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Research ArticleOriginal Research

The Association Between Ventilatory Ratio and Mortality in Children and Young Adults

Anoopindar K Bhalla, Junzi Dong, Margaret J Klein, Robinder G Khemani and Christopher JL Newth
Respiratory Care February 2021, 66 (2) 205-212; DOI: https://doi.org/10.4187/respcare.07937
Anoopindar K Bhalla
Department of Anesthesiology and Critical Care Medicine, Children’s Hospital Los Angeles, Los Angeles, California.
Department of Pediatrics, Keck School of Medicine, University of Southern California, Los Angeles, California.
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  • For correspondence: [email protected]
Junzi Dong
Philips Research North America, Acute Care Solutions Department, Cambridge, Massachusetts.
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Margaret J Klein
Department of Anesthesiology and Critical Care Medicine, Children’s Hospital Los Angeles, Los Angeles, California.
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Robinder G Khemani
Department of Anesthesiology and Critical Care Medicine, Children’s Hospital Los Angeles, Los Angeles, California.
Department of Pediatrics, Keck School of Medicine, University of Southern California, Los Angeles, California.
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Christopher JL Newth
Department of Anesthesiology and Critical Care Medicine, Children’s Hospital Los Angeles, Los Angeles, California.
Department of Pediatrics, Keck School of Medicine, University of Southern California, Los Angeles, California.
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References

  1. 1.↵
    1. Ghuman AK,
    2. Newth CJ,
    3. Khemani RG
    . The association between the end tidal alveolar dead space fraction and mortality in pediatric acute hypoxemic respiratory failure. Pediatr Crit Care Med 2012;13(1):11-15.
    OpenUrlPubMed
  2. 2.↵
    1. Bhalla AK,
    2. Belani S,
    3. Leung D,
    4. Newth CJ,
    5. Khemani RG
    . Higher dead space is associated with increased mortality in critically ill children. Crit Care Med 2015;43(11):2439-2445.
    OpenUrl
  3. 3.
    1. Nuckton TJ,
    2. Alonso JA,
    3. Kallet RH,
    4. Daniel BM,
    5. Pittet JF,
    6. Eisner MD,
    7. et al
    . Pulmonary dead-space fraction as a risk factor for death in the acute respiratory distress syndrome. N Engl J Med 2002;346(17):1281-1286.
    OpenUrlCrossRefPubMedWeb of Science
  4. 4.
    1. Raurich JM,
    2. Vilar M,
    3. Colomar A,
    4. Ibanez J,
    5. Ayestaran I,
    6. Perez-Barcena J,
    7. et al
    . Prognostic value of the pulmonary dead-space fraction during the early and intermediate phases of acute respiratory distress syndrome. Respir Care 2010;55(3):282-287.
    OpenUrlAbstract/FREE Full Text
  5. 5.↵
    1. Kallet RH,
    2. Zhuo H,
    3. Liu KD,
    4. Calfee CS,
    5. Matthay MA
    , National Heart Lung and Blood Institute ARDS Network Investigators. The association between physiologic dead-space fraction and mortality in subjects with ARDS enrolled in a prospective multi-center clinical trial. Respir Care 2014;59(11):1611-1618.
    OpenUrlAbstract/FREE Full Text
  6. 6.↵
    1. Khemani RG,
    2. Smith LS,
    3. Zimmerman JJ,
    4. Erickson S
    , Pediatric Acute Lung Injury C. Pediatric acute respiratory distress syndrome: definition, incidence, and epidemiology: proceedings from the Pediatric Acute Lung Injury Consensus Conference. Pediatr Crit Care Med 2015;16(5 Suppl 1):S23-S40.
    OpenUrlCrossRefPubMed
  7. 7.↵
    1. Ranieri VM,
    2. Rubenfeld GD,
    3. Thompson BT,
    4. Ferguson ND,
    5. Caldwell E,
    6. Fan E,
    7. et al
    . Acute respiratory distress syndrome: the Berlin Definition. JAMA 2012;307(23):2526-2533.
    OpenUrlCrossRefPubMedWeb of Science
  8. 8.↵
    1. Tusman G,
    2. Sipmann FS,
    3. Bohm SH
    . Rationale of dead space measurement by volumetric capnography. Anesth Analg 2012;114(4):866-874.
    OpenUrlCrossRefPubMedWeb of Science
  9. 9.↵
    1. Bhalla AK,
    2. Rubin S,
    3. Newth CJ,
    4. Ross P,
    5. Morzov R,
    6. Soto-Campos G,
    7. et al
    . Monitoring dead space in mechanically ventilated children: volumetric capnography versus time-based capnography. Respir Care 2015;60(11):1548-1555.
    OpenUrlAbstract/FREE Full Text
  10. 10.↵
    1. Sinha P,
    2. Fauvel NJ,
    3. Singh P,
    4. Soni N
    . Analysis of ventilatory ratio as a novel method to monitor ventilatory adequacy at the bedside. Crit Care 2013;17(1):R34.
    OpenUrlPubMed
  11. 11.
    1. Sinha P,
    2. Fauvel NJ,
    3. Singh S,
    4. Soni N
    . Ventilatory ratio: a simple bedside measure of ventilation. Br J Anaesth 2009;102(5):692-697.
    OpenUrlCrossRefPubMedWeb of Science
  12. 12.↵
    1. Sinha P,
    2. Singh S,
    3. Hardman JG,
    4. Bersten AD,
    5. Soni N
    . Evaluation of the physiological properties of ventilatory ratio in a computational cardiopulmonary model and its clinical application in an acute respiratory distress syndrome population. Br J Anaesth 2014;112(1):96-101.
    OpenUrlCrossRefPubMed
  13. 13.↵
    1. Sinha P,
    2. Calfee CS,
    3. Beitler JR,
    4. Soni N,
    5. Ho K,
    6. Matthay MA,
    7. et al
    . Physiologic analysis and clinical performance of the ventilatory ratio in acute respiratory distress syndrome. Am J Respir Crit Care Med 2019;199(3):333-341.
    OpenUrl
  14. 14.↵
    1. Pollack MM,
    2. Patel KM,
    3. Ruttimann UE
    . PRISM III: an updated Pediatric Risk of Mortality score. Crit Care Med 1996;24(5):743-752.
    OpenUrlCrossRefPubMedWeb of Science
  15. 15.↵
    1. Numa AH,
    2. Newth CJ
    . Anatomic dead space in infants and children. J Appl Physiol 1996;80(5):1485-1489.
    OpenUrlCrossRefPubMedWeb of Science
  16. 16.↵
    1. Smallwood CD,
    2. Walsh BK,
    3. Bechard LJ,
    4. Mehta NM
    . Carbon dioxide elimination and oxygen consumption in mechanically ventilated children. Respir Care 2015;60(5):718-723.
    OpenUrlAbstract/FREE Full Text
  17. 17.↵
    1. Fleming S,
    2. Thompson M,
    3. Stevens R,
    4. Heneghan C,
    5. Plüddemann A,
    6. Maconochie I,
    7. et al
    . Normal ranges of heart rate and respiratory rate in children from birth to 18 years of age: a systematic review of observational studies. Lancet 2011;377(9770):1011-1018.
    OpenUrlCrossRefPubMedWeb of Science
  18. 18.↵
    1. Kerr AA
    . Dead space ventilation in normal children and children with obstructive airways diease. Thorax 1976;31(1):63-69.
    OpenUrlAbstract/FREE Full Text
  19. 19.↵
    1. Khemani RG,
    2. Thomas NJ,
    3. Venkatachalam V,
    4. Scimeme JP,
    5. Berutti T,
    6. Schneider JB,
    7. et al
    . Comparison of SpO2 to PaO2 based markers of lung disease severity for children with acute lung injury. Crit Care Med 2012;40(4):1309-1316.
    OpenUrlCrossRefPubMedWeb of Science
  20. 20.↵
    1. Dowell JC,
    2. Parvathaneni K,
    3. Thomas NJ,
    4. Khemani RG,
    5. Yehya N
    . Epidemiology of cause of death in pediatric acute respiratory distress syndrome. Crit Care Med 2018;46(11):1811-1819.
    OpenUrlCrossRefPubMed
  21. 21.↵
    1. Yehya N,
    2. Harhay MO,
    3. Curley MAQ,
    4. Schoenfeld DA,
    5. Reeder RW
    . Reappraisal of ventilator-free days in critical care research. Am J Respir Crit Care Med 2019;200(7):828-836.
    OpenUrl
  22. 22.↵
    1. Fine JP,
    2. Gray RJ
    . A proportional hazards model for the subdistribution of a competing risk. J Am Stat Assoc 1999;94(446):496-509.
    OpenUrlCrossRefWeb of Science
  23. 23.↵
    1. Greenspan JS,
    2. Abbasi S,
    3. Bhutani VK
    . Sequential changes in pulmonary mechanics in the very low birth weight (less than or equal to 1000 grams) infant. J Pediatr 1988;113(4):732-737.
    OpenUrlCrossRefPubMedWeb of Science
  24. 24.↵
    1. Stocks J,
    2. Dezateux CA,
    3. Jackson EA,
    4. Hoo AF,
    5. Costeloe KL,
    6. Wade AM
    . Analysis of tidal breathing parameters in infancy: how variable is TPTEF:TE? Am J Respir Crit Care Med 1994;150(5 Pt 1):1347-1354.
    OpenUrlCrossRefPubMedWeb of Science
  25. 25.↵
    1. Kim P,
    2. Salazar A,
    3. Ross PA,
    4. Newth CJ,
    5. Khemani RG
    . Comparison of tidal volumes at the endotracheal tube and at the ventilator. Pediatr Crit Care Med 2015;16(9):e324-331.
    OpenUrl
  26. 26.↵
    1. Ward SL,
    2. Quinn CM,
    3. Steurer MA,
    4. Liu KD,
    5. Flori HR,
    6. Matthay MA
    . Variability in pediatric ideal body weight calculation: implications for lung-protective mechanical ventilation strategies in pediatric acute respiratory distress syndrome. Pediatr Crit Care Med 2018;19(12):e643-e652.
    OpenUrl
  27. 27.↵
    1. Rasouli MA,
    2. Newth CJL,
    3. Khemani RG,
    4. Ross PA
    . Predicting body height in a pediatric intensive care unit using ulnar length. Front Pediatr 2018;6:187.
    OpenUrl
  28. 28.↵
    1. Kim GJ,
    2. Newth CJL,
    3. Khemani RG,
    4. Wong SL,
    5. Coates AL,
    6. Ross PA
    . Does size matter when calculating the “correct” tidal volume for pediatric mechanical ventilation?: A hypothesis based on FVC. Chest 2018;154(1):77-83.
    OpenUrl
  29. 29.↵
    1. Khemani RG,
    2. Rubin S,
    3. Belani S,
    4. Leung D,
    5. Erickson S,
    6. Smith LS,
    7. et al
    . Pulse oximetry vs. PaO2 metrics in mechanically ventilated children: Berlin definition of ARDS and mortality risk. Intensive Care Med 2015;41(1):94-102.
    OpenUrl
  30. 30.↵
    1. Fletcher R,
    2. Jonson B,
    3. Cumming G,
    4. Brew J
    . The concept of deadspace with special reference to the single breath test for carbon dioxide. Br J Anaesth 1981;53(1):77-88.
    OpenUrlCrossRefPubMedWeb of Science
  31. 31.↵
    1. Tusman G,
    2. Sipmann FS,
    3. Borges JB,
    4. Hedenstierna G,
    5. Bohm SH
    . Validation of Bohr dead space measured by volumetric capnography. Intensive Care Med 2011;37(5):870-874.
    OpenUrlCrossRefPubMedWeb of Science
  32. 32.↵
    1. Bhalla AK,
    2. Khemani RG,
    3. Hotz JC,
    4. Morzov RP,
    5. Newth CJ
    . Accuracy of transcutaneous carbon dioxide levels in comparison to arterial carbon dioxide levels in critically ill children. Respir Care 2019;64(2):201-208.
    OpenUrlAbstract/FREE Full Text
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Respiratory Care: 66 (2)
Respiratory Care
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The Association Between Ventilatory Ratio and Mortality in Children and Young Adults
Anoopindar K Bhalla, Junzi Dong, Margaret J Klein, Robinder G Khemani, Christopher JL Newth
Respiratory Care Feb 2021, 66 (2) 205-212; DOI: 10.4187/respcare.07937

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The Association Between Ventilatory Ratio and Mortality in Children and Young Adults
Anoopindar K Bhalla, Junzi Dong, Margaret J Klein, Robinder G Khemani, Christopher JL Newth
Respiratory Care Feb 2021, 66 (2) 205-212; DOI: 10.4187/respcare.07937
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