Use of Non-Invasive Respiratory Support Strategies in pediatric patients with SARS-CoV-2. A Scoping Review

ABSTRACT

Introduction: The use of non-invasive respiratory support strategies (NIRS) has been shown to reduce the consumption of resources associated with the requirement of intensive care unit and hospital stay in pediatric patients with acute respiratory failure, however, it is considered important to identify their frequency of use in pediatric patients with SARSCoV-2 and its relationship with the hospital stay. Objective: To identify the frequency of use of noninvasive respiratory support strategies (NIRS) in pediatric patients with SARS-CoV-2. Material and methods: Scoping review of the frequency of use of NIRS in pediatric SARS-CoV-2 between January 2020 and September 2021. The search was executed in the Cochrane Library, PubMed, Scopus databases, and the bibliographic search engines Science Direct and Oxford. Results: It was found that conventional, follow-up, or high-flow oxygen therapy and noninvasive mechanical ventilation are used more frequently in hospital settings. Conclusion: The NIRS of greater implementation in the pediatric patient with SARS-CoV-2 was conventional oxygen therapy and as a finding of interest its association with higher hospital stays was evidenced. © 2023 Academia Nacional de Medicina. All rights reserved.