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Nasal mask positive pressure ventilation in paediatric patients with type II respiratory failure
Author(s) -
HERTZOG JAMES H.,
COSTARINO ANDREW T.
Publication year - 1996
Publication title -
pediatric anesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.704
H-Index - 82
eISSN - 1460-9592
pISSN - 1155-5645
DOI - 10.1111/j.1460-9592.1996.tb00432.x
Subject(s) - medicine , ventilation (architecture) , respiratory failure , anesthesia , mechanical ventilation , pediatric intensive care unit , paediatric intensive care unit , respiratory system , incidence (geometry) , pediatrics , mechanical engineering , physics , optics , engineering
Summary We report our experience with nasal mask ventilation in children and adolescents with type II respiratory failure admitted to the paediatric intensive care unit (PICU) over an 18‐month period. Seven patients were treated with nasal mask ventilation during part of their PICU stay. All showed significant improvement in arterial pH, P a CO2 , and P a O2 /FiO 2 from presentation to discharge, although at discharge P a CO2 and P a O2 / F iO 2 fell outside of the normal range. Complications occurred in four patients. When compared to 11 patients with type II respiratory failure not treated with nasal mask ventilation, the nasal mask ventilation group had a similar PICU length of stay and incidence of complications. We conclude that nasal mask ventilation may be useful in maintaining near normal alveolar ventilation in selected children with type II respiratory failure and that a prospective study of this technique is indicated.