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Variation in the Use of Mechanical Ventilation and Medications for Pediatric Status Asthmaticus

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Purpose: Practice variation exists in the management of children with status asthmaticus. There are no explicit recommendations for the intensive treatment of asthma, particularly for the use of invasive and… Click to show full abstract

Purpose: Practice variation exists in the management of children with status asthmaticus. There are no explicit recommendations for the intensive treatment of asthma, particularly for the use of invasive and non-invasive positive pressure ventilation. Our purpose was to describe national practice and trends in the use of invasive positive pressure ventilation (IPPV), non-invasive positive pressure ventilation (NiPPV), and second-line medications; and, to report treatment complications for children with status asthmaticus. Methods: We conducted a retrospective cohort study of children ages 2-18 years admitted with status asthmaticus to 46 pediatric hospitals participating in the Pediatric Health Information System from 2010 to 2015. We excluded children who had complex chronic conditions, no asthma …

Keywords: status; variation; ventilation; status asthmaticus; invasive positive

Journal Title: Pediatrics
Year Published: 2018

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