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Qualitative indications for tracheostomy and chronic mechanical ventilation in patients with severe bronchopulmonary dysplasia
- Source :
- Journal of Perinatology
- Publication Year :
- 2021
- Publisher :
- Nature Publishing Group US, 2021.
-
Abstract
- BACKGROUND The decision to pursue chronic mechanical ventilation involves a complex mix of clinical and social considerations. Understanding the medical indications to pursue tracheostomy would reduce the ambiguity for both providers and families and facilitate focus on appropriate clinical goals. OBJECTIVE To describe potential indications to pursue tracheostomy and chronic mechanical ventilation in infants with severe BPD (sBPD). STUDY DESIGN We surveyed centers participating in the Children's Hospitals Neonatal Consortium to describe their approach to proceed with tracheostomy in infants with sBPD. We requested a single representative response per institution. Question types were fixed form and free text responses. RESULTS The response rate was high (31/34, 91%). Tracheostomy was strongly considered when: airway malacia was present, PCO2 ≥ 76-85 mmHg, FiO2 ≥ 0.60, PEEP ≥ 9-11 cm H2O, respiratory rate ≥ 61-70 breaths/min, PMA ≥ 44 weeks, and weight
- Subjects :
- medicine.medical_specialty
Epidemiology
medicine.medical_treatment
Article
Malacia
Tracheostomy
Severe BPD
Intensive Care Units, Neonatal
medicine
Text messaging
Humans
In patient
Intensive care medicine
Child
Bronchopulmonary Dysplasia
Response rate (survey)
Mechanical ventilation
business.industry
Respiration
Infant, Newborn
Obstetrics and Gynecology
Infant
medicine.disease
Respiration, Artificial
Pediatrics, Perinatology and Child Health
business
Airway
Severe Bronchopulmonary Dysplasia
Infant, Premature
Subjects
Details
- Language :
- English
- ISSN :
- 14765543 and 07438346
- Database :
- OpenAIRE
- Journal :
- Journal of Perinatology
- Accession number :
- edsair.doi.dedup.....d8619afb350e6309c61babaec6faaf45