Revista chilena de pediatría
Print version ISSN 0370-4106
ALONSO C, BERNARDO et al. Non-invasive ventilation in patients with acute respiratory infection outside of intensive care units. Rev. chil. pediatr. [online]. 2011, vol.82, n.3, pp. 211-217. ISSN 0370-4106. http://dx.doi.org/10.4067/S0370-41062011000300006.
Introduction: Acute Respiratory Infections (ARIs) in children constitute a Public Health issue. They represent the main cause of admission to hospitals and ICU use throughout the winter months. The benefit of noninvasive ventilation (NIV) in its treatment is not clearly defined. Objective: Describe the results of use of NIV in hospital, outside of ICU in children with severe ARIs. Patients and Methods: Population included all children < 2 y.o. with probable or confirmed viral AlRI with Tal score > 8 o > 6 without previous treatment response; all these seen between 8 June and 20 October, 2009. A management protocol was established, including monitoring and connection to NIV. A Vipap III (ResMed®) was used. Clinical characteristics and evolution of patients is described. Results: 113 patients were included, which amounted to 5.2 of all admissions for AlRI in that period. 80.5% (n = 91) showed a favorable evolution, with an average LOS of 76.1 hrs. The rest required conventional mechanical ventilation. No patient died. Conclusions: The use of NIV among these children is a valid and secure option. It can also be utilized outside of the ICU so long as it is limited to a restricted area, a management protocol, and trained staff.
Keywords : Respiratory Infection; non-invasive ventilation.