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    E-ISSN: 2717-9206
    Non-Invasive Mechanical Ventilation Practice in Pediatric Intensive Care Unit: A Retrospective Study
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    Original Research
    VOLUME: 3 ISSUE: 2
    P: 62-68
    August 2016

    Non-Invasive Mechanical Ventilation Practice in Pediatric Intensive Care Unit: A Retrospective Study

    J Pediatr Emerg Intensive Care Med 2016;3(2):62-68
    DOI: 10.4274/cayd.66376
    Özlem Temel Köksoy 1
    Muhammet Şükrü Paksu 1
    Nazik Yener 1
    Emine Malhun Kaplan 2
    1. Ondokuz Mayıs Üniversitesi Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları Anabilim Dalı, Çocuk Yoğun Bakım Bilim Dalı, Samsun, Türkiye
    2. Ondokuz Mayis Üniversitesi Tip Fakültesi, Çocuk Sagligi Ve Hastaliklari Anabilim Dali, Çocuk Yogun Bakim Bilim Dali, Samsun, Türkiye
    3. Ondokuz Mayis Üniversitesi Tip Fakültesi, Çocuk Sagligi Ve Hastaliklari Anabilim Dali, Samsun, Türkiye
    4. Ondokuz Mayıs Üniversitesi Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları Anabilim Dalı, Samsun, Türkiye
    No information available.
    No information available
    Received Date: 14.06.2016
    Accepted Date: 01.08.2016
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    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.

    Keywords: Non-invasive ventilaton, critically ill child, bilevel positive airway pressure, high flow nasal cannula

    References

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