2024/12/31 by Besbes, H., Chouchane CH, Chouchane S +2
#bronchiolitegrave #mechanicalventilation #mortality #mortalité #severebronchiolitis #ventilationmécanique
paper · doi:10.71566/pist-rmp-194799
Acutebronchiolitisisaverycommonviraldiseaseininfantslessthan1yearold. Sincetheintroductionofnon-in- vasiveventilationinthemanagementofsevereacutebronchiolitis,indicationsofmechanicalventilationare lessfrequent. However,mechanicalventilationremainsessentialinsomeserioussituationssuchasthefailure ofnon-invasivetools,acuterespiratoryfailureorsevereapnea. Theclinicalandpathophysiologicalspectrumof severebronchiolitiscanvarybetweentwoextremes,whichmayoverlap,theobstructivecomponentandthe restrictivecomponent,onwhichtheindicationofmechanicalventilationandthemodalityusedmustbewell appreciated. Inthecaseofmechanicalventilation,anumberoffundamentalprinciplesofrespiratoryphysiology andgasexchangemustberespected. Furthermore,themanagementofventilatedchildrenwithseverebron- chiolitisrequiresadeepvaluationofmechanicalventilation’potentialrisks. Throughthisstudyandafterareview ofmorethansixtyarticles,weproposetodrawuptheclinical,para-clinicalprofileofventilatedpatientsincase ofsevereacutebronchiolitisanddescribemanagementprinciplesandmortalityfactors.