Abstract
It was performed in the biggest pediatric public hospital in Montevideo, Uruguay during 2009 and 2010. It is a descriptive study with a prospective recruitment. Children under 2 years with lower respiratory tract infection and respiratory failure Tal score>8, or >6 and not responding to treatment were included. Children weighing <7 kg, unstable hemodynamics, neuro-psychic depression, pneumothorax, pneumo-mediastinum and/or mixed acidosis were excluded. NIV was applied in an area of moderate care outside intensive care units (combined with aspiration and administration of bronchodilator drugs according to requirements). A continuous monitoring of children was maintained and failure to INV was defined if no improvement or
Highlights
Noninvasive Ventilation Outside Critical Care Units for Children with Severe Low Respiratory Infection: Is it a Potential Strategy for Critically Ill Children in Uruguay?
No statistical differences in terms of age, weight and severity of disease at admission were identified between the group of children with treatment failure or success
We emphasize that, as observed in other studies, the severity of respiratory work, respiratory rate was an indicator of treatment failure with a more specific behavior [6,7]
Summary
Noninvasive Ventilation Outside Critical Care Units for Children with Severe Low Respiratory Infection: Is it a Potential Strategy for Critically Ill Children in Uruguay?. It represents one of the first causes of admission in pediatric intensive care (ICU) units due to acute respiratory failure for developed and developing countries [3]. Children in this situation are provided mechanical ventilatory support and in some cases noninvasive ventilation (NIV) in a first stage during admission in the intensive care units [4].
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