Post-extubation respiratory failure requiring reintubation in a Pediatric Intensive Care Unit (PICU) results in significant morbidity. Data in the pediatric population comparing various therapeutic respiratory modalities for avoiding reintubation is lacking. Our objective was to compare therapeutic respiratory modalities following extubation from mechanical ventilation. About 491 children admitted to a single-center PICU requiring mechanical ventilation from January 2010 through December 2017 were retrospectively reviewed. Therapeutic respiratory support assisted in avoiding reintubation in the majority of patients initially extubated to room air or nasal cannula with high-flow nasal cannula (80%) or noninvasive positive pressure ventilation (100%). Patients requiring therapeutic respiratory support had longer PICU LOS (10.92 vs 6.91 days,
Article
Respiratory Modalities in Preventing Reintubation in a Pediatric Intensive Care Unit.
Global pediatric health
Document Type
Article
Publication Date
1-27-2021
Disciplines
Abstract
DOI
10.1177/2333794X21991531
PubMed ID
33614852
Citation Information
Al-Hadidi A, Lapkus M, Karabon P, Akay B, Khandhar P. Respiratory Modalities in Preventing Reintubation in a Pediatric Intensive Care Unit. Glob Pediatr Health. 2021 Jan 27;8:2333794X21991531. doi: 10.1177/2333794X21991531. PMID: 33614852; PMCID: PMC7868480.