Caracterización de la ventilación mecánica no invasiva pediátrica hospitalaria

Translated title of the contribution: Characterization of non-invasive mechanical ventilation in pediatric hospitalization

Jorge Valenzuela V., Alejandro Donoso F., José León B., Franco Díaz R., Pablo Cruces R.

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background: Non-invasive mechanical ventilation (NIMV) has been established in the last decade in many Pediatric ICUs worldwide. However, several questions are still present about the real use of this therapy in our country. Objective: To describe the use of NIV in Chile in 2005. Method: A survey was sent by internet to all 43 Chilean PICU, in order to record some aspects like epidemiology, cause of hospitalization, human and material resources, technical parameters and complications regarding every patient ventilated with NIMV during 2005. Collected data was analyzed considering the overall sample and also separated by geographical regions (13 regions including the Metropolitan) and administrative issue (public or private centers). Results: 21 units answered the survey (49%), mostly (59%) from public hospitals in the Metropolitan Region. 4 centers did not use NIV in that period, all of them from provinces. This therapy was never instituted outside the ICU or High Dependency Unit (HDU). 68% of the units had this therapy since at least 2 years ago. 71% of the units provided NIMV up to 30 patients and 3 units ventilated between 100 and 400 patients in 2005. 71% answered that the average duration of NIV was 2-4 days. The most frequent diagnoses were asthma and pneumonia. The failure rate varied from < 1% to 50%. 55% of the units did not have defined criteria of institution or withdrawal of this ventilatory support and, also, 70% did not have a written guideline. Conclusion: We had a low response rate to the survey. At least 10% of all of the PICUs do not provide NIV in Chile. We found remarkable diversities among the different units regarding the number of treated patients, criteria of institution and withdrawal of NIMV, failure rate and absence of guidelines. The information obtained in this survey should be known and analyzed by health team members in order to ensure a more sensible and rigorous use of the NIMV.

Original languageSpanish
Pages (from-to)568-576
Number of pages9
JournalRevista Chilena de Pediatria
Volume77
Issue number6
Publication statusPublished - Dec 2006

Fingerprint

Noninvasive Ventilation
Artificial Respiration
Hospitalization
Pediatrics
Chile
Guidelines
Public Hospitals
Internet
Pneumonia
Epidemiology
Therapeutics
Asthma
Surveys and Questionnaires
Health

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Valenzuela V., J., Donoso F., A., León B., J., Díaz R., F., & Cruces R., P. (2006). Caracterización de la ventilación mecánica no invasiva pediátrica hospitalaria. Revista Chilena de Pediatria, 77(6), 568-576.
Valenzuela V., Jorge ; Donoso F., Alejandro ; León B., José ; Díaz R., Franco ; Cruces R., Pablo. / Caracterización de la ventilación mecánica no invasiva pediátrica hospitalaria. In: Revista Chilena de Pediatria. 2006 ; Vol. 77, No. 6. pp. 568-576.
@article{3802d43808de40c8864cdb38c78b1085,
title = "Caracterizaci{\'o}n de la ventilaci{\'o}n mec{\'a}nica no invasiva pedi{\'a}trica hospitalaria",
abstract = "Background: Non-invasive mechanical ventilation (NIMV) has been established in the last decade in many Pediatric ICUs worldwide. However, several questions are still present about the real use of this therapy in our country. Objective: To describe the use of NIV in Chile in 2005. Method: A survey was sent by internet to all 43 Chilean PICU, in order to record some aspects like epidemiology, cause of hospitalization, human and material resources, technical parameters and complications regarding every patient ventilated with NIMV during 2005. Collected data was analyzed considering the overall sample and also separated by geographical regions (13 regions including the Metropolitan) and administrative issue (public or private centers). Results: 21 units answered the survey (49{\%}), mostly (59{\%}) from public hospitals in the Metropolitan Region. 4 centers did not use NIV in that period, all of them from provinces. This therapy was never instituted outside the ICU or High Dependency Unit (HDU). 68{\%} of the units had this therapy since at least 2 years ago. 71{\%} of the units provided NIMV up to 30 patients and 3 units ventilated between 100 and 400 patients in 2005. 71{\%} answered that the average duration of NIV was 2-4 days. The most frequent diagnoses were asthma and pneumonia. The failure rate varied from < 1{\%} to 50{\%}. 55{\%} of the units did not have defined criteria of institution or withdrawal of this ventilatory support and, also, 70{\%} did not have a written guideline. Conclusion: We had a low response rate to the survey. At least 10{\%} of all of the PICUs do not provide NIV in Chile. We found remarkable diversities among the different units regarding the number of treated patients, criteria of institution and withdrawal of NIMV, failure rate and absence of guidelines. The information obtained in this survey should be known and analyzed by health team members in order to ensure a more sensible and rigorous use of the NIMV.",
keywords = "Mechanical ventilation, Noninvasive ventilation, Pediatric, Pediatric intensive care unit, Survey",
author = "{Valenzuela V.}, Jorge and {Donoso F.}, Alejandro and {Le{\'o}n B.}, Jos{\'e} and {D{\'i}az R.}, Franco and {Cruces R.}, Pablo",
year = "2006",
month = "12",
language = "Spanish",
volume = "77",
pages = "568--576",
journal = "Revista Chilena de Pediatria",
issn = "0370-4106",
publisher = "Sociedad Chilena de Pediatria",
number = "6",

}

Valenzuela V., J, Donoso F., A, León B., J, Díaz R., F & Cruces R., P 2006, 'Caracterización de la ventilación mecánica no invasiva pediátrica hospitalaria', Revista Chilena de Pediatria, vol. 77, no. 6, pp. 568-576.

Caracterización de la ventilación mecánica no invasiva pediátrica hospitalaria. / Valenzuela V., Jorge; Donoso F., Alejandro; León B., José; Díaz R., Franco; Cruces R., Pablo.

In: Revista Chilena de Pediatria, Vol. 77, No. 6, 12.2006, p. 568-576.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Caracterización de la ventilación mecánica no invasiva pediátrica hospitalaria

AU - Valenzuela V., Jorge

AU - Donoso F., Alejandro

AU - León B., José

AU - Díaz R., Franco

AU - Cruces R., Pablo

PY - 2006/12

Y1 - 2006/12

N2 - Background: Non-invasive mechanical ventilation (NIMV) has been established in the last decade in many Pediatric ICUs worldwide. However, several questions are still present about the real use of this therapy in our country. Objective: To describe the use of NIV in Chile in 2005. Method: A survey was sent by internet to all 43 Chilean PICU, in order to record some aspects like epidemiology, cause of hospitalization, human and material resources, technical parameters and complications regarding every patient ventilated with NIMV during 2005. Collected data was analyzed considering the overall sample and also separated by geographical regions (13 regions including the Metropolitan) and administrative issue (public or private centers). Results: 21 units answered the survey (49%), mostly (59%) from public hospitals in the Metropolitan Region. 4 centers did not use NIV in that period, all of them from provinces. This therapy was never instituted outside the ICU or High Dependency Unit (HDU). 68% of the units had this therapy since at least 2 years ago. 71% of the units provided NIMV up to 30 patients and 3 units ventilated between 100 and 400 patients in 2005. 71% answered that the average duration of NIV was 2-4 days. The most frequent diagnoses were asthma and pneumonia. The failure rate varied from < 1% to 50%. 55% of the units did not have defined criteria of institution or withdrawal of this ventilatory support and, also, 70% did not have a written guideline. Conclusion: We had a low response rate to the survey. At least 10% of all of the PICUs do not provide NIV in Chile. We found remarkable diversities among the different units regarding the number of treated patients, criteria of institution and withdrawal of NIMV, failure rate and absence of guidelines. The information obtained in this survey should be known and analyzed by health team members in order to ensure a more sensible and rigorous use of the NIMV.

AB - Background: Non-invasive mechanical ventilation (NIMV) has been established in the last decade in many Pediatric ICUs worldwide. However, several questions are still present about the real use of this therapy in our country. Objective: To describe the use of NIV in Chile in 2005. Method: A survey was sent by internet to all 43 Chilean PICU, in order to record some aspects like epidemiology, cause of hospitalization, human and material resources, technical parameters and complications regarding every patient ventilated with NIMV during 2005. Collected data was analyzed considering the overall sample and also separated by geographical regions (13 regions including the Metropolitan) and administrative issue (public or private centers). Results: 21 units answered the survey (49%), mostly (59%) from public hospitals in the Metropolitan Region. 4 centers did not use NIV in that period, all of them from provinces. This therapy was never instituted outside the ICU or High Dependency Unit (HDU). 68% of the units had this therapy since at least 2 years ago. 71% of the units provided NIMV up to 30 patients and 3 units ventilated between 100 and 400 patients in 2005. 71% answered that the average duration of NIV was 2-4 days. The most frequent diagnoses were asthma and pneumonia. The failure rate varied from < 1% to 50%. 55% of the units did not have defined criteria of institution or withdrawal of this ventilatory support and, also, 70% did not have a written guideline. Conclusion: We had a low response rate to the survey. At least 10% of all of the PICUs do not provide NIV in Chile. We found remarkable diversities among the different units regarding the number of treated patients, criteria of institution and withdrawal of NIMV, failure rate and absence of guidelines. The information obtained in this survey should be known and analyzed by health team members in order to ensure a more sensible and rigorous use of the NIMV.

KW - Mechanical ventilation

KW - Noninvasive ventilation

KW - Pediatric

KW - Pediatric intensive care unit

KW - Survey

UR - http://www.scopus.com/inward/record.url?scp=34247141845&partnerID=8YFLogxK

M3 - Artículo

AN - SCOPUS:34247141845

VL - 77

SP - 568

EP - 576

JO - Revista Chilena de Pediatria

JF - Revista Chilena de Pediatria

SN - 0370-4106

IS - 6

ER -