Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Endotracheal Tube Extubation01:24

Endotracheal Tube Extubation

3.5K
Endotracheal tube extubation is a critical procedure in weaning patients from mechanical ventilation. It involves physically removing the oral or nasal endotracheal (ET) tube, marking the final step in liberating a patient from ventilatory support.
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
3.5K
Acute Respiratory Failure-V01:29

Acute Respiratory Failure-V

440
The treatment for acute respiratory failure varies based on factors like the underlying cause, overall health, and severity. A collaborative healthcare team is essential for early detection, often through arterial blood gas analysis. Identifying the cause is the primary goal, with treatment strategies adjusted for ventilation/perfusion (V/Q) mismatch, shunting, or diffusion impairment.
Ensure that patients are monitored continuously for their response to therapy, including changes in...
440
Mechanical Ventilation III: Noninvasive Ventilation01:23

Mechanical Ventilation III: Noninvasive Ventilation

489
Noninvasive positive-pressure ventilation (NIPPV), continuous positive airway pressure (CPAP), and bilevel positive airway pressure (BiPAP) are essential methods in respiratory care. These ventilation techniques offer unique benefits for patients with various respiratory conditions, providing adequate support without requiring intubation. Let's explore how each method is crucial in improving patient outcomes and enhancing respiratory therapy.
Noninvasive Positive-Pressure Ventilation...
489
Endotracheal Intubation II: Nursing Management01:17

Endotracheal Intubation II: Nursing Management

2.4K
Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
2.4K
Cardiopulmonary Resuscitation II: ACLS Airway Management01:22

Cardiopulmonary Resuscitation II: ACLS Airway Management

506
Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
506
Acute Respiratory Failure-IV01:23

Acute Respiratory Failure-IV

498
Respiratory failure can manifest suddenly or gradually, characterized by a rapid decline in PaO2 and a rapid rise in PaCO2. This situation indicates a severe respiratory problem that may quickly become a life-threatening emergency. One of the early signs of hypoxemic Acute Respiratory Failure (ARF) is a change in mental status due to the brain's sensitivity to oxygen levels and changes in acid-base balance. Symptoms such as restlessness, confusion, and agitation suggest inadequate oxygen...
498

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Flow Asynchronies During Pressure Support Ventilation in Children: A Bench Model Study.

Respiratory care·2026
Same author

A computational phenotype for pediatric asthma exacerbations requiring hospitalization using electronic health record data.

JAMIA open·2026
Same author

Transpulmonary Pressure-Guided Ventilation in Pediatric Acute Respiratory Distress Syndrome: Methodological Challenges on the Path to Clinical Implementation.

Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·2026
Same author

The Accuracy of Plateau and Driving Pressures During Assisted and Spontaneous Ventilation Depends on the Degree of Inspiratory Effort and Duration of the Inspiratory Hold.

Respiratory care·2026
Same author

The Authors Reply: Ventilator Liberation after Pediatric Cardiac Surgery: Balancing the Competing Interests of the Lungs and the Heart.

Respiratory care·2026
Same author

Influenza vaccine effectiveness against influenza-associated hospitalizations and emergency department or urgent care encounters among children and adults - United States, 2024-25 season.

medRxiv : the preprint server for health sciences·2026
Same journal

Safety of Less Invasive Surfactant Administration in Preterm Infants: A Meta-Analysis.

Pediatric pulmonology·2026
Same journal

Early Oxygenation Trajectory and Noninvasive Ventilation Failure in Non-Immunocompromised Children With Pediatric ARDS.

Pediatric pulmonology·2026
Same journal

Pulmonary Exacerbations and Treatment in PCD: A Narrative Review.

Pediatric pulmonology·2026
Same journal

Asthma in Children With Congenital Lung Malformations: A Population-Based Case-Control Study.

Pediatric pulmonology·2026
Same journal

Long-Term Effect Of COVID-19 on Children's Lung Function: A Prospective Longitudinal Study.

Pediatric pulmonology·2026
Same journal

Administrative Prevalence and Healthcare Utilization of Pediatric Cystic Fibrosis in a Middle-Income Country: A 10-Year Analysis of National Administrative Data.

Pediatric pulmonology·2026
See all related articles

Related Experiment Video

Updated: Jan 11, 2026

Surfactant Depletion Combined with Injurious Ventilation Results in a Reproducible Model of the Acute Respiratory Distress Syndrome ARDS
06:22

Surfactant Depletion Combined with Injurious Ventilation Results in a Reproducible Model of the Acute Respiratory Distress Syndrome ARDS

Published on: April 7, 2021

3.8K

Post Extubation Noninvasive Respiratory Support for Pediatric ARDS.

Andrew G Miller1,2, Mika Nonoyama3,4,5, Samer Abu-Sultaneh6,7

  • 1Duke University Medical Center, Durham, North Carolina, USA.

Pediatric Pulmonology
|November 12, 2025
PubMed
Summary
This summary is machine-generated.

Over half of pediatric acute respiratory distress syndrome (PARDS) survivors received noninvasive respiratory support (NRS) after extubation. Use of NRS varied significantly by geographic region, patient age, and underlying conditions.

Keywords:
ARDSCPAPNIVPARDSacute respiratory distress syndromechildrenhigh‐flow nasal cannulanoninvasive respiratory supportnoninvasive ventilationpediatric

More Related Videos

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation
04:46

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation

Published on: January 17, 2011

22.0K
An Educational Video Demonstration of How to Prone a Critically Ill Intubated Patient
07:16

An Educational Video Demonstration of How to Prone a Critically Ill Intubated Patient

Published on: November 30, 2022

4.4K

Related Experiment Videos

Last Updated: Jan 11, 2026

Surfactant Depletion Combined with Injurious Ventilation Results in a Reproducible Model of the Acute Respiratory Distress Syndrome ARDS
06:22

Surfactant Depletion Combined with Injurious Ventilation Results in a Reproducible Model of the Acute Respiratory Distress Syndrome ARDS

Published on: April 7, 2021

3.8K
A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation
04:46

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation

Published on: January 17, 2011

22.0K
An Educational Video Demonstration of How to Prone a Critically Ill Intubated Patient
07:16

An Educational Video Demonstration of How to Prone a Critically Ill Intubated Patient

Published on: November 30, 2022

4.4K

Area of Science:

  • Pediatric Critical Care Medicine
  • Respiratory Medicine
  • Epidemiology

Background:

  • Pediatric Acute Respiratory Distress Syndrome (PARDS) survivors often require postextubation noninvasive respiratory support (NRS).
  • NRS modalities include high-flow nasal cannula (HFNC), CPAP, and noninvasive ventilation (NIV).
  • Regional variations in NRS utilization were hypothesized.

Purpose of the Study:

  • To investigate the utilization patterns of postextubation noninvasive respiratory support (NRS) in pediatric acute respiratory distress syndrome (PARDS) survivors.
  • To identify factors associated with NRS use, including regional differences, patient demographics, and clinical characteristics.

Main Methods:

  • A post-hoc analysis of the Pediatric Acute Respiratory Distress Incidence and Epidemiology (PARDIE) study was conducted.
  • Extubated subjects receiving NRS were compared to those who did not.
  • Logistic regression analysis identified risk factors associated with postextubation NRS use.

Main Results:

  • Over half (56%) of the 468 PARDS survivors received postextubation NRS, with longer ICU stays observed in this group.
  • Factors associated with decreased NRS use included increasing age, higher PRISM4 scores, and longer mechanical ventilation duration.
  • Increased odds of NRS use were linked to North American region, immunocompromised status, and neuromuscular disease.

Conclusions:

  • Postextubation NRS is common in PARDS survivors, with utilization varying by region, comorbidities, age, and ventilation duration.
  • High-flow nasal cannula (HFNC) was more prevalent in North America.
  • Noninvasive ventilation (NIV) saw greater use in Europe and the Middle East/Asia/New Zealand.