Recommendations for mechanical ventilation of critically ill children from the Paediatric Mechanical Ventilation Consensus Conference (PEMVECC)
| Autor: | Peter C. Rimensberger, Jürg Hammer, Dick G. Markhorst, Etienne Javouhey, Martí Pons-Òdena, Martin C. J. Kneyber, Duncan Macrae, Daniele De Luca, Pierre Henri Jarreau, Jesús López-Herce, Gerhard K. Wolf, Joe Brierley, Alberto Medina, Paolo Biban, Edoardo Calderini, Fabrizio Racca |
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| Přispěvatelé: | Amsterdam Reproduction & Development (AR&D), ACS - Diabetes & metabolism, Pediatric surgery, Department of Paediatrics, Division of Paediatric Critical Care Medicine, Beatrix Children's Hospital Groningen, University Medical Center Groningen, The University of Groningen, parent, Division of Pediatrics and Neonatal Critical Care, 'A.Beclere' Medical Center, South Paris University Hospitals, APHP and South Paris-Saclay University, Fondazione IRCCS Ca' Granda - Ospedale Maggiore Policlinico, Maternité Port-Royal [CHU Cochin], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Cochin [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Unité Mixte de Recherche Epidémiologique et de Surveillance Transport Travail Environnement (UMRESTTE UMR T9405), Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon-Institut Français des Sciences et Technologies des Transports, de l'Aménagement et des Réseaux (IFSTTAR), Pediatric Intensive Care Department, Gregorio Marañón General University Hospital, School of Medicine, Universidad Complutense de Madrid = Complutense University of Madrid [Madrid] (UCM), Division of Respiratory and Critical Care Medicine, University Children's Hospital Basel, University of Basel, Royal Brompton and Harefield NHS Trust, Department of Paediatrics, Division of Paediatric Critical Care Medicine, VU University Medical Center, Paediatric Intensive Care Unit, Hospital Universitario Central de Asturias, Paediatric Intensive Care and Intermediate Care Department, Sant Joan de Déu Uni-versity Hospital, Universitat de Barcelona, Department of Anaesthesia and Intensive Care, Division of Paediatric Intensive Care Unit, Alessandria General Hospital, Department of Pediatrics,Children's Hospital Traunstein, Ludwig Maximilians University Munich, Department of Paediatrics, Division of Paediatric Emergency and Critical Care, Verona University Hospital, Departments of Critical Care and Paediatric Bioethics, Great Ormond St Hospital for Children NHS Trust, Service of Neonatology and Pediatric Intensive Care, Department of Paediatrics, University Hospital of Geneva, Critical care, Anesthesiology, Peri-operative and Emergency medicine (CAPE), Hôpital Cochin [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP) |
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
INTENSIVE-CARE-UNIT
END-EXPIRATORY PRESSURE ACUTE VIRAL BRONCHIOLITIS Physiology medicine.medical_treatment Conference Reports and Expert Panel RESPIRATORY-DISTRESS-SYNDROME Artificial/methods/standards Critical Care and Intensive Care Medicine Pediatrics Severity of Illness Index law.invention Pediatrics/standards Respiratory Insufficiency/therapy 0302 clinical medicine Mechanical ventilation Randomized controlled trial law Positive airway pressure Child FREQUENCY OSCILLATORY VENTILATION ddc:618 Respiration SPINAL MUSCULAR-ATROPHY Tidal Volume/physiology RANDOMIZED CONTROLLED-TRIAL Intensive care unit 3. Good health Intensive Care Units FLOW NASAL CANNULA Ventilation (architecture) Pediatric/standards Respiratory Insufficiency medicine.medical_specialty Airway Extubation/methods Monitoring Critical Care POSITIVE AIRWAY PRESSURE Ventilators Acute Lung Injury Intensive Care Units Pediatric 03 medical and health sciences Intensive care Anesthesiology Lung disease Paediatrics medicine Tidal Volume Humans Physiologic Intensive care medicine Monitoring Physiologic Ventilators Mechanical business.industry 030208 emergency & critical care medicine Acute Lung Injury/therapy Mechanical Respiration Artificial Clinical trial 030228 respiratory system Airway Extubation [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie business |
| Zdroj: | Intensive Care Medicine Intensive Care Medicine, 43(12), 1764-1780. Springer Verlag Intensive Care Medicine, Springer Verlag, 2017, 43 (12), pp. 1764-1780. ⟨10.1007/s00134-017-4920-z⟩ Intensive Care Medicine, 43(12), 1764-1780. SPRINGER Kneyber, M C J, de Luca, D, Calderini, E, Jarreau, P H, Javouhey, E, Lopez-Herce, J, Hammer, J, Macrae, D, Markhorst, D G, Medina, A, Pons-Odena, M, Racca, F, Wolf, G, Biban, P, Brierley, J, Rimensberger, P C & on behalf of the section Respiratory Failure of the European Society for Paediatric and Neonatal Intensive Care 2017, ' Recommendations for mechanical ventilation of critically ill children from the Paediatric Mechanical Ventilation Consensus Conference (PEMVECC) ', Intensive Care Medicine, vol. 43, no. 12, pp. 1764-1780 . https://doi.org/10.1007/s00134-017-4920-z Repositorio Institucional de la Consejería de Sanidad de la Comunidad de Madrid Consejería de Sanidad de la Comunidad de Madrid Intensive Care Medicine, Vol. 43, No 12 (2017) pp. 1764-1780 |
| ISSN: | 0342-4642 1432-1238 |
| DOI: | 10.1007/s00134-017-4920-z⟩ |
| Popis: | Much of the common practice in paediatric mechanical ventilation is based on personal experiences and what paediatric critical care practitioners have adopted from adult and neonatal experience. This presents a barrier to planning and interpretation of clinical trials on the use of specific and targeted interventions. We aim to establish a European consensus guideline on mechanical ventilation of critically children.MethodsThe European Society for Paediatric and Neonatal Intensive Care initiated a consensus conference of international European experts in paediatric mechanical ventilation to provide recommendations using the Research and Development/University of California, Los Angeles, appropriateness method. An electronic literature search in PubMed and EMBASE was performed using a combination of medical subject heading terms and text words related to mechanical ventilation and disease-specific terms.ResultsThe Paediatric Mechanical Ventilation Consensus Conference (PEMVECC) consisted of a panel of 15 experts who developed and voted on 152 recommendations related to the following topics: (1) general recommendations, (2) monitoring, (3) targets of oxygenation and ventilation, (4) supportive measures, (5) weaning and extubation readiness, (6) normal lungs, (7) obstructive diseases, (8) restrictive diseases, (9) mixed diseases, (10) chronically ventilated patients, (11) cardiac patients and (12) lung hypoplasia syndromes. There were 142 (93.4%) recommendations with ?strong agreement?. The final iteration of the recommendations had none with equipoise or disagreement.ConclusionsThese recommendations should help to harmonise the approach to paediatric mechanical ventilation and can be proposed as a standard-of-care applicable in daily clinical practice and clinical research.; Une grande partie de la pratique courante en ventilation mécanique pédiatrique est basée sur des expériences personnelles et ce que les praticiens en soins intensifs pédiatriques ont adopté à partir de l'expérience adulte et néonatale. |
| Databáze: | OpenAIRE |
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