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Archivos de Pediatría del Uruguay

versión On-line ISSN 1688-1249


ALONSO, Bernardo et al. Oxigenoterapia de alto flujo en niños con infección respiratoria aguda baja e insuficiencia respiratoria . Arch. Pediatr. Urug. [online]. 2012, vol.83, n.2, pp.111-116. ISSN 1688-1249.

Summary  Introduction: respiratory failure is the most important complication of acute lower respiratory infections (IRAB). Young children constitute a therapeutic problem and represent the higher percentage of revenues to intensive care. High flow (OAF) oxygenation systems have demonstrated benefits in these patients. Objective: describe the experience of application of OAF in 5 children with IRAB with respiratory failure in the Hospital Pediatric at the Pereira Rossell hospital in 2011. Methodology: included infants under the age of 15 months studying IRAB with heels in such modified £ 7 and shortness of breath. For the implementation of OAF was used a device made by the Department of clinical engineering, consisting of an air mixer and oxygen with flujimetro attached to a Fisher Paykel MR850 calohumidificador and a nasal cannula. The initial administration of oxygen carried 8-10 L/min with 0,6 FiO2. Informed consent was requested in all cases. Results: the protocol was applied on 5 children, ages 2 months to 13 months, all 7.000 g (rank 3.040-6.080) underweight. Improvement was observed in all cases of the heels so at 2 h; the duration of oxygen therapy was 2 to 5 days. None of the patients presented complications. Conclusion: in these conditions the OAF showed benefit in children < 7 kg. Future research is needed to define the place that occupies this alternative therapy in the management of the IRAB with respiratory failure in young children. 


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