ManageChatDiscover
133658

Non-Invasive Ventilation in Preventing Intubation and Reintubation in The Intensive Care Unit of Pediatrics Zagazig University Hospital

Article

Last updated: 03 Jan 2025

OverviewSimilar Items

Subjects

-

Tags

-

Abstract

Background: Non-invasive ventilation (NIV) refers to methods of respiratory assistance without an indwelling endotracheal tube. Objectives: To evaluate the efficacy, identify possible predictors for the success of NIV in preventing intubation and re-intubation, and to determine the characteristics, and outcomes associated with NIV therapy in Pediatric intensive care units (PICUs) settings.
Patients and Methods: A clinical trial study was conducted at the Pediatric Intensive Care Units, Children Hospital, Zagazig University and Al-Ahrar Educational Hospital on 60 patients divided equally into two groups; group A with NIV as the first line and group B with NIV after extubation. Patients were followed up till weaning.
Results: Male constituted a larger percentage with both groups. One-sixth and 20% of patients within group A and B respectively had failed to wean. There is a statistically significant difference between the outcome of weaning among group A and all of PIM-2 score, PIM-2 percent, and NIV duration. While the relation is significant between the outcome of weaning among group B and patients' age, body weight, and NIV duration. Increasing NIV duration significantly predicts weaning success in group A while increasing body weight predicts it in group B. Conclusion: Non-invasive ventilation as the first line of treatment in acute respiratory failure provides significant avoidance of intubation and lowers the incidence and risk of complications. Non-invasive ventilation if considered after weaning of invasive mechanical ventilation it helps to avoid re-intubation and failure of weaning. The most important significant predictors of NIV outcome are NIV duration and body weight.

DOI

10.21608/ejhm.2020.133658

Keywords

Weaning, Intubation, Ventilation

Authors

First Name

Mohamed Mohamed

Last Name

Abdel-Rahim

MiddleName

-

Affiliation

Resident of Pediatrics, Maghagha General Hospital, Minya, Egypt.

Email

mohamedrahiem22@gmail.com

City

-

Orcid

-

First Name

Tarek Abdel-Rahman Mohamed

Last Name

Attia

MiddleName

-

Affiliation

Pediatric Department, Faculty of Medicine, Zagazig University, Sharkia, Egypt.

Email

-

City

-

Orcid

-

First Name

Dalia Abdel-Latif

Last Name

Abdel-Rahman

MiddleName

-

Affiliation

Pediatric Department, Faculty of Medicine, Zagazig University, Sharkia, Egypt.

Email

-

City

-

Orcid

-

Volume

81

Article Issue

7

Related Issue

19561

Issue Date

2020-10-01

Receive Date

2020-12-29

Publish Date

2020-10-01

Page Start

2,422

Page End

2,428

Print ISSN

1687-2002

Online ISSN

2090-7125

Article File

EJHM_Volume 81_Issue 7_Pages 2422-2428.pdf

PDF . 368.4kB

Link

https://ejhm.journals.ekb.eg/article_133658.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=133658

Order

21

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Non-Invasive Ventilation in Preventing Intubation and Reintubation in The Intensive Care Unit of Pediatrics Zagazig University Hospital

Details

Type

Article

Created At

22 Jan 2023