{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,2]],"date-time":"2026-01-02T07:50:10Z","timestamp":1767340210109,"version":"3.41.2"},"reference-count":38,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2017,11,24]],"date-time":"2017-11-24T00:00:00Z","timestamp":1511481600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatric Transplantation"],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">ARF<\/jats:styled-content> after pediatric liver transplantation accounts for high rate of morbidity and mortality associated with this procedure. The role of <jats:styled-content style=\"fixed-case\">CPAP<\/jats:styled-content> in postoperative period is still unknown. The aim of the study was to describe current practice and risk factors associated with the application of helmet <jats:styled-content style=\"fixed-case\">CPAP<\/jats:styled-content>. In this retrospective observational cohort study, 119 recipients were divided into two groups based on indication to <jats:styled-content style=\"fixed-case\">CPAP<\/jats:styled-content> after extubation. Perioperative variables were studied, and determinants of <jats:styled-content style=\"fixed-case\">CPAP<\/jats:styled-content> application were analyzed in a multivariate logistic model. Sixty patients (60\/114) developed <jats:styled-content style=\"fixed-case\">ARF<\/jats:styled-content> and were included in the <jats:styled-content style=\"fixed-case\">CPAP<\/jats:styled-content> group. No differences were found between the two groups for primary disease, graft type, and blood product transfused. At multivariate analysis, weight &lt;11\u00a0kg (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a0=\u00a02.9; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\u00a0=\u00a01.1\u20107.3; <jats:italic>P<\/jats:italic>\u00a0=\u00a0.026), PaO<jats:sub>2<\/jats:sub>\/FiO<jats:sub>2<\/jats:sub> &lt;380 before extubation (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a0=\u00a05.4; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\u00a0=\u00a02.1\u201013.6; <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.001), need of vasopressors (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a0=\u00a02.6; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\u00a0=\u00a01.1\u20106.4; <jats:italic>P<\/jats:italic>\u00a0=\u00a0.038), and positive fluid balance &gt;148\u00a0mL\/kg (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a0=\u00a04.0; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\u00a0=\u00a01.6\u201010.1; <jats:italic>P<\/jats:italic>\u00a0=\u00a0.004) were the main determinants of <jats:styled-content style=\"fixed-case\">CPAP<\/jats:styled-content> application. In the <jats:styled-content style=\"fixed-case\">CPAP<\/jats:styled-content> group, five patients (8.4%) needed reintubation. Pediatric liver recipients with lower weight, higher need of inotropes\/vasopressors, higher positive fluid balance after surgery, and lower PaO<jats:sub>2<\/jats:sub>\/FiO<jats:sub>2<\/jats:sub> before extubation were at higher odds of developing <jats:styled-content style=\"fixed-case\">ARF<\/jats:styled-content> needing <jats:styled-content style=\"fixed-case\">CPAP<\/jats:styled-content> application.<\/jats:p>","DOI":"10.1111\/petr.13088","type":"journal-article","created":{"date-parts":[[2017,11,24]],"date-time":"2017-11-24T08:22:38Z","timestamp":1511511758000},"source":"Crossref","is-referenced-by-count":6,"title":["<scp>CPAP<\/scp> by helmet for treatment of acute respiratory failure after pediatric liver transplantation"],"prefix":"10.1111","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0265-609X","authenticated-orcid":false,"given":"F.","family":"Chiusolo","sequence":"first","affiliation":[{"name":"Department of Anesthesia and Critical Care ARCO, Bambino Ges\u00f9 Children's Hospital IRCCS  Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"V.","family":"Fanelli","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Critical Care AOU Citt\u00e0 della Salute e della Scienza di Torino University of Turin  Turin Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M. L.","family":"Ciofi degli Atti","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Statistical Analysis Bambino Ges\u00f9 Children's Hospital IRCCS  Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G.","family":"Conti","sequence":"additional","affiliation":[{"name":"Department of Pediatric ICU, Intensive Care and Anesthesia Catholic University of Rome  Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F.","family":"Tortora","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Critical Care ARCO, Bambino Ges\u00f9 Children's Hospital IRCCS  Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"Pariante","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Critical Care ARCO, Bambino Ges\u00f9 Children's Hospital IRCCS  Rome 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