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Acute respiratory failure (ARF) is a leading cause of pediatric hospitalizations, and invasive mechanical ventilation (IMV) is an essential support in severe cases.() Data obtained through expiratory and inspiratory pause maneuvers on mechanical ventilators during spontaneous breathing in adult IMV patients have been shown to aid prevention of patient self-inflicted lung injury (P-SILI).(,)
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Are we prepared to monitor and prevent patient self-inflicted lung injury (P-SILI) during mechanical ventilation in pediatric patients?
SouzaJMF, AmatoMBP, CostaELV, TrosterEJ. Are we prepared to monitor and prevent patient self-inflicted lung injury (P-SILI) during mechanical ventilation in pediatric patients?. Einstein (Sao Paulo). 2025;23:eCE1522. https://doi.org/10.31744/einstein_journal/2025CE1522
Souza,João Marcos Feliciano de; Amato,Marcelo Britto Passos; Costa,Eduardo Leite Vieira; Troster,Eduardo Juan. Are we prepared to monitor and prevent patient self-inflicted lung injury (P-SILI) during mechanical ventilation in pediatric patients?. Einstein (Sao Paulo)., v. 23, eCE1522, Feb. 2025. https://doi.org/10.31744/einstein_journal/2025CE1522
Souza,J.M.F. , Amato,M.B.P., Costa,E.L.V., & Troster,E.J. (2025). Are we prepared to monitor and prevent patient self-inflicted lung injury (P-SILI) during mechanical ventilation in pediatric patients?. Einstein (Sao Paulo).,23, eCE1522. https://doi.org/10.31744/einstein_journal/2025CE1522
Souza,João Marcos Feliciano de and Amato,Marcelo Britto Passos and Costa,Eduardo Leite Vieira and Troster,Eduardo Juan. Are we prepared to monitor and prevent patient self-inflicted lung injury (P-SILI) during mechanical ventilation in pediatric patients?. Einstein (Sao Paulo). [online]. 2025, vol. 23, [cited 2025-09-05], eCE1522. Available from: <https://journal.einstein.br/article/are-we-prepared-to-monitor-and-prevent-patient-self-inflicted-lung-injury-p-sili-during-mechanical-ventilation-in-pediatric-patients/>. ISSN 1679-4508. https://doi.org/10.31744/einstein_journal/2025CE1522
Figure 1
Mechanical ventilation chart taken during pressure support ventilation