Noninvasive Respiratory Support for Pediatric Acute Respiratory Distress Syndrome: From the Second Pediatric Acute Lung Injury Consensus Conference.
Journal
Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
ISSN: 1529-7535
Titre abrégé: Pediatr Crit Care Med
Pays: United States
ID NLM: 100954653
Informations de publication
Date de publication:
01 02 2023
01 02 2023
Historique:
entrez:
20
1
2023
pubmed:
21
1
2023
medline:
25
1
2023
Statut:
ppublish
Résumé
To develop evidence-based recommendations for the Second Pediatric Acute Lung Injury Consensus Conference (PALICC) regarding the effectiveness of noninvasive respiratory support for pediatric acute respiratory distress syndrome (PARDS). These include consideration of the timing and duration of noninvasive ventilation (NIV) and high-flow nasal cannula (HFNC), whether effectiveness varies by disease severity or by characteristics of treatment delivery, and best practices for the use of NIV. MEDLINE (Ovid), Embase (Elsevier), and CINAHL Complete (EBSCOhost). Searches included all studies involving the use of NIV or HFNC in children with PARDS or hypoxemic respiratory failure. Title/abstract review, full-text review, and data extraction using a standardized data extraction form. The Grading of Recommendations Assessment, Development, and Evaluation approach was used to identify and summarize evidence and develop recommendations. Out of 6,336 studies, we identified 187 for full-text review. Four clinical recommendations were generated, related to indications, timing and duration of NIV in patients with PARDS, predictors of NIV failure and need for intubation (signs and symptoms of worsening disease including pulse oximetry saturation/Fio2 ratio), and use of NIV in resource-limited settings. Six good practice statements were generated related to how and where to deliver NIV, the importance of trained experienced staff and monitoring, types of NIV interfaces, the use of sedation, and the potential complications of this therapy. One research statement was generated related to indications of HFNC in patients with PARDS. NIV is a widely used modality for the treatment of respiratory failure in children and may be beneficial in a subset of patients with PARDS. However, there needs to be close monitoring for worsening disease and NIV failure.
Identifiants
pubmed: 36661442
doi: 10.1097/PCC.0000000000003165
pii: 00130478-202302001-00011
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
S135-S147Investigateurs
Guillaume Emeriaud
(G)
Yolanda M López-Fernández
(YM)
Narayan Prabhu Iyer
(NP)
Melania M Bembea
(MM)
Asya Agulnik
(A)
Ryan P Barbaro
(RP)
Florent Baudin
(F)
Anoopindar Bhalla
(A)
Werther Brunow de Carvahlo
(WB)
Christopher L Carroll
(CL)
Ira M Cheifetz
(IM)
Mohammod J Chisti
(MJ)
Pablo Cruces
(P)
Martha A Q Curley
(MAQ)
Mary K Dahmer
(MK)
Heidi J Dalton
(HJ)
Simon J Erickson
(SJ)
Sandrine Essouri
(S)
Analía Fernández
(A)
Heidi R Flori
(HR)
Jocelyn R Grunwell
(JR)
Philippe Jouvet
(P)
Elizabeth Y Killien
(EY)
Martin C J Kneyber
(MCJ)
Sapna R Kudchadkar
(SR)
Steven Kwasi Korang
(SK)
Jan Hau Lee
(JH)
Duncan J Macrae
(DJ)
Aline Maddux
(A)
Vicent Modesto I Alapont
(V)
Brenda Morrow
(B)
Vinay M Nadkarni
(VM)
Natalie Napolitano
(N)
Christopher J L Newth
(CJL)
Martí Pons-Odena
(M)
Michael W Quasney
(MW)
Prakadeshwari Rajapreyar
(P)
Jerome Rambaud
(J)
Adrienne G Randolph
(AG)
Peter Rimensberger
(P)
Courtney M Rowan
(CM)
L Nelson Sanchez-Pinto
(LN)
Anil Sapru
(A)
Michael Sauthier
(M)
Steve L Shein
(SL)
Lincoln S Smith
(LS)
Katerine Steffen
(K)
Muneyuki Takeuchi
(M)
Neal J Thomas
(NJ)
Sze Man Tse
(SM)
Stacey Valentine
(S)
Shan Ward
(S)
R Scott Watson
(RS)
Nadir Yehya
(N)
Jerry J Zimmerman
(JJ)
Robinder G Khemani
(RG)
Informations de copyright
Copyright © 2023 by the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies.
Déclaration de conflit d'intérêts
Dr. Napolitano’s institution received funding from Vero-Biotech, Draeger, Actuated Medical, and Philips/Respironics. Dr. Pons-Òdena received funding from Philips/Respironics. The remaining authors have disclosed that they do not have any potential conflicts of interest.
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