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PubMed · 14647712

[Noninvasive ventilation in pediatrics].

Dafne Cardoso Bourguignon da Silva·Flavia Andrea Krepel Foronda·Eduardo Juan Troster
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Abstract

OBJECTIVE: To introduce the notion of noninvasive mechanical ventilation as an alternative for invasive ventilation in children, describing advantages and disadvantages, indications, and the process of equipment installation. SOURCE OF DATA: Literature review through PubMed/Medline, using as source articles focusing on noninvasive ventilation in pediatric populations, as well as consensus statements and metanalyses concerning noninvasive ventilation in adults. SUMMARY OF THE FINDINGS: The main indication for noninvasive ventilation is respiratory failure due to hypercapnia. It is contra-indicated in the presence of hemodynamic instability. The advantages of noninvasive ventilation include: the equipment is easy to install; it is not invasive and involves less discomfort; there is a lower incidence of complications associated with the endotracheal tube; lower cost. The disadvantages are: gastric distention; transient hypoxemia; facial skin necrosis. The equipment required for noninvasive ventilation includes an interface (mask) and a respirator. The removal of noninvasive ventilation equipment is relatively simple, but chronic patients may require assistance in the home. CONCLUSIONS: Noninvasive ventilation is a less costly, efficient and simple to perform alternative in cases of respiratory failure without hemodynamic instability.

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ChildHumansRespiration, ArtificialRespiratory InsufficiencyEnglish AbstractJournal ArticleReview

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Dafne Cardoso Bourguignon da Silva, Flavia Andrea Krepel Foronda, Eduardo Juan Troster. 2003. [Noninvasive ventilation in pediatrics].. https://doi.org/10.2223/jped.1092

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