Ventilator-associated events in children: A review of literature

Noor Azizah Mohd Ali; Jacqueline Jauncey-Cooke; Fiona E Bogossian

doi:10.1016/j.aucc.2018.11.063

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Ventilator-associated events in children: A review of literature

Journal article

Peer reviewed

Ventilator-associated events in children: A review of literature

Noor Azizah Mohd Ali, Jacqueline Jauncey-Cooke and Fiona E Bogossian

Australian Critical Care, Vol.32(1), pp.55-62

2019

DOI: https://doi.org/10.1016/j.aucc.2018.11.063

Appears in UniSC Diversity and Inclusion Research Collection

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Abstract

children

criteria

intensive care unit

paediatric

surveillance

ventilator associated event (VAE)

ventilator associated pneumonia (VAP)

UniSC Diversity Area - Life Stages

Background: The complexity and variation in ventilator associated pneumonia (VAP) definitions in paediatrics may pose threats to the reliable identification of VAP. The revision of the surveillance definition to ventilator-associated event (VAE) has been mandated in adult populations, to overcome these issues. However, the evidence for application of the definition is unknown in children. Objectives: To review the evidence on the application of the new VAE surveillance definition in paediatric population and examine the potential challenges in clinical practice. Review methods: A systematic approach was used to locate and synthesise the relevant paediatric literature. Studies were appraised according to epidemiological appraisal instrument (EAI) and the grades of evidence in the National Health Medical Research Council (NHMRC) guidelines. Results: Seven studies met the inclusion criteria. Quality of study methods was above 50% on the EAI. The overall grade of evidence was assessed as C (satisfactory). The incidence of VAE in children ranged from 1.1 to 20.9 per 1000 ventilator days as a result of variations in surveillance criteria across included studies. There is little agreement between the new VAE and PNU/VAP surveillance definition in the identification of VAP. Challenges in the application of VAE surveillance were related to; the difference in modes of ventilation used in children versus adults, inconclusive criteria tailored to paediatric samples and a lack of data that support for automatic data extraction applied in paediatric studies. Conclusion: This review demonstrated promising evidence using the new VAE surveillance definition to define the VAE in children, but the level of the evidence is low. Before the possibility of real implementation in clinical settings, challenges related to VAE paediatric specific criteria' and the value of automated data collection need to be considered.

Details

Title: Ventilator-associated events in children: A review of literature
Authors: Noor Azizah Mohd Ali (Corresponding Author) - University of Queensland
Jacqueline Jauncey-Cooke (Author) - University of Queensland
Fiona E Bogossian (Author) - University of the Sunshine Coast - Faculty of Science, Health, Education and Engineering
Publication details: Australian Critical Care, Vol.32(1), pp.55-62
Publisher: Elsevier Inc.
Date published: 2019
DOI: 10.1016/j.aucc.2018.11.063
ISSN: 1036-7314
Organisation Unit: School of Health; University of the Sunshine Coast, Queensland; School of Health and Sport Sciences - Legacy; School of Health and Behavioural Sciences - Legacy
Language: English
Record Identifier: 99450613902621
Output Type: Journal article

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Collaboration types: Domestic collaboration; International collaboration
Web Of Science research areas: Critical Care Medicine; Nursing