Prolonged and Long-Term Mechanical Ventilation in Children

This book comprehensively reviews the concept, epidemiology, management strategy, possible therapy and future considerations of children requiring continuous ventilatory support. The chapters discuss both invasive and non-invasive therapy, and the transition from hospital to home ventilation, complications, management of tracheostomy and much more. The book offers insight into ways of reducing the number of children requiring mechanical ventilation and how to manage the complicated situation when it happens. As science advances, the population growth, lower mortality, and increasing complexity of diseases have boosted up the number of patients requiring prolonged breathing assistance with mechanical ventilators. However, there is a few cases in one center with children requiring such intensive care medicine, and so there is no agreed-upon management strategy. This book brings together information and experiences from around the world aiming to improve the quality of medical care and to create a foundation for a clear and effective guide to healthcare professionals. Prolonged and Long-Term Mechanical Ventilation in Children is edited by pioneering scientists and chapters are contributed by international experts. It is thought-provoking for pediatricians, general practitioners, family physicians, nurses and medical staff in pediatrics, pediatric pulmonologists, intensivists and many more associated with hospital and home ventilated cases.      ​

Table of Contents:
Prolonged Mechanical Ventilation, Need for Definition.- History and Epidemiology of PMVed children (including home ventilated children).- Overview, Management Strategy of Prolonged and Long-Term Mechanical Ventilation in Children.- Oxygen therapy for Prolonged and Long-term Mechanical Ventilation in Children.- Non-invasive MV of PMVed children.- Invasive MV of PMVed children.- Others (sedation, hemodynamics, nutrition, infection).- WEANING STRATEGY OF MECHANICAL VENTILATION IN PROLONGED MECHANICAL VENTILATION IN CHILDREN.- Prolonged and Long-Term Mechanical Ventilation in Children with cardiac diseases.-PROLONGED MECHANICAL VENTILATION IN CHILDREN BORN WITH PREMATURITY.- Prolonged Mechanical Ventilation in children with Neuromuscular Disease.- PMV in children with known respiratory disease.- PMV in children with Hemato-Oncologic Disease.- PMV in resource-poor settings.- Evaluation of respiratory function of PMV’d children.- Management and strategy of Tracheostomy.- Transfer from hospital to HVs (including NIV and MV).- Evaluation of the Child with Home Ventilation.- Care and management of HMV patients at hospital.- Complications of Prolonged Mechanical Ventilation.- Long–term Mechanical Ventilation: Respiratory Therapist's Point of View.- The Ethical Point-of-View in Prolonged Mechanical Ventilation and Home Ventilation.- Prolonged Home Mechanical Ventilation – A Nursing Perspective.- Future considerations (research, management).

About the Author :
Dr. Atsushi Kawaguchi received his medical degree from Osaka University School of Medicine in 2003. He subsequently completed a residency in pediatrics and a clinical fellowship in pediatric critical care at Shizuoka Children's Hospital in Shizuoka, Japan, and at Stollery Children's Hospital in Edmonton, Canada. In 2018, he was granted a Ph.D. in epidemiology from the University of Alberta School of Public Health. Since 2021, he has held the position of Professor of Pediatrics at the Division of Pediatric Critical Care, St. Marianna University School of Medicine, in addition to serving as Director of the Pediatric Intensive Care Unit (PICU). He has been engaged in a multitude of research initiatives pertaining to epidemiology, pediatrics, and pediatric critical care. In particular, his research has focused on respiratory monitoring, non-invasive ventilatory support, and clinical decision-support systems in critical care. He has been engaged in numerous fundamental and clinical investigations into high-flow nasal and nebulization therapy in pediatric patients with critical illness. In 2015, he was the recipient of the Garner King Award for the Best Clinical or Quality Improvement Study from the Canadian Critical Care Forum. He has also spearheaded a substantial international epidemiological study examining prolonged mechanical ventilation in PICU patients. Dr. Marti Pons-Odena's main clinical interest is respiratory care in critically ill patients and patients requiring long-term mechanical ventilation. His research field focuses on mechanical ventilation, especially non-invasive ventilation. He has published more than 70 studies in indexed journals (H-index 17). In 2015, he published the third edition of the book “NIV in Pediatrics” written in collaboration with Dr. Medina. Founding member of the respiratory work groups of the Spanish Society of Pediatric Intensive Care (SECIP) and the European Society of Pediatric and Neonatal Intensive Care (ESPNIC), he has been coordinator of both. He has actively participated in NIV research and teaching internationally, participating in multiple courses and presentations at international conferences, highlighting several editions of the NIV workshops in World Congress of the Federation of Intensive Care Societies (WFPICC) meetings since 2011. He also has participated as speaker in a few JIVD meeting in Lyon and ERS Mechanical Ventilation Conference in Berlin 2020. Dr. Robert J. Graham is pediatrician and critical care provider as an associate professor at Harvard Medical School and senior associate in the Department of Anesthesiology, Critical Care, and Pain Medicine at Boston Children’s Hospital.  He has a special interest in acute and chronic care of children with technology dependence. Through clinical innovation, research, and teaching Dr. Graham seeks to extend critical care services beyond the intensive care unit (ICU) to optimize the outcomes for children and young adults with special healthcare needs as well as the experience of their families.  In 2007, he developed a novel clinical program, the Critical Care, Anesthesia, and Perioperative Extension (CAPE) and Home Ventilation Program at Boston Children’s Hospital.  Dr. Graham’s research includes health-services efforts investigating models of care, patient/parent-reported outcomes, and resource utilization, as well as clinical investigations, focusing on patients with neuromuscular diseases and other populations with chronic respiratory failure and technology supports.