Weaning from noninvasive respiratory support in children in acute settings: Expert consensus statement using modified Delphi methodology


Mortamet G., Milési C., Baudin F., Yalindag N., Kneyber M., Pons-Odena M.

Pediatric Pulmonology, cilt.59, sa.2, ss.348-354, 2024 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 59 Sayı: 2
  • Basım Tarihi: 2024
  • Doi Numarası: 10.1002/ppul.26753
  • Dergi Adı: Pediatric Pulmonology
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CAB Abstracts, MEDLINE, Veterinary Science Database
  • Sayfa Sayıları: ss.348-354
  • Anahtar Kelimeler: discontinuation, noninvasive ventilation, pediatric intensive care unit, weaning
  • Marmara Üniversitesi Adresli: Evet

Özet

Objective: To reach a consensus on the definition and modalities of weaning from noninvasive ventilation in acute settings. Design: A modified Delphi survey using closed and open-ended questions. Setting: Three rounds of consensus determination were sent via electronic mail survey to 33 experts. The survey questionnaire had four sections: definition of weaning, definition of weaning failure, criteria to initiate weaning, and modalities of weaning. Questions where agreement had been reached on round 1 were no longer part of the survey in rounds 2 and 3. Subjects: Twenty-five international experts from 10 countries. Measurement and Main Results: Overall, this survey generated positive consensus from experts for 19/35 statements (9 with strong agreement and 10 with weak agreement) about weaning from noninvasive respiratory support. No negative consensus could be identified. Conclusion: The clinical practice statements issued address important aspects of definition of weaning, definition of weaning failure, criteria to initiate weaning, and modalities of weaning in acute settings.