenda M. Morrow
Publikationsdatum
01.06.2004
Verlag
Springer-Verlag
Erschienen in
Intensive Care Medicine / Ausgabe 6/2004
Print ISSN: 0342-4642
Elektronische ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-004-2216-6

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