Corrigendum on: Ventilation weaning and extubation readiness in children in pediatric intensive care unit: A review

Poletto, Edoardo; Cavagnero, Francesca; Pettenazzo, Marco; Visentin, Davide; Zanatta, Laura; Zoppelletto, Fabrizio; Pettenazzo, Andrea; Daverio, Marco; Bonardi, Claudia

doi:10.3389/fped.2022.1044681

Cited by 2 publications

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“…In the process of weaning patients from mechanical ventilation support, there are some accepted criteria that determine whether a patient's condition is suitable. These criteria include the patient being hemodynamically stable, capable of achieving adequate oxygenation, and performing gas exchange within acceptable limits (5). Determining the readiness of pediatric patients for extubation is critical to minimize morbidity and mortality associated with prolonged mechanical ventilation and extubation failure (6).…”

Section: Introductionmentioning

confidence: 99%

Evaluation of renal near-infrared spectroscopy for predicting extubation outcomes in the pediatric intensive care setting

Colak,

Ceylan,

Topal

et al. 2024

Front. Pediatr.

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BackgroundIn pediatric intensive care units, extubation failure following invasive mechanical ventilation poses significant health risks. Determining readiness for extubation in children can minimize associated morbidity and mortality. This study investigates the potential role of renal near-infrared spectroscopy (RrSO2) in predicting extubation failure in pediatric patients.MethodsA total of 84 patients aged between 1 month and 18 years, mechanically ventilated for at least 24 h, were included in this prospective study. RrSO2 levels were measured using near-infrared spectroscopy before and during an extubation readiness test (ERT). The primary outcome measure was extubation failure, defined as a need for reintubation within 48 h.ResultsOf the 84 patients, 71 (84.6%) were successfully extubated, while 13 (15.4%) failed extubation. RrSO2 was found to be lower in the failed extubation group, also decrease in RrSO2 values during ERT was significantly greater in patients with extubation failure. ROC analysis indicated a decrease in ΔRrSO2 of more than 6.15% from baseline as a significant predictor of extubation failure, with a sensitivity of 0.984 and a specificity of 0.889.ConclusionMonitoring changes in RrSO2 values may serve as a helpful tool to predict extubation failure in pediatric patients. Further multi-center research is warranted to improve the generalizability and reliability of these findings.

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Section: Introductionmentioning

confidence: 99%

Evaluation of renal near-infrared spectroscopy for predicting extubation outcomes in the pediatric intensive care setting

Colak,

Ceylan,

Topal

et al. 2024

Front. Pediatr.

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The Complex Interplay of Variables in Extubation Decision-Making Following Pediatric Cardiac Surgery: A Narrative Review

Durai Samy,

Taksande

2024

Cureus

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Pediatric cardiac surgery poses significant challenges in developing countries, where a considerable number of children require intervention for congenital heart disease (CHD). The utilization of endotracheal intubation and anesthesia is pivotal in conducting surgical or angiography procedures on patients with CHD exhibiting diverse anatomical and hemodynamic characteristics. The decision to extubate pediatric patients following cardiac surgery remains a crucial element of postoperative care. This article explores the complexities surrounding extubation decision-making in this population, emphasizing the critical role of surgical, physiological, and postoperative factors. Various preoperative and intraoperative factors influence the timing of extubation. Early extubation is increasingly prevalent, offering benefits like reduced length of stay and minimized drug exposure. Multidisciplinary collaboration and protocol-driven strategies contribute to improved extubation outcomes, emphasizing the need for a comprehensive approach in pediatric cardiac surgery. Future research can focus on the implementation and efficacy of standardized extubation procedures involving collaboration among healthcare experts.

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Corrigendum on: Ventilation weaning and extubation readiness in children in pediatric intensive care unit: A review

Cited by 2 publications

References 0 publications

Evaluation of renal near-infrared spectroscopy for predicting extubation outcomes in the pediatric intensive care setting

Evaluation of renal near-infrared spectroscopy for predicting extubation outcomes in the pediatric intensive care setting

The Complex Interplay of Variables in Extubation Decision-Making Following Pediatric Cardiac Surgery: A Narrative Review

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