Environmental factors influencing weaning of a young child from mechanical ventilator support.
J Dev Behav Pediatr
; 18(3): 166-70, 1997 Jun.
Article
en En
| MEDLINE
| ID: mdl-9213232
ABSTRACT
We examined the contribution of physiologic and environmental variables to the process of weaning a child with chronic respiratory failure from mechanical ventilation support. Surveillance measures, e.g., blood oxygenation, were obtained from a 6-year-old child with multiple medical and developmental disorders who received three different rates (24, 22, and 20 tidal volumes per minute) of intermittent mechanical ventilation. Direct observations were used to calculate rates of aberrant behavior, e.g., aggression toward self, for task versus play settings within the intermittent mechanical ventilation rates. Rates of aberrant behavior and adult responses were tabulated from videotaped observations for task, attention, and no attention settings. The greatest rate of aberrant behavior occurred during tasks compared with play activities, regardless of whether attention was provided while playing. Adults also responded more often to aberrant behaviors during task versus play conditions. Clinical implications are discussed concerning the inclusion of developmental and behavioral variables during weaning from mechanical ventilation.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Insuficiencia Respiratoria
/
Medio Social
/
Desconexión del Ventilador
Aspecto:
Determinantes_sociais_saude
Límite:
Child
/
Female
/
Humans
Idioma:
En
Revista:
J Dev Behav Pediatr
Año:
1997
Tipo del documento:
Article
País de afiliación:
Estados Unidos