Real time decision support using the child's electronic data at bedside will help caregivers proactively manage invasive ventilation weaning

Children are mechanically ventilated via endotracheal tube or tracheostomy in pediatric intensive care units. Any improvement in the management of ventilation will have a great impact on their health.

Caregivers adjust invasive ventilation at undefined time intervals based on information presented on rounds, chest x-ray findings, blood gases or nursing observation. A more continuous and rigourous management that includes SpO2, FiO2, end-tidal pCO2, respiratory rate and measured tidal volume would help to decrease invasive ventilation duration and improve children's comfort.

References

Rose L, Schultz MJ, Cardwell CR, Jouvet P, McAuley DF, Blackwood B. Automated versus non-automated weaning for reducing the duration of mechanical ventilation for critically ill adults and children: a Cochrane systematic review and meta-analysis. Crit Care 2015

Sward K.A. and Newth C.J.L. Computerized decision support systems for mechanical ventilation in children. J Pediatr Intensive Care Med 2015