Predicting the success of non-invasive ventilation in preventing intubation and re-intubation in the paediatric intensive care unit

James, Christopher; Hallewell, Christopher P. J.; James, Dominique P. L.; Wade, Angie; Mok, Quen

doi:10.1007/s00134-011-2386-y

Cited by 56 publications

(40 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Nevertheless, without trying to draw conclusions, we have shown the descriptive analysis of the r-NIV group where the success rate was similar to what has been described in the literature. Similar to other studies, 20 e-NIV was more effective than i-NIV, with half the number of failures. This observation is probably related to the difference in the severity of respiratory distress at the time NIV was started, with significantly lower breathing frequency, heart rate, and F IO 2 requirements, and a significantly higher SF ratio in the e-NIV group at baseline.…”

Section: Discussionsupporting

confidence: 88%

“…The decrease in hospital stay and the rates of intubation/re-intubation and conventional mechanical ventilation could influence the associated mor- (12)(13)(14)(15)(16)(17)(18)(19)(20) Data are given as n (%) or median (interquartile range), unless otherwise indicated. * One subject was excluded from analysis because a contraindication appeared.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Is a Nasopharyngeal Tube Effective as Interface to Provide Bi-Level Noninvasive Ventilation?

et al. 2013

View full text Add to dashboard Cite

, and rescue postextubation NIV (r-NIV). The need for intubation was considered to be NIV failure. RESULTS: One hundred fifty-one episodes of NIV were included in the study, with 65% of patients having bronchiolitis. e-NIV was most frequently used (48%) (i-NIV 44%, r-NIV 8%), and the failure rate, 27% in total, was highest in the i-NIV group (37%) (e-NIV 18%, r-NIV 25%). Case patients with successful outcomes had shorter PICU stays (8.5 vs 13 d, P ‫؍‬ .001) and hospital stays (17 vs 23 d, P ‫؍‬ .03) stays. The NT needed to be changed for another interface in only 5 case patients, few complications (4 of 151 patients) were observed, and mortality (2 of 151 patients) was unrelated to NIV. CONCLUSIONS: Use of the NT showed 73% effectiveness, with few complications. The effectiveness was higher in e-NIV than i-NIV.

show abstract

Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Is a Nasopharyngeal Tube Effective as Interface to Provide Bi-Level Noninvasive Ventilation?

et al. 2013

View full text Add to dashboard Cite

show abstract

“…[12] The common indications for CPAP in our study were pneumonia (49%) followed by bronchiolitis (30.7%). Although the majority of the CPAP indications were due to pneumonia, bronchiolitis had the most successful outcome with CPAP, the success rate being around 98.3% [Figure 10].…”

Section: Discussionmentioning

confidence: 90%

“…[8] The failure rate was 36% in the study by James et al . [12] and 19.1% in the study by Muñoz-Bonet et al . [17] Bernet et al .…”

Section: Discussionmentioning

confidence: 95%

Effectiveness of flow inflating device in providing Continuous Positive Airway Pressure for critically ill children in limited-resource settings: A prospective observational study

Anitha¹,

Velmurugan

Sangareddi

et al. 2016

Indian Journal of Critical Care Medicine

View full text Add to dashboard Cite

Background and Aims:Noninvasive ventilation (NIV) is an emerging popular concept, which includes bi-level positive airway pressure or continuous positive airway pressure (CPAP). In settings with scarce resources for NIV machines, CPAP can be provided through various indigenous means and one such mode is flow inflating device - Jackson-Rees circuit (JR)/Bain circuit. The study analyses the epidemiology, various clinical indications, predictors of CPAP failure, and stresses the usefulness of flow inflating device as an indigenous way of providing CPAP.Methods:A prospective observational study was undertaken in the critical care unit of a Government Tertiary Care Hospital, from November 2013 to September 2014. All children who required CPAP in the age group 1 month to 12 years of both sexes were included in this study. They were started on indigenous CPAP through flow inflating device on clinical grounds based on the pediatric assessment triangle, and the duration and outcome were analyzed.Results:This study population included 214 children. CPAP through flow inflating device was successful in 89.7% of cases, of which bronchiolitis accounted for 98.3%. A prolonged duration of CPAP support of >96 h was required in pneumonia. CPAP failure was noted in 10.3% of cases, the major risk factors being children <1 year and pneumonia with septic shock.Conclusion:We conclude that flow inflating devices - JR/Bain circuit are effective as an indigenous CPAP in limited resource settings. Despite its benefits, CPAP is not a substitute for invasive ventilation, as when the need for intubation arises timely intervention is needed.

show abstract

“…The authors conclude that the use of BiPAP in the emergency management of acute asthma warrants further prospective investigation. James and colleagues [73] reviewed the case records of 83 children who commenced NIV in an attept to avoid intubation, of whom only 36% required intubation. Failure of NIV was independently associated with higher respiratory rates before commencement of NIV.…”

Section: Pediatricsmentioning

confidence: 99%

Year in review in Intensive Care Medicine 2011: III. ARDS and ECMO, weaning, mechanical ventilation, noninvasive ventilation, pediatrics and miscellanea

et al. 2012

View full text Add to dashboard Cite

Predicting the success of non-invasive ventilation in preventing intubation and re-intubation in the paediatric intensive care unit

Abstract: Parameters relating to respiratory and cardiovascular status can determine which patients will successfully avoid intubation or re-intubation when placed on NIV. Underlying disease and reason for admission should be considered when predicting the outcome of NIV.

Cited by 56 publications

References 26 publications

Is a Nasopharyngeal Tube Effective as Interface to Provide Bi-Level Noninvasive Ventilation?

Is a Nasopharyngeal Tube Effective as Interface to Provide Bi-Level Noninvasive Ventilation?

Effectiveness of flow inflating device in providing Continuous Positive Airway Pressure for critically ill children in limited-resource settings: A prospective observational study

Year in review in Intensive Care Medicine 2011: III. ARDS and ECMO, weaning, mechanical ventilation, noninvasive ventilation, pediatrics and miscellanea

Contact Info

Product

Resources

About