HWN Suggests

Noninvasive Ventilation

The decision to intubate a patient is, unquestionably, one of the most significant (and at times intimidating) decisions that we make. In preparation and consideration for all of the potential complications and outcomes of the intubation, it is common to use the analogy of going skydiving: You wouldn’t go skydiving without a backup parachute. Personally, I like skydiving (went for my Bachelor party many moons ago) and I think that we should use skydiving to remind us that NONINVASIVE VENTILATION is a great plan to help us avoid needing to jump out of the plane in the first place.

Noninvasive Ventilation

• Comes in two primary forms, Positive Pressure…

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Articles of Interest

Non-Invasive Ventilation in Pediatric Medicine

The use of NIV has been on the rise as the technology and our understanding of how to use it increases. When successful, it avoids some of the potential complications of invasive ventilation such as airway injury and increased sedation requirements.

Noninvasive Respiratory Support in Infants and Children

CPAP and noninvasive ventilation (NIV) offer an alternative to intubation and mechanical ventilation in the treatment of acute and chronic respiratory disorders commonly encountered in infants and children.

Pediatric BIPAP

Deployment of CPAP and BIPAP in EMS has evolved over the last decade and is arguably first line intervention for acute respiratory distress for multiple adult populations. Despite these advances, we have left children behind for no reason.

Pediatric Emergency Noninvasive Ventilation

Although NIV can be the primary treatment of ARF resulting from multiple respiratory disease states, it must be meticulously monitored and, when unsuccessful, may aid in preoxygenation for prompt endotracheal intubation and invasive mechanical ventilation.

Pediatric Guidelines and Best Practices for High Flow Nasal Cannula (HFNC)

The Precision Flow system delivers heated and humidified gas at flow rates that exceed inspiratory demand and flush the respiratory dead space to reduce work of breathing.

The Clinical impact of High Flow Nasal Cannula Utilization in the Emergency Department on the Endotracheal Intubation Rate for Infants and Young Children with Severe Bronchiolitis.

Intubation and mechanical ventilation carry risks over noninvasive ventilation including but not limited to increased risk of barotrauma, ventilator associated bacterial infections, increased sedation requirements and potential development of subglottic stenosis. High …

Resources

LearnPICU

Avoids risks and complications associated with endotracheal intubation and mechanical ventilation (trauma to airway with laryngoscopy, sedation/analgesia and neuromuscular blockade, ventilator associated pneumonia, patient discomfort and loss of verbal communication)

NIV for acute respiratory distress in children

In children, it is not uncommon that the rapid progression of respiratory failure with decompensation of the gas exchange may lead to a life-threatening situation. If applied early enough, noninvasive ventilation (NIV) can help stop this progression and thus avoid intubation with invasive mechanical ventilation and the complications that come with it.

Non-invasive ventilation in paediatric critical care

In the acute setting NIV is used to provide respiratory support in a flexible manner that avoids a requirement for endotracheal intubation or tracheostomy, with the aim of avoiding the complications of invasive ventilation.