Non‐invasive ventilation practices in children across Europe

Mayordomo-Colunga, Juan; Pons-Òdena, Martí; Medina, Alberto; Rey, Corsino; Milési, Christophe; Kallio, Merja; Wolfler, Andrea; García-Cuscó, Mireia; Demirkol, Demet; García-López, Mireia; Rimensberger, Peter C.

doi:10.1002/ppul.23988

Cited by 35 publications

(24 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…39 While these findings have not been adjusted for other potential confounding factors such as immunosuppressed status, 40,41 we should look more closely at our practice of NIV in PARDS, particularly for those with severe hypoxemia. [41][42][43][44] Identifying when and how to use NIV in PARDS should continue to be an active area of investigation. 45 Both the Berlin and PALICC definitions created severity groups in part because therapeutic approaches should differ as a function of ARDS severity.…”

Section: Discussionmentioning

confidence: 99%

Paediatric acute respiratory distress syndrome incidence and epidemiology (PARDIE): an international, observational study

Investigators

2019

The Lancet Respiratory Medicine

Self Cite

300

221

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Paediatric acute respiratory distress syndrome incidence and epidemiology (PARDIE): an international, observational study

Investigators

2019

The Lancet Respiratory Medicine

Self Cite

300

221

View full text Add to dashboard Cite

show abstract

“…9 Since there is no consensus, NIV practices are therefore widely heterogeneous. 12 This lack of consensus contrasts with the large use of NIV in infants with bronchiolitis.…”

Section: Discussionmentioning

confidence: 99%

“…First, this is a retrospective and single-center study, while NIV practices are very heterogeneous worldwide. 12 Second, some results may have not reached significance since the statistical power was limited. Third, this is an observational study conducted in a center with no local protocol regarding ventilatory management of infants with bronchiolitis, making some of our findings difficult to interpret.…”

Section: Discussionmentioning

confidence: 99%

Use of bilevel positive pressure ventilation in patients with bronchiolitis

Delacroix

Millet

et al. 2020

Pediatric Pulmonology

View full text Add to dashboard Cite

Rational: This study aims at describing the use of bilevel positive airway pressure (BiPAP) in infants with severe bronchiolitis. Working Hypothesis: The use of BiPAP in infants with bronchiolitis may be associated with a worst outcome. Study Design: A single-center retrospective study performed from October 2013 to April 2016. Methodology: All infants from 1 day to 6 months of age admitted in the pediatric intensive care unit (PICU) were included if they had a clinical diagnosis of bronchiolitis and if they required any type of noninvasive ventilation (NIV), including high flow nasal cannula, continuous positive airway pressure and BiPAP at admission in PICU. There was no local written protocol regarding the ventilator management during the study. Results: Overall, 252 infants (median age 45 (26-72) days) were included in the study and 110 infants (44%) were supported by BiPAP at admission. More infants were born preterm in the group of patients supported by BiPAP at admission. No complication related to NIV occurred. Patients in the BiPAP group had a longer duration of noninvasive support as well as a longer PICU length of stay. However, hospital length of stay did not differ according to the type of respiratory support at admission. Conclusion: The use of BiPAP was not associated with endotracheal intubation, however it was associated with increased PICU length of stay and increased duration of NIV.

show abstract

“…2,24 In a recent survey conducted across several European countries, 15.5% and 20% of participating PICUs reported NIV usage in wards and ERs, respectively. 25 Moreover, recent reports from France and Finland indicate that HFNCT is increasingly utilised in paediatric wards in hospitals without ICUs with no major adverse events, with HFNCT usage outside of the ICU ranging from 53.3-86.5%. 26,27 Table 1 summarises the characteristics and outcomes of various studies evaluating the use of NIV and HFNCT in paediatric ERs and general wards.…”

Section: Application Outside Of Paediatric Intensive Carementioning

confidence: 99%

“…The European survey reported that 36.4% of participating PICUs used NIV during paediatric transport. 25 A summary of previous research evaluating the use of NIV and HFNCT during paediatric transport is presented in Table 2. [32][33][34][35][36][37][38] Unfortunately, all of the studies evaluating NIV and HFNCT outcomes during transport were observational in nature.…”

Section: Application Outside Of Paediatric Intensive Carementioning

confidence: 99%

Use of Noninvasive Ventilation and High-Flow Nasal Cannulae Therapy for Infants and Children with Acute Respiratory Distress Outside of Paediatric Intensive Care: A review article

Al-Mukhaini

Al-Rahbi

2020

Sultan Qaboos Univ Med J

View full text Add to dashboard Cite

Noninvasive ventilation (NIV) and high-flow nasal cannulae therapy (HFNCT) are first-line methods of treatment for children presenting with acute respiratory distress, with paediatric intensive care units (PICUs) providing an ideal environment for subsequent treatment monitoring. However, the availability of step-down units, where NIV and HFNCT can be safely utilised, has reduced the need for such patients to be admitted to PICUs, thereby leading to the better overall utilisation of critical care resources. In addition, NIV and HFNCT can also be used during transport instead of invasive ventilation, thus avoiding the complications associated with the latter approach. This review article examines the safety and applicability of these respiratory support approaches outside of paediatric intensive care as well as various factors associated with treatment success or failure.Keywords: Critical Care; Children; Pediatric Intensive Care Units; Noninvasive Ventilation; Nasal Cannulae; Transportation of Patients.

show abstract

Non‐invasive ventilation practices in children across Europe

Abstract: The present study shows that NIV is a widespread technique in European PICUs. Practice across Europe is variable.

Cited by 35 publications

References 34 publications

Paediatric acute respiratory distress syndrome incidence and epidemiology (PARDIE): an international, observational study

Paediatric acute respiratory distress syndrome incidence and epidemiology (PARDIE): an international, observational study

Use of bilevel positive pressure ventilation in patients with bronchiolitis

Use of Noninvasive Ventilation and High-Flow Nasal Cannulae Therapy for Infants and Children with Acute Respiratory Distress Outside of Paediatric Intensive Care: A review article

Contact Info

Product

Resources

About