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Criteria for Chronic Respiratory
Failure in Infants and Children
Criteria for Chronic Respiratory
Failure due to Cardiopulmonary
Disorders in Infants and Children
Clinical criteria
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Decreased inspiratory breath
sounds
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Increased retractions, use of
accessory muscles
-
Cyanosis breathing room air
-
Decreased level of normal
activity/function
-
Poor weight gain (mass)
(IMPORTANT)
Physiological criteria
Criteria for Chronic Respiratory
Insufficiency Due to Central Nervous
System, Neuromuscular, and Skeletal
Conditions in Infants and Children
Clinical criteria
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Weak cough
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Retained airway secretions
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Increased use of accessory muscles
-
Incompetent swallowing
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Weak or absent gag reflex
-
Decreased level of normal
activity/function (IMPORTANT)
Physiological criteria
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Vital capacity < 15 mL/kg
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Inspiratory force < 20 cm H20
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PaCO2 > 40 mm Hg
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PaO2 < 70 mm Hg
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Oxygen saturation < 97% breathing
room air
Related Criteria
Light Criteria for Exudative Pleural Effusion
GOLD Staging
System for Chronic Obstructive Lung
Disease (COPD) Severity
Indications
for Lung Biopsy
ATS/ERS Criteria for Diagnosis
of Idiopathic Pulmonary Fibrosis (IPF)
in Absence of Surgical Lung Biopsy
More...
References:
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Nørregaard
O.
Noninvasive ventilation in
children. Eur Respir J. 2002
Nov;20(5):1332-42.
[Medline]
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