SCCM Resource Library-Controversies in PARDS 2.0: Use of Noninvasive Respiratory Support

Video Transcription

Video Summary

The video transcript discusses controversies surrounding non-invasive respiratory support, specifically high flow nasal cannula and non-invasive ventilation, for the treatment of pediatric acute respiratory distress syndrome (ARDS). The speaker highlights the lack of consensus on definitions and guidelines for these interventions. While non-invasive respiratory support is commonly used in pediatric ICUs, there is limited evidence on its effectiveness. Observational trials suggest that non-invasive ventilation may help avoid intubation, but there is a significant failure rate. The speaker emphasizes the need for clear goals to define success and failure in non-invasive therapy. Additionally, the transcript discusses the risks and benefits of non-invasive ventilation, such as avoiding intubation-associated complications but potentially delaying appropriate intervention. The use of non-invasive ventilation in immunocompromised children may increase mortality. The speaker recommends a time-limited trial of non-invasive ventilation and monitoring for improvement within the first six hours. High flow nasal cannula is not recommended for possible ARDS in children. The transcript concludes by highlighting the importance of patient interface selection and close monitoring of potential complications.

Asset Subtitle

Quality and Patient Safety, Pediatrics, Pulmonary, 2023

Asset Caption

Type: two-hour concurrent | New Pediatric ARDS Guidelines: Controversies and Next Steps (Pediatrics) (SessionID 1211606)

Meta Tag

Content Type Presentation

Knowledge Area Quality and Patient Safety

Knowledge Area Pediatrics

Knowledge Area Pulmonary

Membership Level Professional

Membership Level Select

Tag Guidelines

Tag Pediatrics

Tag Acute Respiratory Distress Syndrome ARDS

Year 2023

Keywords

non-invasive respiratory support

pediatric acute respiratory distress syndrome (ARDS)

observational trials

intubation

patient interface selection

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