Weaning from noninvasive ventilatory support in infants with severe bronchiolitis: An observational study

The aim of the study was to analyze the weaning success, the type of weaning procedures, and weaning duration in consecutive infants hospitalized in a pediatric intensive care unit over a winter season. A retrospective observational study was conducted in a pediatric intensive care unit in a tertiar...

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Published in:Archives de pédiatrie : organe officiel de la Société française de pédiatrie 2023-05, Vol.30 (4), p.201-205
Main Authors: Cassibba, J., Freycon, C., Doutau, J., Pin, I., Bellier, A., Fauroux, B., Mortamet, G.
Format: Article
Language:English
Subjects:
Acute respiratory failure
Bronchiolitis - therapy
Cannula
Child
Continuous Positive Airway Pressure
Critically ill children
Humans
Infant
Mechanical ventilation
Noninvasive Ventilation
Oxygen Inhalation Therapy
Respiration, Artificial
Weaning
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cited_by cdi_FETCH-LOGICAL-c408t-5ab90c6d70db0ddcbb7e2471ee9c4306cb23fd7362468d4b0d29823c976507073
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container_title Archives de pédiatrie : organe officiel de la Société française de pédiatrie
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creator Cassibba, J.
Freycon, C.
Doutau, J.
Pin, I.
Bellier, A.
Fauroux, B.
Mortamet, G.
description The aim of the study was to analyze the weaning success, the type of weaning procedures, and weaning duration in consecutive infants hospitalized in a pediatric intensive care unit over a winter season. A retrospective observational study was conducted in a pediatric intensive care unit in a tertiary center. Infants hospitalized for severe bronchiolitis were included and the weaning procedure from continuous positive airway pressure (CPAP), noninvasive ventilation (NIV), or high-flow nasal cannula (HFNC) was analyzed. Data from 95 infants (median age, 47 days) were analyzed. On admission, 26 (27%), 46 (49%), and 23 (24%) infants were supported with CPAP, NIV, and HFNC, respectively. Weaning failed in one (4%), nine (20%), and one (4%) infants while supported with CPAP, NIV, or HFNC, respectively (p = 0.1). In infants supported with CPAP, CPAP was stopped directly in five patients (19%) while HFNC was used as an intermediate ventilatory support in 21 (81%). The duration of weaning was shorter for HFNC (17 h, [IQR: 0–26]) than for CPAP (24 h, [14–40]) and NIV (28 h, [19–49]) (p 
doi_str_mv 10.1016/j.arcped.2023.03.003
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subjects Acute respiratory failure
Bronchiolitis - therapy
Cannula
Child
Continuous Positive Airway Pressure
Critically ill children
Humans
Infant
Mechanical ventilation
Noninvasive Ventilation
Oxygen Inhalation Therapy
Respiration, Artificial
Weaning
title Weaning from noninvasive ventilatory support in infants with severe bronchiolitis: An observational study
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