[Starting experience with non-invasive ventilation in paediatric intensive care unit].
Non-invasive ventilation in pressure support (NIV) is well described in the adult and child over 5 years. However, its use in children less than 1 year of age remains anecdotal. We report our preliminary experience with the use of NIV in six children aged from 5 days to 10 months. NIV was delivered with a flow generator (VPAP IIST, Resmed Ltd, North Ryde, NSW, Australia) in association with specific tubings and a nasal mask. The use of NIV resulted in a significant decrease of both the respiratory rate (from 53 to 39 breaths per min, p < 0.01) and the PvCO(2) (from 9.33 to 6.28 kPa, p < 0.01). These results show that NIV can be used in children under 1 year of age with improvement of physiological parameters.
Vermeulen
F
F
Réanimation pédiatrique, centre hospitalier universitaire Vaudois, CH-1011 Lausanne, Suisse.
de Halleux
Q
Q
Ruiz
N
N
Scalfaro
P
P
Cotting
J
J
Stucki
P
P
D002245:Carbon Dioxide / Q000097:blood; D005260:Female; D006801:Humans; D006935:Hypercapnia / Q000628:therapy; D007223:Infant; D007231:Infant, Newborn; D015278:Intensive Care Units, Pediatric; D008297:Male; D011654:Pulmonary Edema / Q000628:therapy; D012121:Respiration, Artificial / Q000295:instrumentation*; D012127:Respiratory Distress Syndrome, Newborn / Q000628:therapy; D015656:Respiratory Mechanics / Q000502:physiology
D002245:Carbon Dioxide