Noninvasive Ventilation in Pediatric Bronchiolitis: Variables Related to Weaning Readiness and Approach.
Complex NIV weaning was more common with BiPAP than CPAP alone in bronchiolitis
Noninvasive Ventilation in Pediatric Bronchiolitis: Variables Related to Weaning Readiness and Approach.
There is a lack of evidence related to weaning noninvasive ventilation in bronchiolitis.
The purpose of this study was to identify variables related to NIV weaning readiness and approach in bronchiolitis.
A retrospective cohort study of 74 children less than two years of age with bronchiolitis, requiring NIV and admitted to a pediatric intensive care unit (pediatric intensive care unit) from 2022 to 2023.
About 44.6% of BiPAP patients had a complex wean, versus 18.8% with CPAP alone
Mean total duration of NIV therapy was 40 h with weans lasting 13 h.
Duration for children on CPAP alone was shorter (26 h) than for children on combination of BiPAP and CPAP (45 h, 95% CI 4.258 to 33.742, p = 0.0123).
Wean times were also shorter for children on CPAP alone (mean 5 h) than children on BiPAP and CPAP (mean 16 h) (95% CI 1.899 to 20.101, p = 0.0185).
RR at first wean was a significant predictor of NIV weaning duration (p = 0.007).
There is a need for NIV weaning guidelines. RR may be an important predictor of NIV weaning readiness and approach. A "complex wean" may be a potential outcome variable for weaning NIV in children with bronchiolitis.
This study may be used to inform future research and guidelines for weaning NIV in children with bronchiolitis.