ArticleCanadian respiratory journal2026
Noninvasive Ventilation in Pediatric Bronchiolitis: Variables Related to Weaning Readiness and Approach.
Article in Canadian respiratory journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Noninvasive Ventilation in Pediatric Bronchiolitis: Variables Related to Weaning Readiness and Approach.Canadian respiratory journal · 2026Article
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Authors and funding
3 authors.
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Abstract
backgroundThere is a lack of evidence related to weaning noninvasive ventilation in bronchiolitis. The purpose of this study was to identify variables related to NIV weaning readiness and approach in bronchiolitis.
methodsA retrospective cohort study of 74 children less than two years of age with bronchiolitis, requiring NIV and admitted to a pediatric intensive care unit (PICU) from 2022 to 2023. Demographic variables, clinical metrics, NIV mode, and weaning metrics were collected.
resultsMean total duration of NIV therapy was 40 h with weans lasting 13 h. Duration for children on CPAP alone was shorter (26 h) than for children on combination of BiPAP and CPAP (45 h, 95% CI 4.258 to 33.742, p = 0.0123). Wean times were also shorter for children on CPAP alone (mean 5 h) than children on BiPAP and CPAP (mean 16 h) (95% CI 1.899 to 20.101, p = 0.0185). Patients were more likely to have a "complex wean," defined as escalation and de-escalation between multiple settings, with BiPAP (44.6%) than with CPAP (18.8%). RR at first wean was a significant predictor of NIV weaning duration (p = 0.007).
conclusionThere is a need for NIV weaning guidelines. RR may be an important predictor of NIV weaning readiness and approach. A "complex wean" may be a potential outcome variable for weaning NIV in children with bronchiolitis. This study may be used to inform future research and guidelines for weaning NIV in children with bronchiolitis.
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