Ventilación no invasiva como tratamiento de la insuficiencia respiratoria aguda en Pediatría

Background: Pediatric noninvasive ventilation (NIV) is infrequently used for acute respiratory failure (ARF), BiPAP/CPAP applied through nasal mask can be attempted if strict selection rules are defined. Aim: To evaluate the outcome of NIV in a Pediatric Intermediate Care Unit. Material and methods:...

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Autores principales:	Prado A,Francisco, Godoy R,María Adela, Godoy P,Marcela, Boza C,María Lina
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2005
Materias:	Continuous positive airway pressure respiratory insufficiency Ventilation
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872005000500003
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spelling	oai:scielo:S0034-988720050005000032005-06-17Ventilación no invasiva como tratamiento de la insuficiencia respiratoria aguda en PediatríaPrado A,FranciscoGodoy R,María AdelaGodoy P,MarcelaBoza C,María Lina Continuous positive airway pressure respiratory insufficiency Ventilation Background: Pediatric noninvasive ventilation (NIV) is infrequently used for acute respiratory failure (ARF), BiPAP/CPAP applied through nasal mask can be attempted if strict selection rules are defined. Aim: To evaluate the outcome of NIV in a Pediatric Intermediate Care Unit. Material and methods: The medical records of 14 patients (age range 1 month-13 years, six female), who participated in a prospective protocol of NIV from January to October 2004, were reviewed. Oxygen therapy, delivered through a reservoir bag attached to the ventilation circuit, was used to maintain SaO2 over 90%. Results: The main indication of BiPAP, in 80% of cases, was pulmonary restrictive disease. Indications of NIV were acute exacerbations in patients with chronic domiciliary NIV in three patients, hypoxic ARF in six and hypercapnic ARF in five. The diagnoses were pneumonia/atelectasis in seven patients, bilateral extensive pneumonia in three, RSV bronchiolitis in two, apnea in one, and asthma exacerbation in one. Only one patient required intubation for mechanical ventilation, all others improved. The procedures did not have complications. NIV lasted less than three days in 5 patients, 4 to 7 days in four patients and more than 7 days in five. One third of the patients required fiberoptic bronchoscopy for massive or lobar atelectasis and one third remained on domiciliary NIV program. Conclusions: NIV can be useful and safe in children with ARF admitted to a Pediatric Intermediate Care Unit. If strict inclusion protocols are followed, NIV might avoid mechanical ventilationinfo:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.133 n.5 20052005-05-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872005000500003es10.4067/S0034-98872005000500003
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Continuous positive airway pressure respiratory insufficiency Ventilation
spellingShingle	Continuous positive airway pressure respiratory insufficiency Ventilation Prado A,Francisco Godoy R,María Adela Godoy P,Marcela Boza C,María Lina Ventilación no invasiva como tratamiento de la insuficiencia respiratoria aguda en Pediatría
description	Background: Pediatric noninvasive ventilation (NIV) is infrequently used for acute respiratory failure (ARF), BiPAP/CPAP applied through nasal mask can be attempted if strict selection rules are defined. Aim: To evaluate the outcome of NIV in a Pediatric Intermediate Care Unit. Material and methods: The medical records of 14 patients (age range 1 month-13 years, six female), who participated in a prospective protocol of NIV from January to October 2004, were reviewed. Oxygen therapy, delivered through a reservoir bag attached to the ventilation circuit, was used to maintain SaO2 over 90%. Results: The main indication of BiPAP, in 80% of cases, was pulmonary restrictive disease. Indications of NIV were acute exacerbations in patients with chronic domiciliary NIV in three patients, hypoxic ARF in six and hypercapnic ARF in five. The diagnoses were pneumonia/atelectasis in seven patients, bilateral extensive pneumonia in three, RSV bronchiolitis in two, apnea in one, and asthma exacerbation in one. Only one patient required intubation for mechanical ventilation, all others improved. The procedures did not have complications. NIV lasted less than three days in 5 patients, 4 to 7 days in four patients and more than 7 days in five. One third of the patients required fiberoptic bronchoscopy for massive or lobar atelectasis and one third remained on domiciliary NIV program. Conclusions: NIV can be useful and safe in children with ARF admitted to a Pediatric Intermediate Care Unit. If strict inclusion protocols are followed, NIV might avoid mechanical ventilation
author	Prado A,Francisco Godoy R,María Adela Godoy P,Marcela Boza C,María Lina
author_facet	Prado A,Francisco Godoy R,María Adela Godoy P,Marcela Boza C,María Lina
author_sort	Prado A,Francisco
title	Ventilación no invasiva como tratamiento de la insuficiencia respiratoria aguda en Pediatría
title_short	Ventilación no invasiva como tratamiento de la insuficiencia respiratoria aguda en Pediatría
title_full	Ventilación no invasiva como tratamiento de la insuficiencia respiratoria aguda en Pediatría
title_fullStr	Ventilación no invasiva como tratamiento de la insuficiencia respiratoria aguda en Pediatría
title_full_unstemmed	Ventilación no invasiva como tratamiento de la insuficiencia respiratoria aguda en Pediatría
title_sort	ventilación no invasiva como tratamiento de la insuficiencia respiratoria aguda en pediatría
publisher	Sociedad Médica de Santiago
publishDate	2005
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872005000500003
work_keys_str_mv	AT pradoafrancisco ventilacionnoinvasivacomotratamientodelainsuficienciarespiratoriaagudaenpediatria AT godoyrmariaadela ventilacionnoinvasivacomotratamientodelainsuficienciarespiratoriaagudaenpediatria AT godoypmarcela ventilacionnoinvasivacomotratamientodelainsuficienciarespiratoriaagudaenpediatria AT bozacmarialina ventilacionnoinvasivacomotratamientodelainsuficienciarespiratoriaagudaenpediatria
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Ventilación no invasiva como tratamiento de la insuficiencia respiratoria aguda en Pediatría

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