Respiracijska insuficienca pri otroku z nevrološko okvaro = Respiratory insufficiency in children with neurological deficit
Kopriva, Silvester, 1948-
The article reviews in general the variety of respiratory difficulties arisingin children with different neurologicaldisorders and possibly leading to respiratory insufficiency. It presents briefly ...the pathogenesis of respiratory insufficiency, emphassing the importance of the failing respiratory pump. It shows some disturbances originating in neurological defects, which can impose a damage to the lung,such as aspiratiron or insufficient expectoration. It notes the disturbances of breathing control, since they are one of the causes of respiratory insufficiency, or contributingfactor. A similar threat for a child with a neurological deficit can be upper airway obstruction. Duchenne muscular dysthrophy serves as an example which illustrates respiratory changes in neuromuscular diseases terminating in respiratory inssufficincy and which can be overcome with homemechanical ventilation noninvasively with a nose mask or by tracheostomy. It lists other therapeutic procedures (e.g. gastrostomy feeding), which can prevent worsening of respiratory difficulties and frequent hospital admissions, facilitate nursing and improve the quality of life also in gravelyand irreversibly neurlogicaly handicaped children. In conclusion the author gives his opinion that a central institution with broader team collaboration is needed for taking care of all children in chronic respiratoryinsufficiency, including those with neurological deficit.
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