Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
To assess use of noninvasive ventilation in infants and children requiring respiratory support in Pediatric Intensive care unit. Children between age group 1 month to 16 years with respiratory distress who were treated with NIV support were included. This was prospective observational study was conducted in pediatric Intensive care unit (PICU) at Ch. Sambhajinagar. NIV success and NIV failure criteria were defined. NIV used was in form of CPAP (bubble or ventilator) and NIPPV with ventilator (oronasal mask or Rams cannula as interface) with NIV mode. HFNC use was not included in study. Patients were monitored by respiratory rate, work of breathing, FiO2 need and blood gas analysis. Predictors of NIV failure recorded. Total 44 children were included in study of which 33(75%) improved with NIV while 11(25%) failed to respond and treated with invasive ventilation. Most common indication was acute severe bronchiolitis followed by pneumonia. Thirteen patients had primary disease other than respiratory but had respiratory distress. Most common illness with such scenario was dengue hemorrhagic fever with capillary leak. In patients with persistence tachypnea, no decrease in work of breathing, no decrease in FiO2 need and severe ARDS and shock NIV failure was observed. Pressure injury was most commonly observed complications (22.7%). NIV is effective form of respiratory support in children with respiratory distress. Careful selection of cases, proper interface, trained and supportive nursing staff with close clinical monitoring to pick up failure of response earlier are crucial for success of NIV. No clinical improvement, no decrease in FiO2 need and severe ARDS were associated with NIV failure.
How to cite this article:
Nilesh Shewale and Sachin Khambayate. Non‐Invasive Ventilation (NIV) in Infants and Children: Observational Study.
DOI: https://doi.org/10.36478/10.36478/makrjms.2025.1.408.412
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2025.1.408.412