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Paediatric ventilation treatment of acute lung injury in N ordic intensive care units
Author(s) -
JENSEN L. L.,
BARATTDUE A.,
ENGLUND P. N.,
HARJU J. A.,
SIGURÐSSON T. S.,
LIBERG J.P.
Publication year - 2015
Publication title -
acta anaesthesiologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.738
H-Index - 107
eISSN - 1399-6576
pISSN - 0001-5172
DOI - 10.1111/aas.12500
Subject(s) - medicine , ards , intensive care , ventilation (architecture) , extracorporeal membrane oxygenation , acute respiratory distress , mechanical ventilation , intensive care medicine , respiratory distress , emergency medicine , anesthesia , lung , mechanical engineering , engineering
Background Treatment of acute respiratory distress syndrome ( ARDS ) in children is largely based on extrapolated knowledge obtained from adults and which varies between different hospitals. This study explores ventilation treatment strategies for children with ARDS in the N ordic countries, and compares these with international practice. Methods In O ctober 2012, a questionnaire covering ventilation treatment strategies for children aged 1 month to 6 years of age with ARDS was sent to 21 large N ordic intensive care units that treat children with ARDS . Pre‐terms and children with congenital conditions were excluded. Results Eighteen of the 21 (86%) targeted intensive care units responded to the questionnaire. Fifty per cent of these facilities were paediatric intensive care units. Written guidelines existed in 44% of the units. Fifty per cent of the units frequently used cuffed endotracheal tubes. Ventilation was achieved by pressure control for 89% vs. volume control for 11% of units. Bronchodilators were used by all units, whereas steroids usage was 83% and surfactant 39%. Inhaled nitric oxide and high frequency oscillation were available in 94% of the units. Neurally adjusted ventilator assist was used by 44% of the units. Extracorporeal membrane oxygenation could be started in 44% of the units. Conclusion Ventilation treatment strategies for paediatric ARDS in the N ordic countries are relatively uniform and largely in accordance with international practice. The use of steroids and surfactant is more frequent than shown in other studies.