Invasive MV of PMVed Children

Reducing mortality in acute pediatric conditions leads to increased morbidity and longer stays in pediatric intensive care units and hospitals. The transition from the acute to the subacute phase also leads to a change from invasive mechanical ventilation in stable clinical phases that may involve weaning from it or transitioning to prolonged ventilation where the choice for the most appropriate interface must be made. Knowledge of the properties of each ventilatory mode allows us to find the best mode to be tailored to the characteristics of each patient. The most applied invasive ventilatory modalities should be chosen according to the treatment plan and take into account knowledge of comorbidities and patient prognosis. The fundamental objective in the application of prolonged invasive ventilation is better patient-ventilator interaction, which leads to better synchronization and reduction of problems such as diaphragmatic dysfunction. Of the many ventilatory modalities, some are still in the experimental phase and not applied in daily clinical practice. Currently, the timing of tracheotomy is not well defined.