Acute respiratory failure in children

Hammer, Jürg

doi:10.1016/j.prrv.2013.02.001

Cited by 53 publications

(51 citation statements)

References 20 publications

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“…Children, and most particularly infants, are at increased risk to develop atelectasis because of the residual volume is close to the closing volume of the lung and the absence of pathways for collateral ventilation before 3-4 years of age. 18 Therefore, all strategies to pre- conducted both in adults and in children. 2,11,21 In the current study, children were overly exposed to lung de-recruitment (use of ZEEP or low level of PEEP, high FiO 2 , extubation while apply suctioning) and only 20% of the intubated patients received recruitment maneuvers.…”

Section: Discussionmentioning

confidence: 99%

Ventilation in pediatric anesthesia: A French multicenter prospective observational study (PEDIAVENT)

Lebossé

Kern

Queiroz

et al. 2020

Pediatric Anesthesia

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Introduction Protective ventilation is now a standard of care in adults. However, management of ventilation is heterogeneous in children and little is known regarding the mechanical ventilation parameters actually used during pediatric anesthesia. Aim The aim of the study was to assess current ventilatory practices during pediatric anesthesia in France and to compare them with pediatric experts' statements, with a specific focus on tidal volume. Patients and methods We conducted a prospective multicenter observational study, regarding the ventilatory management and the mechanical ventilation parameters, over two days (21 and 22 June 2017) in 29 pediatric centers in France. All children undergoing general anesthesia during these 2 days were eligible; those who required extracorporeal circulation or one‐lung ventilation were excluded. Results A total of 701 children were included; median [IQR] age was 60 [24‐120] months. Among the patients in whom controlled ventilation was used, 254/515 (49.3%) had an expired tidal volume >8 mL/kg and 44 children (8.8%) an expired tidal volume ≥10 mL/kg. Lower weight and use of a supraglottic airway device were significantly associated with provision of a tidal volume ≥10 mL/kg (odds ratio 0.94, 95% confidence interval [0.92; 0.97], P < .001 and 2.28 [1.20; 4.31], P = .012, respectively). The positive end‐expiratory pressure was set at a median [IQR] of 4 [3‐5] cmH2O; it was <3 cmH2O in 15.7% of children and not used in 56/499 (9.3%). Among intubated children, 57 (18.3%) received a tidal volume < 10 mL/kg with a positive end‐expiratory pressure ≥3 cmH2O in association with recruitment maneuvers. Conclusions Ventilatory practices in children were heterogenous, and a large proportion of children were not ventilated as it is currently recommended by some experts.

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Section: Discussionmentioning

confidence: 99%

Ventilation in pediatric anesthesia: A French multicenter prospective observational study (PEDIAVENT)

Lebossé

Kern

Queiroz

et al. 2020

Pediatric Anesthesia

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“…Respiratory failure is the leading cause of admission to pediatric intensive care units (PICUs) 1– 3 . Mechanical ventilation (MV) is a lifesaving therapy, allowing the support of patients with respiratory failure with the objectives of improving gas exchange and decreasing work of breathing.…”

Section: Introductionmentioning

confidence: 99%

Recent Advances in Pediatric Ventilatory Assistance

et al. 2017

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In this review on respiratory assistance, we aim to discuss the following recent advances: the optimization and customization of mechanical ventilation, the use of high-frequency oscillatory ventilation, and the role of noninvasive ventilation. The prevention of ventilator-induced lung injury and diaphragmatic dysfunction is now a key aspect in the management of mechanical ventilation, since these complications may lead to higher mortality and prolonged length of stay in intensive care units. Different physiological measurements, such as esophageal pressure, electrical activity of the diaphragm, and volumetric capnography, may be useful objective tools to help guide ventilator assistance. Companies that design medical devices including ventilators and respiratory monitoring platforms play a key role in knowledge application. The creation of a ventilation consortium that includes companies, clinicians, researchers, and stakeholders could be a solution to promote much-needed device development and knowledge implementation.

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“…Suy hô hấp cấp là hội chứng gây ra bởi tình trạng cơ thể không cung cấp đủ khí oxy (O 2 ) và đào thải khí carbonic (CO 2 ) phù hợp với nhu cầu chuyển hóa của cơ thể, nguyên nhân tại hệ hô hấp, tim mạch, thần kinh -cơ [1]. Suy hô hấp cấp là nguyên nhân phổ biến nhập viện cũng như gây tử vong ở trẻ em, đặc biệt là trẻ em dưới 1 tuổi [2].…”

Section: đặT Vấn đề unclassified

Đặc Điểm Lâm Sàng, Nguyên Nhân, Phân Loại Suy Hô Hấp Cấp Ở Trẻ Em Theo Khí Máu

Dem¹

2018

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SUMMARY THE CLINICAL FEATURE, CAUSES AND CLASSIFICATION OF PEDIATRIC ACUTE RESPIRATORY FAILURE THROUGH ARTERIAL BLOOD GAS Pham Thi Que, Pham Van Thang Ha Noi Medical University Objectives: The study to describe clinical feature, causes and classification of acute respiratory failure in children through arterial blood gas in the Intensive Care Unit of Vietnam National Children's Hospital. Subjects and Methods: Aprospective descriptive study on 96 patients with acute respiratory failure in the Intensive Care Unit in Vietnam of National Children's Hospital from 10/2016 to 10/2017. Results: Type 2 acute respiratory failure was 55,2%, followed by type 1 with 25% and type 3 with 19,8%. Total patients with type 1 respiratory failure had tachypnea, cyanosis and SpO2 ˂ 90% and bilateral parenchymal lung injury. Type 2 acute respiratory failure can have symptoms like brachypnea, acynosis, SpO2 ≥ 90%. Wheezing is most common; emphysema and atelectasis with 37,2%. Bronchopneumonia is the most common cause of acute respiratory failure, including 61,1% type 2 acute respiratory failure. Conclusion: Based on the clinical feature of acute respiratory failure as a basis for assessing severe condition and appropriate treatment interventions. Key words: classification of acute respiratory failure, arterial blood gas.

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Acute respiratory failure in children

Cited by 53 publications

References 20 publications

Ventilation in pediatric anesthesia: A French multicenter prospective observational study (PEDIAVENT)

Ventilation in pediatric anesthesia: A French multicenter prospective observational study (PEDIAVENT)

Recent Advances in Pediatric Ventilatory Assistance

Đặc Điểm Lâm Sàng, Nguyên Nhân, Phân Loại Suy Hô Hấp Cấp Ở Trẻ Em Theo Khí Máu

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