Effect of the measurement of the work of breathing on the respiratory outcome of preterms

Dudoignon, Benjamin; Khirani, Sonia; Amaddeo, Alessandro; Ammar, Rafik Ben; Luca, Danièle De; Torchin, Héloïse; Lapillonne, Alexandre; Jarreau, Pierre‐Henri; Fauroux, Brigitte

doi:10.1080/14767058.2021.1944093

Cited by 2 publications

(3 citation statements)

References 23 publications

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“…The design of our study makes is impossible to know if the physiological measurement had an impact on the weaning duration. In another recent study, 6 the physiological assessment and the optimization of the NRS in preterm did not decrease the duration of final weaning. However, the patients were less severe than the patients of the present study.…”

Section: Discussionmentioning

confidence: 85%

Work of breathing: A tool for the respiratory management of severe bronchopulmonary dysplasia

Dudoignon,

Khirani,

Vedrenne‐Cloquet

et al. 2024

Pediatric Pulmonology

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Section: Discussionmentioning

confidence: 85%

Work of breathing: A tool for the respiratory management of severe bronchopulmonary dysplasia

Dudoignon,

Khirani,

Vedrenne‐Cloquet

et al. 2024

Pediatric Pulmonology

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“…12 Simple handling, good patient tolerance of a comfortable interface with an overall good accessibility of the child render HFNT particularly attractive for neonates and infants. 13 Notably, outpatient data on HFNT for BPD patients is nearly nonexistent. Current BPD guidelines do not include recommendations on the choice of long-term respiratory support other than low-flow oxygen.…”

Section: Discussionmentioning

confidence: 99%

“…HFNT reduces the work of breathing to an extent comparable to CPAP 12 . Simple handling, good patient tolerance of a comfortable interface with an overall good accessibility of the child render HFNT particularly attractive for neonates and infants 13 . Notably, outpatient data on HFNT for BPD patients is nearly nonexistent.…”

Section: Discussionmentioning

confidence: 99%

Indications and outcome of home high‐flow nasal therapy in children, a single‐center experience

Steindor

Wagner

Kavvalou

et al. 2022

Pediatric Pulmonology

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High‐flow nasal therapy (HFNT) is a safe and simple way to deliver humidified air and oxygen for respiratory support in infants and children. HFNT is well established in an inpatient setting, but home HFNT lacks evidence. In the current study, we studied characteristics and outcomes of pediatric patients with home HFNT. In a monocentric retrospective analysis of data for 10 years (April 2010–April 2020), patient characteristics from the time point of the first discharge from hospital with home HFNT‐treatment and the subsequent course were analyzed. Patients were divided into three HFNT indication groups: (1) bronchopulmonary dysplasia (BPD), (2) upper airway obstruction (UAO), and (3) other indications. Forty patients received home HFNT in the study period. Seventeen patients were treated for BPD, 15 for UAO, and 8 had other indications. Twenty‐two patients (55%) were successfully weaned from HFNT (12 [70.6%] BPD, 7 [46.7%] UAO, 3 [37.5%] other), while seven patients (17.5%) died during follow‐up (4 BPD, 2 UAO, 1 other). Twenty‐three patients (57.5%) required (intermittent) additional oxygen application (14 [82.4%] BPD, 6 [40%] UAO, 4 [50%] other). Weaning success and need for additional oxygen were significantly more probable in BPD patients compared to the UOA group. In conclusion, HFNT plays an increasing role in home treatment of respiratory insufficiency of various etiologies in childhood. It often represents a temporary intervention, especially for children with BPD but might also serve as long‐term treatment for children in whom other forms of ventilatory support are not feasible or desired.

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Effect of the measurement of the work of breathing on the respiratory outcome of preterms

Cited by 2 publications

References 23 publications

Work of breathing: A tool for the respiratory management of severe bronchopulmonary dysplasia

Work of breathing: A tool for the respiratory management of severe bronchopulmonary dysplasia

Indications and outcome of home high‐flow nasal therapy in children, a single‐center experience

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