Mechanical ventilation for children

Conti, Giorgio; Piastra, Marco

doi:10.1097/mcc.0000000000000271

Cited by 22 publications

(9 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…On the contrary, titration of MV by airway conduction pressure, which is computed as PEEP airway pressure changes and PIP, equivalent to the relationship between Vt and respiratory system compliance, should better reflect the possibility of lung injury. 1,4,9 In the study by Amato et al, among ventilation variables, ΔP was more strongly associated with survival. An increment of 1 standard deviation (SD) in ΔP ($7 cm of water) was associated with increased mortality (relative risk, 1.41, 95% confidence interval [CI]: 1.31-1.51, p < 0.001), even in patients who received "protective" plateau pressures and Vt (relative risk, 1.36, 95% CI: 1.17-1.58, p < 0.001).…”

Section: Discussionmentioning

confidence: 90%

“…Respiratory diseases are the most common causes of morbidity in the pediatric population, and acute respiratory failure, requiring mechanical ventilation (MV), remains the most prevalent cause of hospitalization in pediatric intensive care units (PICU). 1 Concepts that involve the proper use of MV are important means of avoiding adverse effects, such as ventilation-induced lung injury (VILI). 2 Protective MV strategies are used to minimize these adverse effects.…”

Section: > Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Knowledge and Practice of the Concept of Driving Pressure: A Survey of Pediatric Intensivists in Brazil

Colleti

Araújo

Rezende

et al. 2019

J Pediatr Intensive Care

View full text Add to dashboard Cite

The objective of this study was to investigate the knowledge and clinical practices of Brazilian pediatric intensivists in relation to usage of the concept of driving pressure. Knowledge and practice patterns were assessed using a survey tool. The overall response rate was 22.8% (84 of 369); 69% of physicians responded that they had sufficient knowledge on the concept of driving pressure but only 56% correctly answered to specific knowledge questions about it. The majority of respondents (72.6%) claim to use this concept in their clinical practice although pediatric data are insufficient to routinely support the practice. This also suggests a good degree of knowledge translation from adult studies.

show abstract

Section: Discussionmentioning

confidence: 90%

Section: > Introductionmentioning

confidence: 99%

Knowledge and Practice of the Concept of Driving Pressure: A Survey of Pediatric Intensivists in Brazil

Colleti

Araújo

Rezende

et al. 2019

J Pediatr Intensive Care

View full text Add to dashboard Cite

show abstract

“…However, the MV can continue during the suctioning process when done by the latter one (9) . High frequency oscillatory ventilation and conventional ventilation is associated with poor outcomes (10)(11)(12) .…”

Section: Discussionmentioning

confidence: 99%

A Prospective study on outcome following mechanical ventilation among children in a tertiary care hospital

Sankari¹

2018

jmscr

View full text Add to dashboard Cite

Background: Mechanical ventilation (MV) in paediatric intensive care unit is a major therapeutic modality especially among children with respiratory distress and apnoea. Adequate sedation, frequent vitals monitoring, urine output are essential in titrating the ventilator settings to act in harmonious for the babies. Methods: In total, thirty one children of age less than twelve years and greater than a year of age requiring MV comprised the study group. Pressure controlled ventilation was done initially among all the patients. Then the children were weaned to synchronized intermittent mechanical ventilation, continuous positive airway pressure and extubation done following trial of T-piece. Results: The mean duration of mechanical ventilation was 3.65±1.64 with range from seven to one day/s.Two patients were expired on the first day of mechanical ventilation due refractory disseminated intravascular coagulation following drowning (n=3). Discussion: Ventilator associated pneumonia, multiple organ failure, septic shock, cardiovascular insufficiency and gastrointestinal bleeding occurs frequently following MV. The frequency of these complications is lower among children under low volume and pressure settings. Conclusion:The point prevalence of ventilator associated pneumonia was 19.35 seen in bronchiolitis (n=4) and refractory seizure (n=2). Relatively poor outcome is seen among children under MV when done for apnoea and hypoxemia.

show abstract

“…It decreases sedation requirements, it is more comfortable in comparison to the endotracheal tube, it allows the use of voice, and sometimes allows easier separation from ventilation machine. The risks and adverse effects of mechanical ventilation are also well known (2). The development of noninvasive ventilation provides new opportunities for better treatment and risk reduction.…”

Section: Introductionmentioning

confidence: 99%

Noninvasive Ventilation in Children

Hadžić¹

2019

Acta Med Sal

View full text Add to dashboard Cite

The treatment of respiratory failure has seen progress since the early nineties. The development of noninvasive ventilation (NIV) provides new possibilities for better treatment and risk reduction. To achieve the therapeutic success of NIV and the reduction in incidence of complications, one must have knowledge of clinical indications and contraindications, the appropriate choice of ventilation modes and ventilation delivery equipment, close monitoring, and ventilation need to be started timely. The development of new technologies has expanded the indications for the use of NIV in children. Of particular importance is the clinical assessment of each patient, a good knowledge of the potential risks for failure of NIV, and creating a written local protocols for the NIV treatment in every health facility where this ventilation technique is applied.

show abstract

Mechanical ventilation for children

Cited by 22 publications

References 22 publications

Knowledge and Practice of the Concept of Driving Pressure: A Survey of Pediatric Intensivists in Brazil

Knowledge and Practice of the Concept of Driving Pressure: A Survey of Pediatric Intensivists in Brazil

A Prospective study on outcome following mechanical ventilation among children in a tertiary care hospital

Noninvasive Ventilation in Children

Contact Info

Product

Resources

About