By Jaqui Hewitt-Taylor
This ebook discusses a few of the daily wishes of youngsters who require long term breathing aid. This contains their actual specifications, but additionally their emotional, social and academic wishes, and the wishes in their households. The scientific and technical elements of those children’s care can appear overwhelming. notwithstanding, arguably the extra advanced and tough components in their administration main issue issues that aren't at once concerning their actual care, corresponding to facilitating their social wishes and schooling. This ebook goals to debate the entire facets of care that such childrens and their households may have, and in addition to put those within the context of seeing the kid as a complete individual and as part of society. to accomplish this, six case experiences of youngsters who want long term respiration help are used through the booklet.
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Additional resources for Working with Children Who Need Long-Term Respiratory Support
Example text
If air is forced into the body but cannot then be forced out, air is trapped in the respiratory passages, and cannot leave. This means that air with a high carbon dioxide level does not leave the lungs as well as it should, and that there is less room, when the lungs expand again, for new, oxygen-rich, air to get in. It also means that secretions, which usually move with the elastic recoil of lung tissue, do not move as well, which makes the child more prone to chest infections. Control of respiration We know how air gets to the alveoli, and what needs to move to make that happen.
Whilst Aisha and James always need some extra oxygen, when they have an acute chest infection they need more additional oxygen than usual. Figure 10 Gas exchange where secretions and lung tissue damage are present A child can receive additional oxygen via either a mask or nasal prongs. If oxygen is required in the long term, it is usually given via nasal prongs, especially if it is being given to an infant or small child at a flow rate of 2 litres per minute or less (Balfour-Lynn et al. 2009). Nasal prongs are flexible tubes that deliver oxygen into the child’s nose.
Usually, in this type of ventilation, the ventilator will fit in with what the child is doing, rather than the child having to try to work around the ventilator. This way of providing assisted ventilation is sometimes called Synchronised Intermittent Mandatory Ventilation (SIMV), or synchronised ventilation – because the ventilator synchronises with the child (Morton et al. 2005). Sometimes in synchronised ventilation, the ventilator will definitely deliver a set number of breaths, but more often it will check how many breaths the child is taking and deliver up to its set number, depending on what the child does.