Paediatric ventilation treatment of acute lung injury in Nordic intensive care units
(2015) In Acta Anaesthesiologica Scandinavica 59(5). p.568-575- Abstract
- BackgroundTreatment of acute respiratory distress syndrome (ARDS) in children is largely based on extrapolated knowledge obtained from adults and which varies between different hospitals. This study explores ventilation treatment strategies for children with ARDS in the Nordic countries, and compares these with international practice. MethodsIn October 2012, a questionnaire covering ventilation treatment strategies for children aged 1 month to 6 years of age with ARDS was sent to 21 large Nordic intensive care units that treat children with ARDS. Pre-terms and children with congenital conditions were excluded. ResultsEighteen of the 21 (86%) targeted intensive care units responded to the questionnaire. Fiftypercent of these facilities were... (More)
- BackgroundTreatment of acute respiratory distress syndrome (ARDS) in children is largely based on extrapolated knowledge obtained from adults and which varies between different hospitals. This study explores ventilation treatment strategies for children with ARDS in the Nordic countries, and compares these with international practice. MethodsIn October 2012, a questionnaire covering ventilation treatment strategies for children aged 1 month to 6 years of age with ARDS was sent to 21 large Nordic intensive care units that treat children with ARDS. Pre-terms and children with congenital conditions were excluded. ResultsEighteen of the 21 (86%) targeted intensive care units responded to the questionnaire. Fiftypercent of these facilities were paediatric intensive care units. Written guidelines existed in 44% of the units. Fiftypercent of the units frequently used cuffed endotracheal tubes. Ventilation was achieved by pressure control for 89% vs. volume control for 11% of units. Bronchodilators were used by all units, whereas steroids usage was 83% and surfactant 39%. Inhaled nitric oxide and high frequency oscillation were available in 94% of the units. Neurally adjusted ventilator assist was used by 44% of the units. Extracorporeal membrane oxygenation could be started in 44% of the units. ConclusionVentilation treatment strategies for paediatric ARDS in the Nordic countries are relatively uniform and largely in accordance with international practice. The use of steroids and surfactant is more frequent than shown in other studies. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/7433039
- author
- Jensen, L. L. ; Baratt-Due, A. ; Englund, P. N. ; Harju, J. A. ; Sigurdsson, Theodor LU and Liberg, J. -P.
- organization
- publishing date
- 2015
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Acta Anaesthesiologica Scandinavica
- volume
- 59
- issue
- 5
- pages
- 568 - 575
- publisher
- Wiley-Blackwell
- external identifiers
-
- wos:000353904400004
- scopus:84927788789
- pmid:25762113
- ISSN
- 0001-5172
- DOI
- 10.1111/aas.12500
- language
- English
- LU publication?
- yes
- id
- d75cab65-ea16-41b3-b1a7-884b11bc8883 (old id 7433039)
- date added to LUP
- 2016-04-01 10:23:56
- date last changed
- 2022-04-04 17:40:10
@article{d75cab65-ea16-41b3-b1a7-884b11bc8883, abstract = {{BackgroundTreatment of acute respiratory distress syndrome (ARDS) in children is largely based on extrapolated knowledge obtained from adults and which varies between different hospitals. This study explores ventilation treatment strategies for children with ARDS in the Nordic countries, and compares these with international practice. MethodsIn October 2012, a questionnaire covering ventilation treatment strategies for children aged 1 month to 6 years of age with ARDS was sent to 21 large Nordic intensive care units that treat children with ARDS. Pre-terms and children with congenital conditions were excluded. ResultsEighteen of the 21 (86%) targeted intensive care units responded to the questionnaire. Fiftypercent of these facilities were paediatric intensive care units. Written guidelines existed in 44% of the units. Fiftypercent of the units frequently used cuffed endotracheal tubes. Ventilation was achieved by pressure control for 89% vs. volume control for 11% of units. Bronchodilators were used by all units, whereas steroids usage was 83% and surfactant 39%. Inhaled nitric oxide and high frequency oscillation were available in 94% of the units. Neurally adjusted ventilator assist was used by 44% of the units. Extracorporeal membrane oxygenation could be started in 44% of the units. ConclusionVentilation treatment strategies for paediatric ARDS in the Nordic countries are relatively uniform and largely in accordance with international practice. The use of steroids and surfactant is more frequent than shown in other studies.}}, author = {{Jensen, L. L. and Baratt-Due, A. and Englund, P. N. and Harju, J. A. and Sigurdsson, Theodor and Liberg, J. -P.}}, issn = {{0001-5172}}, language = {{eng}}, number = {{5}}, pages = {{568--575}}, publisher = {{Wiley-Blackwell}}, series = {{Acta Anaesthesiologica Scandinavica}}, title = {{Paediatric ventilation treatment of acute lung injury in Nordic intensive care units}}, url = {{https://lup.lub.lu.se/search/files/1810722/8563943}}, doi = {{10.1111/aas.12500}}, volume = {{59}}, year = {{2015}}, }