Recommendations for mechanical ventilation of critically ill children from the Paediatric Mechanical Ventilation Consensus Conference (PEMVECC)

• DOI: 10.1007/s00134-017-4920-z
• Publication Date: 2017-09-06T09:54:12Z
• Authors: Martin C. J. Kneyber; Daniele de Luca; Edoardo Calderini; Pierre-Henri Jarreau; Etienne Javouhey; Jesus Lopez-Herce; Jürg Hammer; Duncan Macrae; Dick G. Markhorst; Alberto Medina; Marti Pons-Odena; Fabrizio Racca; Gerhard Wolf; Paolo Biban; Joe Brierley; Peter C. Rimensbe...
• Keywords: Guideline; Consensus conference

Much of the common practice in paediatric mechanical ventilation is based on personal experiences and what critical care practitioners have adopted from adult neonatal experience. This presents a barrier to planning interpretation clinical trials use specific targeted interventions. We aim establish European consensus guideline critically children.The Society for Paediatric Neonatal Intensive Care initiated conference international experts provide recommendations using Research Development/University California, Los Angeles, appropriateness method. An electronic literature search PubMed EMBASE was performed combination medical subject heading terms text words related disease-specific terms.The Mechanical Ventilation Consensus Conference (PEMVECC) consisted panel 15 who developed voted 152 following topics: (1) general recommendations, (2) monitoring, (3) targets oxygenation ventilation, (4) supportive measures, (5) weaning extubation readiness, (6) normal lungs, (7) obstructive diseases, (8) restrictive (9) mixed (10) chronically ventilated patients, (11) cardiac patients (12) lung hypoplasia syndromes. There were 142 (93.4%) with "strong agreement". The final iteration had none equipoise or disagreement.These should help harmonise approach can be proposed as standard-of-care applicable daily research.