{"id":2518,"date":"2009-03-06T11:50:22","date_gmt":"2009-03-06T11:50:22","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/pedresp\/"},"modified":"2025-05-14T19:10:29","modified_gmt":"2025-05-14T19:10:29","slug":"pedresp","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/pedresp\/","title":{"rendered":"Criteria for Chronic Respiratory Failure in Infants and Children"},"content":{"rendered":"<div class=\"99c380e4b4a7b96c35d7ddf7dcb434e8\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p><\/p>\n<p class=\"MsoNormal\"><strong> <span style=\"color: black;\"> Criteria for Chronic Respiratory Failure due to Cardiopulmonary Disorders in Infants and Children<\/span><\/strong><\/p>\n<p class=\"MsoNormal\"><span style=\"color: black; font-weight: bold;\">Clinical criteria <\/span><\/p>\n<ul>\n<li class=\"MsoNormal\"><span style=\"color: black;\"> Decreased inspiratory breath sounds <\/span><\/li>\n<li class=\"MsoNormal\"><span style=\"color: black;\"> Increased retractions, use of accessory muscles <\/span><\/li>\n<li class=\"MsoNormal\"><span style=\"color: black;\"> Cyanosis breathing room air <\/span><\/li>\n<li class=\"MsoNormal\"><span style=\"color: black;\"> Decreased level of normal activity\/function <\/span><\/li>\n<li class=\"MsoNormal\"><span style=\"color: black;\"> Poor weight gain (mass) (IMPORTANT)<\/span><\/li>\n<\/ul>\n<p><!--more--><\/p>\n<p class=\"MsoNormal\"><span style=\"color: black; font-weight: bold;\"> Physiological criteria <\/span><\/p>\n<ul>\n<li class=\"MsoNormal\"><span style=\"color: black;\"> PaCO<sub>2<\/sub> &gt; 45 mm Hg <\/span><\/li>\n<li class=\"MsoNormal\"><span style=\"color: black;\"> PaO<sub>2<\/sub> &lt; 65 mm Hg <\/span><\/li>\n<li class=\"MsoNormal\"><span style=\"color: black;\"> Oxygen saturation &lt; 95% breathing room air<\/span><\/li>\n<\/ul>\n<p class=\"MsoNormal\"><strong> <span style=\"color: black;\"> Criteria for Chronic Respiratory Insufficiency Due to Central Nervous System, Neuromuscular, and Skeletal Conditions in Infants and Children<\/span><\/strong><\/p>\n<p class=\"MsoNormal\"><span style=\"color: black;\"><strong>Clinical criteria<\/strong> <\/span><\/p>\n<ul>\n<li class=\"MsoNormal\"><span style=\"color: black;\"> Weak cough<\/span><\/li>\n<li class=\"MsoNormal\"><span style=\"color: black;\"> Retained airway secretions<\/span><\/li>\n<li class=\"MsoNormal\"><span style=\"color: black;\"> Increased use of accessory muscles<\/span><\/li>\n<li class=\"MsoNormal\"><span style=\"color: black;\"> Incompetent swallowing<\/span><\/li>\n<li class=\"MsoNormal\"><span style=\"color: black;\"> Weak or absent gag reflex<\/span><\/li>\n<li class=\"MsoNormal\"><span style=\"color: black;\"> Decreased level of normal activity\/function (IMPORTANT)<\/span><\/li>\n<\/ul>\n<p class=\"MsoNormal\"><span style=\"color: black; font-weight: bold;\"> Physiological criteria <\/span><\/p>\n<ul>\n<li class=\"MsoNormal\"><span style=\"color: black;\"> Vital capacity &lt; 15 mL\/kg <\/span><\/li>\n<li class=\"MsoNormal\"><span style=\"color: black;\"> Inspiratory force &lt; 20 cm H<sub>2<\/sub>0 <\/span><\/li>\n<li class=\"MsoNormal\"><span style=\"color: black;\"> PaCO<sub>2<\/sub> &gt; 40 mm Hg <\/span><\/li>\n<li class=\"MsoNormal\"><span style=\"color: black;\"> PaO<sub>2<\/sub> &lt; 70 mm Hg <\/span><\/li>\n<li class=\"MsoNormal\"><span style=\"color: black;\"> Oxygen saturation &lt; 97% breathing room air<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p class=\"MsoNormal\"><strong>References:<\/strong><\/p>\n<ol>\n<li>\n<p class=\"MsoNormal\">N\u00f8rregaard O. Noninvasive ventilation in children. Eur Respir J. 2002 Nov;20(5):1332-42. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/12449190\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/p>\n<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Created: Oct 20, 2008<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Sorry, this entry is only available in Espa\u00f1ol.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[441],"tags":[181,146,16,15,902,674,901,672,331,183,667,29,586,585,1375],"class_list":["post-2518","post","type-post","status-publish","format-standard","hentry","category-pediatrics","tag-children","tag-chronic","tag-criteria","tag-criterios","tag-cronico","tag-failure","tag-fallo","tag-infantes","tag-infants","tag-ninos","tag-pediatrics","tag-pulmonary","tag-respiratorio","tag-respiratory","tag-uti"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2518","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/comments?post=2518"}],"version-history":[{"count":3,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2518\/revisions"}],"predecessor-version":[{"id":9127,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2518\/revisions\/9127"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/media?parent=2518"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/categories?post=2518"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/tags?post=2518"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}