Oxigenoterapia de alto flujo en pacientes postextubados en la Unidad de Cuidados Intensivos Pediátricos del Hospital "Dr. Roberto Gilbert Elizalde" en el periodo julio - diciembre del 2016.

Abstract

Background: The ventilatory support is one of the pillars in the management of the patient with acute respiratory failure. However, it is reported that prolonged use increases the risk of complications, mortality,days of hospital stay and costs (1, 2) . That is why, one of the premises in the management of this type of patients, is to try to initiate the disconnection of mechanical ventilation as soon as the patient allows it, and although a large percentage achievesit in the first attempt, it is estimated that approximately 24% does not pass the test (1). In pediatrics, the use and efficacy of weaning protocols has not had a great impact, and it is still controversial (3). Objectives:To determine the percentage of failure in post-extubated patients to high-flow oxygen therapy in the pediatric intensive care unit of the "Dr. Roberto Gilbert Elizalde” between July and December 2016. Method: An observational, descriptive, retrospective and longitudinal study was carried out. Analysis:The Excel 2010 statistical package was used. Results:During the study period, a total of 104 patients were connected to post-extubation high-flow oxygen therapy, of which 7.69% (n = 8) failed with the useof oxygen therapy of high flow and had to be reintubed and / or placed in non-invasive ventilation. Conclusions:High flow oxygen therapy is a safe and effective method for ventilatory weaning of critically ill patients.