Download Pediatric Surgery Secrets, 1e by Philip L. Glick MD FAAP FACS, Richard Pearl MD FAAP PDF

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By Philip L. Glick MD FAAP FACS, Richard Pearl MD FAAP FACS, Michael S. Irish MD FAAP FACS, Michael G. Caty MD

A concise, but entire medical reference on pediatric surgical procedure within the attractive and hugely useful question-and-answer structure of The secrets and techniques Series®. In eighty chapters, the authors current authoritative, functional assurance that may entice pediatric and common surgeons in addition to pediatricians and first care physicians.

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How does a CDH occur? Failure of the pleuroperitoneal canals to close at 8-10 weeks in human development leads to a defect in the dorsolateral region of the diaphragm. Bowel loops returning from the embryonic yolk sac may herniate through this defect into the chest. The exact mechanism of closure failure remains unclear, but studies with the rat nitrofen model of CDH have revealed several clues. The growth of the liver is in sequential balance with an area of mesenchyme termed the posthepatic mesenchymal plate (PHMP), and its caudal and lateral growth finally leads to closure of the pleu­ roperitoneal canal.

Clin Perinatol 25:113,1998. 3. Fuhrman BP, Heman LJ, Papo MC, Steinhom DM: Perfluorocarbon liquid ventilation. In Fuhrman BP, Zimmerman JJ (eds): Pediatric Critical Care, 2nd ed. St. Louis, Mosby, 1998. 4. Kallas HJ: Non-conventional respiratory support modalities applicable in the older child. Crit Care Clin 14:655, 1998. 5. Mariani GL, Carlo WA: Ventilatory management in neonates: Science or art? Clin Perinatol 25:33, 1998. 6. Venkataraman ST, Orr RA: Mechanical ventilation and respiratory care.

Work of breathing is the amount of work performed by the respiratory muscles during respi­ ration. Increased airway resistance or decreased compliance leads to greater work of breathing and ultimately to respiratory failure. 4. Define peak inspiratory pressure and mean airway pressure. Peak inspiratory pressure (PIP) is the highest pressure reached during inspiration. In pres­ sure-controlled ventilation the PIP is preset, whereas in volume-controlled ventilation it is vari­ Mechanical Ventilation 15 able.

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