Incidence and risk factors associated with non-invasive ventilation failure in pediatric patients

Authors

  • Glaucia Zuleide Stumm Departamento de Fisioterapia na Unidade Terapia Intensiva, Hospital Geral de Caxias do Sul.
  • Vagner Reinaldo Zingalli Bueno Pereira Departamento de Enfermagem na Unidade Terapia Intensiva, Hospital Geral de Caxias do Sul. https://orcid.org/0000-0003-4792-0632
  • Jonas Michel Wolf Departamento de Gerência Médica, Escritório de Gestão da Prática Clínica e Valor em Saúde, Hospital Moinhos de Vento. https://orcid.org/0000-0001-7577-464X
  • Elisangela Bianchi Furlin Departamento de Fisioterapia na Unidade Terapia Intensiva, Hospital Geral de Caxias do Sul.
  • Janaína Turcatto Departamento de Fisioterapia Intensiva Pediátrica, Universidade de Caxias do Sul.
  • Marcelo de Oliveira Saldanha Departamento de Medicina Intensiva Pediátrica, Hospital Materno Infantil Presidente Vargas.
  • Caroline Dani Programa de Pós-Graduação em Farmacologia, Universidade Federal do Rio Grande do Sul.
  • Luiz Alberto Forgiarini Junior Departamento de Fisioterapia Cardiorrespiratória e Fisioterapia em Terapia Intensiva, Hospital de Clínicas de Porto Alegre.

Keywords:

Risk factors, Noninvasive ventilation, Pediatric Intensive Care Unit, Respiratory failure, Mechanical ventilation, Positive-pressure respiration.

Abstract

Objective: To determine the risk factors associated with failure in noninvasive mechanical ventilation (NIV) in a pediatric intensive care unit. Methods: Retrospective cohort from medical records of patients admitted to the Pediatric ICU of a Hospital in Caxias do Sul, between May 2017 and October 2019, who used NIV. Results: The incidence of NIV failure was 33%. Asthma patients, post-extubation use, continuous use, closure at night, final SIMV modality, ventilatory parameters, initial PEEP, and final FIO2 were also associated with failure. In vital signs, the initial SBP and the final RF were significant. After multivariate analysis, final SIMV modality, closing at night, final PIP, and final RF were associated with NIV failure. Conclusion: SIMV final ventilatory modality, as well as NIV closure at night, higher final PIP and higher final RF are risk factors for NIV failure.

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Published

2022-05-25

How to Cite

1.
Zuleide Stumm G, Reinaldo Zingalli Bueno Pereira V, Wolf JM, Bianchi Furlin E, Turcatto J, de Oliveira Saldanha M, Dani C, Forgiarini Junior LA. Incidence and risk factors associated with non-invasive ventilation failure in pediatric patients. Clin Biomed Res [Internet]. 2022 May 25 [cited 2025 Jun. 23];42(1). Available from: https://seer.ufrgs.br/index.php/hcpa/article/view/112032

Issue

Vol. 42 No. 1 (2022): Clinical and Biomedical Research

Section

Original Articles

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Copyright (c) 2022 Clinical & Biomedical Research

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