Management of Pediatric Acute Hypoxemic Respiratory Insufficiency With Bilevel Positive Pressure (BiPAP) Nasal Mask Ventilation

Fortenberry, James D.; Toro, Jorge Del; Jefferson, Larry S.; Evey, Lee; Haase, Doug

doi:10.1378/chest.108.4.1059

Cited by 185 publications

(115 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, leaks around the mask may cause discomfort and make it necessary to interrupt treatment. [12][13][14][15][16] A pediatric helmet has been used to deliver CPAP in neonates, infants, and preschool children with ARF. [17][18][19][20][21][22][23] In this population, CPAP by helmet was better tolerated than a facial mask, with no major complications and less need for sedation.…”

Section: Respiratory Syncytial Virus (Rsv)mentioning

confidence: 99%

Continuous Positive Airway Pressure With Helmet Versus Mask in Infants With Bronchiolitis: An RCT

et al. 2015

View full text Add to dashboard Cite

BACKGROUND: Noninvasive continuous positive airway pressure (CPAP) is usually applied with a nasal or facial mask to treat mild acute respiratory failure (ARF) in infants. A pediatric helmet has now been introduced in clinical practice to deliver CPAP. This study compared treatment failure rates during CPAP delivered by helmet or facial mask in infants with respiratory syncytial virus-induced ARF. METHODS:In this multicenter randomized controlled trial, 30 infants with respiratory syncytial virus-induced ARF were randomized to receive CPAP by helmet (n = 17) or facial mask (n = 13). The primary endpoint was treatment failure rate (defined as due to intolerance or need for intubation). Secondary outcomes were CPAP application time, number of patients requiring sedation, and complications with each interface.RESULTS: Compared with the facial mask, CPAP by helmet had a lower treatment failure rate due to intolerance (3/17 [17%] vs 7/13 [54%], P = .009), and fewer infants required sedation (6/17 [35%] vs 13/13 [100%], P = .023); the intubation rates were similar. In successfully treated patients, CPAP resulted in better gas exchange and breathing pattern with both interfaces. No major complications due to the interfaces occurred, but CPAP by mask had higher rates of cutaneous sores and leaks.CONCLUSIONS: These findings confirm that CPAP delivered by helmet is better tolerated than CPAP delivered by facial mask and requires less sedation. In addition, it is safe to use and free from adverse events, even in a prolonged clinical setting. WHAT'S KNOWN ON THIS SUBJECT:In a previous short-term physiologic randomized controlled trial, continuous positive airway pressure by helmet was feasible and efficient in improving gas exchange in pediatric acute respiratory failure due to bronchiolitis. WHAT THIS STUDY ADDS:Continuous positive airway pressure administered by helmet reduces the rate of noninvasive respiratory support failure and provides longer application time with less sedation than a facial mask. In addition, it is safe to use and free from adverse events.

show abstract

Section: Respiratory Syncytial Virus (Rsv)mentioning

confidence: 99%

Continuous Positive Airway Pressure With Helmet Versus Mask in Infants With Bronchiolitis: An RCT

et al. 2015

View full text Add to dashboard Cite

show abstract

“…Os estudos pediátricos existentes podem ser mais promissores. Fortenberry et al 74 relataram uma sé-rie de 28 pacientes com insuficiência respiratória aguda, onde o diagnóstico primário mais comum foi o de pneumonia.…”

Section: Pneumoniaunclassified

Noninvasive ventilation in children: a review

Loh¹,

Chan²,

Chan³

2007

J Pediatr (Rio J)

View full text Add to dashboard Cite

show abstract

“…Permite disminuir el trabajo respiratorio, tratar la hipoventilación alveolar, aumentar la capacidad residual funcional y mantener una vía aérea permeable 8 , favoreciendo finalmente la ventilación alveolar minuto. Durante los períodos de sueño o durante una exacerbación, este sistema proporciona una respiración asistida para un correcto intercambio pulmonar 9,10 .…”

Section: Discussionunclassified

“…La mayoría de las publicaciones de VNI son en población adulta 5,6 , siendo la experiencia en niños aún reducida 7,8 . La administración de presión positiva a dos niveles (BiPAP) mediante una máscara nasal es una de las modalidades de VNI más empleadas 10,11 . En este estudio, comunicamos el caso de un lactante con OI e insuficiencia respiratoria ventilado con un sistema BiPAP que fue ingresado a nuestro Servicio de Pediatría.…”

unclassified

Uso precoz del BiPAP en el tratamiento de la insuficiencia respiratoria en un lactante con osteogénesis imperfecta: Case report

Vega-Briceño

et al. 2004

Rev. méd. Chile

View full text Add to dashboard Cite

show abstract

Management of Pediatric Acute Hypoxemic Respiratory Insufficiency With Bilevel Positive Pressure (BiPAP) Nasal Mask Ventilation

Cited by 185 publications

References 16 publications

Continuous Positive Airway Pressure With Helmet Versus Mask in Infants With Bronchiolitis: An RCT

Continuous Positive Airway Pressure With Helmet Versus Mask in Infants With Bronchiolitis: An RCT

Noninvasive ventilation in children: a review

Uso precoz del BiPAP en el tratamiento de la insuficiencia respiratoria en un lactante con osteogénesis imperfecta: Case report

Contact Info

Product

Resources

About