CPAP by helmet for treatment of acute respiratory failure after pediatric liver transplantation

• DOI: 10.1111/petr.13088
• Publication Date: 2017-11-24T08:22:38Z
• Authors: F. Chiusolo; V. Fanelli; M. L. Ciofi degli...; G. Conti; F. Tortora; R. Pariante; L. Ravà; C. Grimaldi; J. de Ville de Goyet; S. Picardo
• Keywords: Male; helmet CPAP; liver transplantation; pediatric; postoperative respiratory failure; predictors; Pediatrics, Perinatology and Child Health; Transplantation; Adolescent; Continuous Positive Airway Pressure; Infant; Liver Transplantation; 3. Good health; 03 medical and health sciences; Logistic Models; Postoperative Complications; 0302 clinical medicine; Risk Factors; Child, Preschool; Acute Disease; Multivariate Analysis; Humans; Female; Child; Respiratory Insufficiency; Retrospective Studies

Abstract ARF after pediatric liver transplantation accounts for high rate of morbidity and mortality associated with this procedure. The role CPAP in postoperative period is still unknown. aim the study was to describe current practice risk factors application helmet . In retrospective observational cohort study, 119 recipients were divided into two groups based on indication extubation. Perioperative variables studied, determinants analyzed a multivariate logistic model. Sixty patients (60/114) developed included group. No differences found between primary disease, graft type, blood product transfused. At analysis, weight <11 kg ( OR = 2.9; 95% CI 1.1‐7.3; P .026), PaO 2 /FiO <380 before extubation 5.4; 2.1‐13.6; < .001), need vasopressors 2.6; 1.1‐6.4; .038), positive fluid balance >148 mL/kg 4.0; 1.6‐10.1; .004) main application. group, five (8.4%) needed reintubation. Pediatric lower weight, higher inotropes/vasopressors, surgery, at odds developing needing