Non-Invasive Mechanical Ventilation Practice in Pediatric Intensive Care Unit: A Retrospective Study
Journal Title: Çocuk Acil ve Çocuk Yoğun Bakım Dergisi - Year 2016, Vol 3, Issue 2
Abstract
Introduction: To investigate demographic, clinical and laboratory features and to determine the indications for non-invasive ventilation (NIV), ventilation parameters and NIV success among patients who received NIV therapy at Ondokuz Mayıs University Pediatric Intensive Care Unit. Methods: Medical records of 61 patients who received NIV therapy at Ondokuz Mayıs University Faculty of Medicine Pediatric Intensive Care Unit between March 1, 2015-June 1, 2016 were analyzed retrospectively. Results: The median age of the patients was 14 (2.5-180) months and 31 patients (50.8%) were male. Forty-eight patients (78.7%) had a comorbid disease. The most common indication for NIV was acute respiratory failure followed by NIV as weaning mode or rescue therapy. NIV application was made with bilevel positive air pressure (BIPAP) in 77% and with high-flow nasal cannula (HFNC) in 23% of the patients. Full face mask was used in 89.4% of patients who received BIPAP. Complication occurred in three patients (4.9%) during NIV therapy. NIV success rate was found to be 60.6%. No statistically significant difference was found between NIV-responsive and unresponsive group in terms of demographic features, clinical and laboratory findings, NIV indications and type. Conclusion: The results of our study showed that NIV might reduce the need for invasive mechanical ventilation and it can be used safely as weaning mode in pediatric patients. In our study, demographic-clinical features and NIV application methods had no effect on NIV success. Oral or enteral feeding maintenance rate was found to be higher in HFNC group than in BIPAP group. Prospective controlled studies investigating factors affecting NIV success in specific patient groups and indications are required.
Authors and Affiliations
Özlem Temel Köksoy, Muhammet Şükrü Paksu, Nazik Yener, Emine Malhun Kaplan
Keywords
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