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Weaning from noninvasive respiratory support in children in acute settings: Expert consensus statement using modified

Guillaume Mortamet¹, Christophe Milési², Florent Baudin³

¹Pediatric Intensive Care Unit, Grenoble-Alpes University Hospital, Grenoble, France.

Pediatric Pulmonology

|November 9, 2023

Abstract

Objective:

To reach a consensus on the definition and modalities of weaning from noninvasive ventilation in acute settings.

Design:

A modified Delphi survey using closed and open-ended questions.

Setting:

Three rounds of consensus determination were sent via electronic mail survey to 33 experts. The survey questionnaire had four sections: definition of weaning, definition of weaning failure, criteria to initiate weaning, and modalities of weaning. Questions where agreement had been reached on round 1 were no longer part of the survey in rounds 2 and 3.

Subjects:

Twenty-five international experts from 10 countries.

Measurement And Main Results:

Overall, this survey generated positive consensus from experts for 19/35 statements (9 with strong agreement and 10 with weak agreement) about weaning from noninvasive respiratory support. No negative consensus could be identified.

Conclusion:

The clinical practice statements issued address important aspects of definition of weaning, definition of weaning failure, criteria to initiate weaning, and modalities of weaning in acute settings.

Keywords:

discontinuation noninvasive ventilation pediatric intensive care unit weaning

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