Predictors of Weaning Failure from Mechanical Ventilation in Pediatric Intensive Care Unit
El-Abdeen, A., Elhady, A., Arafa, R., Abdelhalim, W., Ahmed, M. (2024). Predictors of Weaning Failure from Mechanical Ventilation in Pediatric Intensive Care Unit. EKB Journal Management System, 9(7), 17-20. doi: 10.21608/bjas.2024.304576.1454
Ahmed Zein El-Abdeen; Aliaa Mohamed Elhady; Reda Sanad Arafa; Waleed Abdelatif Abdelhalim; Marwa Elsayed Ahmed. "Predictors of Weaning Failure from Mechanical Ventilation in Pediatric Intensive Care Unit". EKB Journal Management System, 9, 7, 2024, 17-20. doi: 10.21608/bjas.2024.304576.1454
El-Abdeen, A., Elhady, A., Arafa, R., Abdelhalim, W., Ahmed, M. (2024). 'Predictors of Weaning Failure from Mechanical Ventilation in Pediatric Intensive Care Unit', EKB Journal Management System, 9(7), pp. 17-20. doi: 10.21608/bjas.2024.304576.1454
El-Abdeen, A., Elhady, A., Arafa, R., Abdelhalim, W., Ahmed, M. Predictors of Weaning Failure from Mechanical Ventilation in Pediatric Intensive Care Unit. EKB Journal Management System, 2024; 9(7): 17-20. doi: 10.21608/bjas.2024.304576.1454

Predictors of Weaning Failure from Mechanical Ventilation in Pediatric Intensive Care Unit

Benha Journal of Applied Sciences
Article 9, Volume 9, Issue 7, July 2024, Page 17-20  XML PDF (624.85 K)
Document Type: Original Research Papers
DOI: 10.21608/bjas.2024.304576.1454
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Authors
Ahmed Zein El-Abdeen email 1; Aliaa Mohamed Elhady2; Reda Sanad Arafa3; Waleed Abdelatif Abdelhalim4; Marwa Elsayed Ahmed5
1Depatment of Pediatrics, Faculty of Medicine, Benha University, Egypt
2Assistant Professor of Pediatrics, Faculty of Medicine, Benha University, Egypt
3Professor of Pediatrics, Faculty of Medicine, Benha University, Egypt
4Assistant Professor of Clinical Pathology, Faculty of Medicine, Benha University, Egypt
5lecturer of Pediatrics, Faculty of Medicine, Benha University, Egypt
Abstract
Prior to initiating HFNC support, the doctor will ascertain the gas temperature, FiO2 percentage, and flow rate. Gas temperature is usually adjusted 1oC to 2oC below body temperature for comfort, while patient physiology should guide the selection of FiO2 and its modification to reach the aim of peripheral capillary oxygen saturation (SpO2). The ideal starting gas flow rate is not universally agreed upon, however a flow dosage depending on weight is favored. For newborns to get respiratory support, the recommended flow rates range from 0.5 to 1 L/kg/min. Flow rates of up to 2 L/kg/min effectively reduce intrathoracic pressure fluctuations induced by effort of breathing and are considered optimal. Clinical results are not improved by flows greater than 2 L/kg/min. Efficacious but noninvasive Individuals suffering from neuromuscular weakness, extrathoracic airway blockage, obstructive or restrictive lung disease, and other conditions have greatly benefited from the use of noninvasive positive pressure ventilation (NIPPV) techniques including CPAP and BiPAP.
Keywords
Predictor variables; weaning failure; mechanical ventilation; pediatric obstetric intensive care units (PICUs)
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