Respiratory Modalities in Preventing Reintubation in a Pediatric Intensive Care Unit.

Ameer Al-Hadidi, Beaumont Health
Morta Lapkus, Beaumont Health
Patrick Karabon, Beaumont Health
Begum Akay, Beaumont Health
Paras Khandhar, Beaumont Health


Post-extubation respiratory failure requiring reintubation in a Pediatric Intensive Care Unit (PICU) results in significant morbidity. Data in the pediatric population comparing various therapeutic respiratory modalities for avoiding reintubation is lacking. Our objective was to compare therapeutic respiratory modalities following extubation from mechanical ventilation. About 491 children admitted to a single-center PICU requiring mechanical ventilation from January 2010 through December 2017 were retrospectively reviewed. Therapeutic respiratory support assisted in avoiding reintubation in the majority of patients initially extubated to room air or nasal cannula with high-flow nasal cannula (80%) or noninvasive positive pressure ventilation (100%). Patients requiring therapeutic respiratory support had longer PICU LOS (10.92 vs 6.91 days,