Noninvasive Respiratory Support for Pediatric Critical Asthma...61st Respiratory Care Journal Conference, June 19–21, 2024, Tampa, Florida.
Pediatric asthma is a common cause of emergency department visits and hospital admissions. Whereas most patients respond well to standard pharmacologic treatments, those with more severe disease frequently require noninvasive respiratory support (NRS) and adjunct therapies or admission to an ICU—a c...
| Publicado en: | Respiratory Care Vol. 70; no. 6; pp. 760 - 777 |
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| Autores principales: | , |
| Formato: | pictorial proceedings review tables/charts Journal Article |
| Publicado: |
Mary Ann Liebert, Inc.
Jun2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=185630218&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 185630218 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00201324 4GG jtl: Respiratory Care issn: 00201324 maglogo: N pubinfo: dt: Jun2025 vid: 70 iid: 6 pid: 1365 pub: Mary Ann Liebert, Inc. place: New Rochelle, New York artinfo: ui: 185630218 185630218 185630218 10.4187/respcare.12487 185630218 ppf: 760 ppct: 17 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Noninvasive Respiratory Support for Pediatric Critical Asthma...61st Respiratory Care Journal Conference, June 19–21, 2024, Tampa, Florida. aug: au: Miller, Andrew G. Rotta, Alexandre T. affil: Mr. Miller is affiliated with Division of Pediatric Critical Care Medicine, Duke University Medical Center, Durham, North Carolina sug: subj: Asthma Therapy Asthma Therapy Critical Illness Noninvasive Procedures Methods Respiratory Therapy Methods Respiration, Artificial Congresses and Conferences Florida Intensive Care Units Nasal Cannula Continuous Positive Airway Pressure Child Adolescence Helium Oxygen Therapy Aerosols Intensive Care Units, Pediatric Florida Child: 6-12 years Adolescent: 13-18 years ab: Pediatric asthma is a common cause of emergency department visits and hospital admissions. Whereas most patients respond well to standard pharmacologic treatments, those with more severe disease frequently require noninvasive respiratory support (NRS) and adjunct therapies or admission to an ICU—a condition termed critical asthma. NRS modalities include high-flow nasal cannula, CPAP, and noninvasive ventilation to deliver standard air-oxygen mixtures or helium-oxygen (heliox). Each NRS modality offers distinct physiological benefits, primarily aimed at reducing work of breathing, enhancing gas exchange, and optimizing aerosol delivery. Despite the growing use of NRS, robust evidence supporting its efficacy in pediatric critical asthma is limited, with few published clinical trials and a heavy reliance on observational studies to inform clinical practice. This narrative review explores the current evidence, physiological rationale, practical considerations, and future research directions for the use of NRS in pediatric critical asthma. The goal is to provide clinicians with a comprehensive overview of the benefits and limitations of NRS modalities to better inform therapeutic decisions and improve patient outcomes. pubtype: Academic Journal doctype: pictorial proceedings review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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