| Avtor/Urednik | Grosek, Štefan; Jakomin, Mojca; Primožič, Mojca | |
| Naslov | Nevrološke bolezni, ki zahtevajo umetno ventilacijo | |
| Prevedeni naslov | Neurological diseases which require artificial ventilation | |
| Tip | članek | |
| Vir | Med Razgl | |
| Vol. in št. | Letnik 37, št. Suppl 4 | |
| Leto izdaje | 1998 | |
| Obseg | str. 112-21 | |
| Jezik | slo | |
| Abstrakt | Artificial ventilation of pediatric patients with neurological and neuro-muscular diseases is not uncommon in pediatric intensive car units despite the fact that some diseases have almost disappeared in Slovenia (poliomyelitis, botulism, tetanus). If a child with a known or unknown neurological disease develops respiratory insufficiency suddenly, we admit the child into the ICU and start with artificial ventilation. When the diagnosis and prognosis of the child with a neurological disease and respiratory insufficiency is clear we decide to centinue or to stop the ventilation. For some patients we recommend home ventilation. The pediatric intensive care provider has to be cautious with some drugs (relaxants, aminoglyosides, steroids) commonly used in the ICU which can aggravate the neurological disease and respiratory insufficiency. | |
| Izvleček | Nevrološke bolezni, ki zahtevajo umetno ventilacijo, so široka skupin obolenj, ki jih pediater intenzivist ne zdravi pogosto, nekatere med njimi pa so vsaj pri nas skoraj izginile (npr. poliomielitis, tetanus, botulizem). Ko takega otroka sprejmemo v enoto za intenzivno zdravljenje, je važno čimprej priti do prave diagnoze in je zato zelo pomembno sodelovanje strokovnjakov različnih strok. Naloga pediatra intenzivista je, da dobro pozna nevrološko bolezen, ki jo zdravi, da z nepremišljenimi ukrepi ne oslabšuje mišične slabosti (npr. neupravičena uporaba miorelaksansov, aminoglikozidov, steroidov). Starše otrok, ki bodo stalno potrebovali umetno ventilacijo, priučimo, kako voditi otroka na domu. | |
| Deskriptorji | NERVOUS SYSTEM DISEASES RESPIRATION, ARTIFICIAL CHILD TETANUS MOTOR NEURON DISEASE POLYRADICULONEURITIS MYASTHENIA GRAVIS BOTULISM CRITICAL ILLNESS VENTILATORS, MECHANICAL |