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Critical Care Pediatrics

 Importance of Early Recognition of System Failure

Outcomes in pediatric cardiopulmonary arrest are generally sepsis poorer than in adults.

Projected Impending Existing Failure

Respiratory Failure

Circulatory Failure

CNS Failure

Organ Failure

Respiratory Failure

Inadequate oxygenation and CO2 excretion

Respiratory distress is not always present

Causes of Airway Obstruction

Congenital Lesions

Acquired Lesions

Infections

Causes of Acquired Airway Obstruction

Neurologic Dysfunction - loss of pharyngeal tone

Trauma

Foreign Body Aspiration

Mass Lesion

Management of Airway ObstructionIcon

Positioning

Bag-Valve-Mask

Intubation

Causes of Lower Pulmonary Disease and Respiratory FailureIcon

Bronchiolitis

Asthma

Pneumonia

Acute Respiratory Distress Syndrome

Aspiration/Near Drowning

IconRespiratory Pump DysfunctionIcon

The chest wall is much more compliant in infants

Paradoxical respirations or thoracoabdominal asynchrony occurs when airway resistance becomes increased

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Chest trauma is most commonly cause is by a blunt mechanism, such as a motor vehicle accident.

Chest trauma is usually associated with other injuries.

Chest trauma isore likely to injure both intrathoracic and abdominal organs.

IconChest InjuriesIcon