Noninvasive Ventilation in Pediatrics with Dr. Phoebe Yager
The winter peak in respiratory tract infections adds considerable pressure to pediatric emergency departments and intensive care units across the country. In this episode of Curbside Consults, Dr. Phoebe Yager, pediatric intensivist and Chief of the Division of Pediatric Critical Care at MassGeneral for Children, discusses the use of noninvasive ventilation methods to support the respiratory function in pediatric patients.
0:00 – Introduction 1:03 – Respiratory illness in children 2:18 – Different methods of noninvasive ventilation in pediatrics 4:28 – Physiology and mechanics of respiratory support provided by CPAP and high-flow nasal cannula oxygen 6:30 – Differences in lung physiology between pediatric patients and adult patients 10:30 – Physiological effects of bronchiolitis 12:08 – Discussion of NEJM publication: Randomized Trial of High-Flow Oxygen Therapy in Infants with Bronchiolitis 15:20 – When to avoid using high-flow nasal cannula oxygen 16:50 – Discussion of NEJM publication: Nasal High-Flow Therapy for Newborn Infants in Special Care Nurseries 19:06 – Different effects of noninvasive ventilation in preterm infants and neonates compared with infants 20:10 – Indicators of treatment failure in patients on noninvasive ventilation methods leading to escalation of care 21:39 – The future of noninvasive ventilation in pediatrics 22:30 – Conclusion and wrap-up for the year
The Curbside Consults series complements the foundational information in Rotation Prep by taking a deep dive into key clinical topics with expert clinicians and educators. These podcasts explore and critique the evidence behind clinical practice and break down statistical concepts for the busy clinical trainee.
Dr. Phoebe Yager, pediatric intensivist and Chief of the Division of Pediatric Critical Care at MassGeneral for Children.
Ken Wu is a 2019-2020 NEJM Editorial Fellow and a paediatrician working in the National Health Service of the United Kingdom. He graduated from Imperial College School of Medicine and is training in general paediatrics in London.