Incidence and risk factors associated with non-invasive ventilation failure in pediatric patients

• Autor(a) principal: Stumm, Glaucia
• Data de Publicação: 2022
• Outros Autores: Pereira, Vagner, Wolf, Jonas Michel, Furlin, Elisangela, Turcatto, Janaína, Saldanha, Marcelo, Dani, Caroline, Forgiarini, Luiz
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Clinical and Biomedical Research
• Texto Completo: https://seer.ufrgs.br/index.php/hcpa/article/view/112032
• topic: Risk factors; Noninvasive ventilation; Pediatric Intensive Care Unit; Respiratory failure; Mechanical ventilation; Positive-pressure respiration.

Objective: To determine the risk factors associated with failure in noninvasive mechanical ventilation (NIV) in a pediatric intensive care unit. Methods: Retrospective cohort from medical records of patients admitted to the Pediatric ICU of a Hospital in Caxias do Sul, between May 2017 and October 2019, who used NIV. Results: The incidence of NIV failure was 33%. Asthma patients, post-extubation use, continuous use, closure at night, final SIMV modality, ventilatory parameters, initial PEEP, and final FIO2 were also associated with failure. In vital signs, the initial SBP and the final RF were significant. After multivariate analysis, final SIMV modality, closing at night, final PIP, and final RF were associated with NIV failure. Conclusion: SIMV final ventilatory modality, as well as NIV closure at night, higher final PIP and higher final RF are risk factors for NIV failure.