| Facial side effects during noninvasive positive pressure ventilation in children. | |
| | |
MedLine Citation:
|
PMID: 15924228 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: The study quantified the side effects of nasal masks use for noninvasive positive pressure ventilation (NPPV) in children. DESIGN AND SETTING: Cross-sectional retrospective study in a tertiary pediatric university hospital. PATIENTS: Patients with obstructive sleep apnea (n=16), neuromuscular disorders (n=14), and cystic fibrosis (n=10). INTERVENTIONS: Clinical evaluation of facial tolerance. MEASUREMENTS AND RESULTS: A skin injury was observed in 19 patients (48%), with a transient erythema in 7 (18%), prolonged erythema in 9 (23%), and skin necrosis in 3 (8%). Skin injury was associated with age over 10 years (OR=16) and use of a commercial mask (OR=15) and was less frequent in patients with obstructive sleep apnea. The change of a commercial mask for a custom-made mask was associated with reduction in the skin injury score. Global facial flattening was present in 68% of the patients. No correlation was observed with age, daily or cumulative use of NPPV, or the type of mask. A maxillary retrusion was present in 37% of patients. No correlation was observed with age or the type of mask or the underlying disease, but an association was found with a longer daily use of NPPV (OR=6.3). CONCLUSIONS: The prevalence of facial side effects is clinically significant in children using NPPV. Systematic maxillofacial follow-up enables these effects to be identified. Remedial measures could include the change of the interface or reducing the daily use of NPPV. |
| | |
Authors:
|
Brigitte Fauroux; Jean-François Lavis; Frédéric Nicot; Arnaud Picard; Pierre-Yves Boelle; Annick Clément; Marie-Paule Vazquez |
Related Documents
:
|
22425468 - The qeeg theta/beta ratio in adhd and normal controls: sensitivity, specificity, and be... 9821608 - Artificial sensibility based on the use of piezoresistive sensors. preliminary observat... 20401358 - Mandibular function is severely impaired in systemic sclerosis patients. 17135338 - Management of orbital xanthogranuloma with methotrexate. 20685688 - Congestion in chronic systolic heart failure is related to renal dysfunction and increa... 23519518 - Intraperitoneal cytokine level in patients with peritoneal surface malignancies. a stud... |
Publication Detail:
|
Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2005-05-28 |
Journal Detail:
|
Title: Intensive care medicine Volume: 31 ISSN: 0342-4642 ISO Abbreviation: Intensive Care Med Publication Date: 2005 Jul |
Date Detail:
|
Created Date: 2005-06-29 Completed Date: 2005-11-15 Revised Date: 2006-11-15 |
Medline Journal Info:
|
Nlm Unique ID: 7704851 Medline TA: Intensive Care Med Country: United States |
Other Details:
|
Languages: eng Pagination: 965-9 Citation Subset: IM |
Affiliation:
|
Pediatric Pulmonary Department, Armand Trousseau Hospital, Assistance Publique Hôpitaux de Paris, University Paris 6, 28 avenue du Docteur Arnold Netter, 75012, Paris, France. brigitte.fauroux@trs.ap-hop-paris.fr |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Child Child, Preschool Cross-Sectional Studies Facial Injuries / etiology* Female Humans Infant Male Masks / adverse effects* Positive-Pressure Respiration / methods* Retrospective Studies Skin / injuries* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Rehabilitation after work related skin diseases
Next Document: Biodistribution of radiolabelled human dendritic cells injected by various routes.