Pediatric pulmonology
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Pediatric pulmonology · Nov 2020
Lung ultrasound predicts histological lung injury in a neonatal model of acute respiratory distress syndrome.
Point-of-care ultrasound (POCUS) is used to evaluate pulmonary edema in adults with acute respiratory distress syndrome (ARDS). Its use has not been validated in neonatal models. ⋯ We conclude that POCUS may be valuable in neonates for early quantification of acute lung injury or ARDS; and that nondependent ultrasound regions clearly distinguish severity of pulmonary edema.
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Pediatric pulmonology · Nov 2020
Use of bilevel positive pressure ventilation in patients with bronchiolitis.
This study aims at describing the use of bilevel positive airway pressure (BiPAP) in infants with severe bronchiolitis. ⋯ The use of BiPAP was not associated with endotracheal intubation, however it was associated with increased PICU length of stay and increased duration of NIV.
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Pediatric pulmonology · Nov 2020
Weaning from noninvasive ventilation and high flow nasal cannula in bronchiolitis: A survey of practice.
This study aims to describe the current weaning practices from any type of noninvasive support in infants with bronchiolitis, in terms of weaning procedures, weaning initiation and weaning failure criteria. ⋯ In infants with bronchiolitis requiring NIV support, the sudden weaning procedure was the most commonly used strategy. We observed a certain consensus on criteria for weaning initiation. These findings should help in building nurse-driven weaning protocols, but prospective studies remain needed to assess the best weaning strategy in infants with bronchiolitis-related acute respiratory failure.