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The Respiratory Tract in Pediatric Critical Illness and Injury (Paperback, 2009 ed.)
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The Respiratory Tract in Pediatric Critical Illness and Injury (Paperback, 2009 ed.)
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The principal role of the respiratory system is to permit ef? cient
exchange of respiratory gases (O and CO ) with the environment. The
respiratory system is unique in that it is constantly 2 2 exposed
to a barrage of foreign substances from both the internal
environment (at any one point in time, approximately one-half of
the cardiac output is received by the lungs) and the external
environment (with each breath, the respiratory tract is exposed to
pollens, viruses, bacteria, smoke, etc). According to the Centers
for Disease Control and Prevention, diseases of the res- ratory
system were the seventh and eighth leading causes of deaths in
children aged 1 to 19 years in 2003 [1]. Dr. George A. Gregory, one
of the founding fathers of pediatric critical care me- cine, once
estimated that acute respiratory failure accounts for nearly 50% of
all admissions to the pediatric intensive care unit (PICU) [2].
Just as important are the many diseases that affect the respiratory
system that are not associated with acute respiratory failure, but
nevertheless constitute a major portion of the practice of
pediatric critical care medicine, some of which account for signi?
cant morbidity and mortality [3]. Once again, we would like to
dedicate this textbook to our families and to the physicians and
nurses who provide steadfast care every day in pediatric intensive
care units across the globe. Derek S. Wheeler Hector R. Wong Thomas
P.
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