Asistencia ventilatoria no invasiva en pediatría

Abstract

Non-invasive ventilatory assistance: Pediatrics considerations Non-invasive ventilation (NIV) has extended its use in pediatric setting. Besides acute respiratory conditions, it is also used in chronic diseases associated to ventilatory failure. In the acute setting, PICU constitutes the natural scenery. In chronic conditions, therapy is transferred home as a multidisciplinary program already available in our country. The objective of this review is an update applying respiratory physiology, technical and clinical issues necessary for choosing and using accurately NIV in both acute and chronic settings.

Impact of a Noninvasive Ventilation Protocol in Hospitalized Children With Acute Respiratory Failure

“…However, other studies demonstrating a positive result following the use of a protocolized strategy have been focused only on weaning management without considering the initial management. 13,16,[23][24][25] Although the main events of interest were not statistically different between study groups, the observation that there was one fewer intubated child in the protocol group should be highlighted within the clinical context. There was a significantly higher severity score in the protocol group, suggesting some advantage of a protocolized strategy over conventional management in the context of higher severity.…”

“…[6][7][8][9][10][11] However, despite the benefits of NIV, the development of specific criteria for its initiation and discontinuation in the pediatric population is limited mainly because of poorly detailed ventilatory strategies and heterogeneity of patients and their pathologies. 6,[11][12][13] The use of standardized criteria and guidelines in clinical practice constitutes a safe, uniform therapeutic approach capable of preventing potential harm to the patient. The use of protocols has been studied mostly in the context of invasive mechanical ventilation.…”

Uso de Estrategias de Soporte Respiratorio No Invasivas en pacientes pediátricos con SARS-CoV-2. Una revisión de alcance

“…De manera que, el objetivo de esta revisión de alcance es revisar la frecuencia de uso de las estrategias de soporte respiratorio no invasivas (NIRS) en pacientes pediátricos con SARS-CoV-2, a partir de la evidencia científica contribuyendo con la construcción de guías de práctica clínica que estandaricen su uso en esta población (12). Pregunta de la revisión de alcance: ¿Cuál es la frecuencia de uso de las estrategias de soporte respiratorio no invasivas (NIRS) en pacientes pediátricos con SARS-CoV-2?…”