日本小児循環器学会雑誌 Pediatric Cardiology and Cardiac Surgery

Although circulatory management is the primary therapeutic target in pediatric cardiovascular disease, respiratory management is also important for improving prognosis. To achieve this, ventilator settings should take into consideration not only oxygenation and gas exchange but also the following four factors: prevention of lung injury, optimization of work of breathing, improvement of patient ventilator interaction, and cardiopulmonary interactions. This study outlined the influence of these four factors on patients and the pitfalls of ventilation in children, particularly neonates and infants.