Comparison between intermittent mandatory ventilation and synchronized intermittent mandatory ventilation with pressure support in children

Detalhes bibliográficos
Autor(a) principal: de Moraes, Marcos A. [UNESP]
Data de Publicação: 2009
Outros Autores: Bonatto, Rossano César [UNESP], Carpi, Mario Ferreira [UNESP], Ricchetti, Sandra M. Q. [UNESP], Padovani, Carlos Roberto [UNESP], Fioretto, José Roberto [UNESP]
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNESP
Texto Completo: http://dx.doi.org/10.2223/JPED.1849
http://hdl.handle.net/11449/13185
Resumo: Objective: To compare intermittent mandatory ventilation (IMV) with synchronized intermittent mandatory ventilation plus pressure support (SIMV+PS) in terms of time on mechanical ventilation, duration of weaning and length of stay in a pediatric intensive care unit (PICU).Methods: This was a randomized clinical trial that enrolled children aged 28 days to 4 years who were admitted to a PICU between October of 2005 and June of 2007 and put on mechanical ventilation (MV) for more than 48 hours. These patients were allocated to one of two groups by drawing lots: IMV group (IMVG; n = 35) and SIMV+PS group (SIMVG; n = 35). Children were excluded if they had undergone tracheotomy or had chronic respiratory diseases. Data on oxygenation and ventilation were recorded at admission and at the start of weaning.Results: There were no statistical differences between the groups in terms of age, sex, indication for MV, PRISM score, Comfort scale, use of sedatives or ventilation and oxygenation parameters. The median time on MV was 5 days for both groups (p = 0.120). There were also no statistical differences between the two groups for duration of weaning [IMVG: 1 day (1-6) vs. SIMVG: 1 day (1-6); p = 0.262] or length of hospital stay [IMVG: 8 days (2-22) vs. SIMVG: 6 days (3-20); p = 0.113].Conclusion: Among the children studied here, there was no statistically significant difference between IMV and SIMV+ PS in terms of time on MV, duration of weaning or time spent in the PICU.ClinicalTrials.govID: NCT00549809.
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spelling Comparison between intermittent mandatory ventilation and synchronized intermittent mandatory ventilation with pressure support in childrenObjective: To compare intermittent mandatory ventilation (IMV) with synchronized intermittent mandatory ventilation plus pressure support (SIMV+PS) in terms of time on mechanical ventilation, duration of weaning and length of stay in a pediatric intensive care unit (PICU).Methods: This was a randomized clinical trial that enrolled children aged 28 days to 4 years who were admitted to a PICU between October of 2005 and June of 2007 and put on mechanical ventilation (MV) for more than 48 hours. These patients were allocated to one of two groups by drawing lots: IMV group (IMVG; n = 35) and SIMV+PS group (SIMVG; n = 35). Children were excluded if they had undergone tracheotomy or had chronic respiratory diseases. Data on oxygenation and ventilation were recorded at admission and at the start of weaning.Results: There were no statistical differences between the groups in terms of age, sex, indication for MV, PRISM score, Comfort scale, use of sedatives or ventilation and oxygenation parameters. The median time on MV was 5 days for both groups (p = 0.120). There were also no statistical differences between the two groups for duration of weaning [IMVG: 1 day (1-6) vs. SIMVG: 1 day (1-6); p = 0.262] or length of hospital stay [IMVG: 8 days (2-22) vs. SIMVG: 6 days (3-20); p = 0.113].Conclusion: Among the children studied here, there was no statistically significant difference between IMV and SIMV+ PS in terms of time on MV, duration of weaning or time spent in the PICU.ClinicalTrials.govID: NCT00549809.UNESP, Dept Pediat, Fac Med Botucatu, BR-18618000 Botucatu, SP, BrazilUNESP, UTI Pediat, BR-18618000 Botucatu, SP, BrazilUNESP, Inst Biociencias, Dept Bioestat, BR-18618000 Botucatu, SP, BrazilUNESP, Dept Pediat, Fac Med Botucatu, BR-18618000 Botucatu, SP, BrazilUNESP, UTI Pediat, BR-18618000 Botucatu, SP, BrazilUNESP, Inst Biociencias, Dept Bioestat, BR-18618000 Botucatu, SP, BrazilSociedade Brasileira de PediatriaUniversidade Estadual Paulista (Unesp)de Moraes, Marcos A. [UNESP]Bonatto, Rossano César [UNESP]Carpi, Mario Ferreira [UNESP]Ricchetti, Sandra M. Q. [UNESP]Padovani, Carlos Roberto [UNESP]Fioretto, José Roberto [UNESP]2014-05-20T13:38:01Z2014-05-20T13:38:01Z2009-01-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article15-20http://dx.doi.org/10.2223/JPED.1849Jornal de Pediatria. Rio de Janeiro, Rj: Soc Brasil Pediatria, v. 85, n. 1, p. 15-20, 2009.0021-7557http://hdl.handle.net/11449/1318510.2223/JPED.1849WOS:0002640442000040246391303241376872789708052228939296922068343800000-0002-0648-876XWeb of Sciencereponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengJornal de Pediatria1.6900,704info:eu-repo/semantics/openAccess2024-09-03T13:46:51Zoai:repositorio.unesp.br:11449/13185Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestrepositoriounesp@unesp.bropendoar:29462024-09-03T13:46:51Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false
dc.title.none.fl_str_mv Comparison between intermittent mandatory ventilation and synchronized intermittent mandatory ventilation with pressure support in children
title Comparison between intermittent mandatory ventilation and synchronized intermittent mandatory ventilation with pressure support in children
spellingShingle Comparison between intermittent mandatory ventilation and synchronized intermittent mandatory ventilation with pressure support in children
de Moraes, Marcos A. [UNESP]
title_short Comparison between intermittent mandatory ventilation and synchronized intermittent mandatory ventilation with pressure support in children
title_full Comparison between intermittent mandatory ventilation and synchronized intermittent mandatory ventilation with pressure support in children
title_fullStr Comparison between intermittent mandatory ventilation and synchronized intermittent mandatory ventilation with pressure support in children
title_full_unstemmed Comparison between intermittent mandatory ventilation and synchronized intermittent mandatory ventilation with pressure support in children
title_sort Comparison between intermittent mandatory ventilation and synchronized intermittent mandatory ventilation with pressure support in children
author de Moraes, Marcos A. [UNESP]
author_facet de Moraes, Marcos A. [UNESP]
Bonatto, Rossano César [UNESP]
Carpi, Mario Ferreira [UNESP]
Ricchetti, Sandra M. Q. [UNESP]
Padovani, Carlos Roberto [UNESP]
Fioretto, José Roberto [UNESP]
author_role author
author2 Bonatto, Rossano César [UNESP]
Carpi, Mario Ferreira [UNESP]
Ricchetti, Sandra M. Q. [UNESP]
Padovani, Carlos Roberto [UNESP]
Fioretto, José Roberto [UNESP]
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Universidade Estadual Paulista (Unesp)
dc.contributor.author.fl_str_mv de Moraes, Marcos A. [UNESP]
Bonatto, Rossano César [UNESP]
Carpi, Mario Ferreira [UNESP]
Ricchetti, Sandra M. Q. [UNESP]
Padovani, Carlos Roberto [UNESP]
Fioretto, José Roberto [UNESP]
description Objective: To compare intermittent mandatory ventilation (IMV) with synchronized intermittent mandatory ventilation plus pressure support (SIMV+PS) in terms of time on mechanical ventilation, duration of weaning and length of stay in a pediatric intensive care unit (PICU).Methods: This was a randomized clinical trial that enrolled children aged 28 days to 4 years who were admitted to a PICU between October of 2005 and June of 2007 and put on mechanical ventilation (MV) for more than 48 hours. These patients were allocated to one of two groups by drawing lots: IMV group (IMVG; n = 35) and SIMV+PS group (SIMVG; n = 35). Children were excluded if they had undergone tracheotomy or had chronic respiratory diseases. Data on oxygenation and ventilation were recorded at admission and at the start of weaning.Results: There were no statistical differences between the groups in terms of age, sex, indication for MV, PRISM score, Comfort scale, use of sedatives or ventilation and oxygenation parameters. The median time on MV was 5 days for both groups (p = 0.120). There were also no statistical differences between the two groups for duration of weaning [IMVG: 1 day (1-6) vs. SIMVG: 1 day (1-6); p = 0.262] or length of hospital stay [IMVG: 8 days (2-22) vs. SIMVG: 6 days (3-20); p = 0.113].Conclusion: Among the children studied here, there was no statistically significant difference between IMV and SIMV+ PS in terms of time on MV, duration of weaning or time spent in the PICU.ClinicalTrials.govID: NCT00549809.
publishDate 2009
dc.date.none.fl_str_mv 2009-01-01
2014-05-20T13:38:01Z
2014-05-20T13:38:01Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.2223/JPED.1849
Jornal de Pediatria. Rio de Janeiro, Rj: Soc Brasil Pediatria, v. 85, n. 1, p. 15-20, 2009.
0021-7557
http://hdl.handle.net/11449/13185
10.2223/JPED.1849
WOS:000264044200004
0246391303241376
8727897080522289
3929692206834380
0000-0002-0648-876X
url http://dx.doi.org/10.2223/JPED.1849
http://hdl.handle.net/11449/13185
identifier_str_mv Jornal de Pediatria. Rio de Janeiro, Rj: Soc Brasil Pediatria, v. 85, n. 1, p. 15-20, 2009.
0021-7557
10.2223/JPED.1849
WOS:000264044200004
0246391303241376
8727897080522289
3929692206834380
0000-0002-0648-876X
dc.language.iso.fl_str_mv eng
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dc.relation.none.fl_str_mv Jornal de Pediatria
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dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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dc.format.none.fl_str_mv 15-20
dc.publisher.none.fl_str_mv Sociedade Brasileira de Pediatria
publisher.none.fl_str_mv Sociedade Brasileira de Pediatria
dc.source.none.fl_str_mv Web of Science
reponame:Repositório Institucional da UNESP
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