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Grand Rounds: Negative Pressure Ventilation Use in Pediatric Critical Care


By Omar Alibrahim, MD, FAAP , Medical Director, Pediatric Intensive Care Unit, Duke University Medical Center/Duke Children’s Hospital

Objectives (Educational Content) :

1. Describe the history of mechanical ventilation. 2. Demonstrate the physiological principles of spontaneous breathing and negative pressure ventilation. 3. Illustrate the current clinical and potential future application of Negative pressure ventilation.

Target Audience:

General pediatricians, family physicians, nurse practitioners, physician assistants, social workers, psychologists, and nurses.

Identified Gap:

Noninvasive mechanical ventilation has become the mainstay of respiratory support in Pediatric Intensive Care over the past 25 years leading to a significant decrease in the use of invasive mechanical ventilation. Negative pressure ventilation is a modality that is making a comeback in both adult and pediatric care. It is important for pediatricians to keep pace with this rapidly evolving field.

Estimated Time to Complete the Educational Activity:

1 hour(s)

Expiration Date for CE/CME Credit:


Method of Participation in the Learning Process:

The learner will view the presentation, successfully complete a post-test and complete an activity evaluation.

Evaluation Methods:

All learners must successfully complete a post-test, as well as an activity evaluation, to claim CE/CME credit.


The following presenters have identified that they have no financial relationships with any ineligible companies. Omar Alibrahim, MD The following CME Committee/Planning Committee member(s) has the following relevant financial relationships with ineligible companies to disclose: Merck Maria Victorio, MD All relationships have been mitigated. The remaining planning committee/CME committee members have indicated that they have no financial relationships with any ineligible companies.

Accreditation Statement:

Children’s Hospital Medical Center of Akron is accredited by the Ohio State Medical Association to provide continuing medical education for physicians.

CHMCA designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 Credit TM.  Physicians should only claim the credit commensurate with the extent of their participation in the activity.

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