Respiratory Modalities in Preventing Reintubation in a Pediatric Intensive Care Unit
| Autor: | Begum Akay, Patrick Karabon, Paras Khandhar, Ameer Al-Hadidi, Morta Lapkus |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Pediatric intensive care unit
airway extubation medicine.medical_specialty Modalities high-flow nasal cannula business.industry respiratory failure lcsh:RJ1-570 lcsh:Pediatrics 030208 emergency & critical care medicine Airway Extubation reintubation Pediatrics critical care 03 medical and health sciences 0302 clinical medicine Respiratory failure Pediatrics Perinatology and Child Health medicine Original Research Article 030212 general & internal medicine Respiratory system Intensive care medicine business Pediatric population |
| Zdroj: | Global Pediatric Health, Vol 8 (2021) Global Pediatric Health |
| ISSN: | 2333-794X |
| Popis: | Post-extubation respiratory failure requiring reintubation in a Pediatric Intensive Care Unit (PICU) results in significant morbidity. Data in the pediatric population comparing various therapeutic respiratory modalities for avoiding reintubation is lacking. Our objective was to compare therapeutic respiratory modalities following extubation from mechanical ventilation. About 491 children admitted to a single-center PICU requiring mechanical ventilation from January 2010 through December 2017 were retrospectively reviewed. Therapeutic respiratory support assisted in avoiding reintubation in the majority of patients initially extubated to room air or nasal cannula with high-flow nasal cannula (80%) or noninvasive positive pressure ventilation (100%). Patients requiring therapeutic respiratory support had longer PICU LOS (10.92 vs 6.91 days, P-value = .0357) and hospital LOS (16.43 vs 10.20 days, P-value = .0250). Therapeutic respiratory support following extubation can assist in avoiding reintubation. Those who required therapeutic respiratory support experienced a significantly longer PICU and hospital LOS. Further prospective clinical trials are warranted. |
| Databáze: | OpenAIRE |
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