Efficacy of noninvasive mechanical ventilation in prevention of intubation and reintubation in the pediatric intensive care unit

Journal of Critical Care
Ayhan YamanErdal İnce

Abstract

To determine the efficiency of noninvasive mechanical ventilation (NIV) both in protection from intubation and in preventing reintubation of postextubation in patients in the pediatric intensive care unit (PICU). A prospective observational study was conducted in a multidisciplinary 10-bed tertiary PICU of a university hospital. All patients were admitted to our unit from June 2012 to May 2014 and deemed to be candidates to receive continuous positive airway pressure or bilevel positive airway pressure. We performed 160 NIV episodes in 137 patients. Their median age was 9 months (range, 1-240 months), and their median weight was 7.5 kg (range, 2.5-65 kg). Fifty-seven percent of patients were male. Noninvasive mechanical ventilation was successful in 70% (112 episodes) of patients. There was an underlying illness in 83.8% (134 episodes) of the patients. Bilevel positive airway pressure support was given to 57.5% (92 episodes) of the patients, whereas the remaining 42.5% (68 episodes) received continuous positive airway pressure support. Among the causes of respiratory failure in our patients, the most frequent were postextubation, pneumonia, bronchiolitis, atelectasia, and cardiogenic pulmonary edema. Sedation was applied in 43....Continue Reading

References

Apr 24, 1975·The New England Journal of Medicine·T W Feeley, J Hedley-Whyte
Jun 1, 1980·Critical Care Medicine·J P OrlowskiR S Crumrine
Jun 5, 2003·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·A. Marc HarrisonRoger B. B. Mee
Nov 8, 2003·Critical Care Medicine·Stephen C KurachekMathew Scanlon
Jun 25, 2004·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Peter J ThillPaul A Checchia
Nov 9, 2005·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Vera BernetBernhard Frey
Feb 16, 2006·Intensive Care Medicine·Stefano NavaGiorgio Conti
Sep 9, 2006·Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie·S LarrarD Devictor
Jan 29, 2009·Anales de pediatría : publicación oficial de la Asociación Española de Pediatría (A.E.P.)·J Mayordomo-ColungaS Menéndez
Mar 24, 2010·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Juan Ignacio Muñoz-BonetSilvia Castillo
May 5, 2010·Current Opinion in Anaesthesiology·Edoardo CalderiniPaolo Pelosi
May 7, 2010·BMC Pediatrics·Juan Mayordomo-ColungaIrene García
Sep 13, 2011·Annals of Intensive Care·Abolfazl Najaf-Zadeh, Francis Leclerc

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Citations

Oct 5, 2017·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·John K McGuire
Nov 15, 2017·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Hannah R StinsonUNKNOWN American Heart Association Get With the Guidelines-Resuscitation Investigators
Sep 2, 2017·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Jordan Sage Rettig, John H Arnold
Sep 28, 2017·The Annals of Pharmacotherapy·Heidi L BanaschElaine Gilfoyle
Aug 26, 2017·The Open Respiratory Medicine Journal·Wilfredo De Jesus RojasRicardo A Mosquera
Feb 8, 2020·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Scott L WeissPierre Tissieres
Mar 9, 2017·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Pharsai PrasertsanNattachai Anantasit
Dec 30, 2020·Hospital Pediatrics·Anthony A SochetThomas A Nakagawa
Apr 24, 2021·European Journal of Pediatrics·Rosalie S LinssenUNKNOWN PICE Study Group

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