- Mechanical ventilation with noninvasive positive pressure ventilation
- Septic shock requiring vasopressors (fluid refractory shock)
- Pulse oximetry of ≤90% on room air
- Hypoxia requiring FiO2 greater than inspired concentration or flow feasible in general care area
ICU Admission for Children:
- Respiratory rate higher than WHO classification for age, Pa)2/Fi02 ≤250, Apnea
- PEWS score >6, confusion, hypotension, unexplained acidosis
- Multilobar infiltrates, presence of effusion
- Increased work of breathing (eg, retractions, dyspnea, nasal flaring, grunting)
- Unexplained Acidosis
- Comorbid conditions (HgbSS, immunosuppression, immunodeficiency)
- Respiratory Distress Defined:
- Tachypnea, respiratory rate, breaths/min
- Age 0–2 months: >60
- Age 2–12 months: >50
- Age 1–5 Years: >40
- Age >5 Years: >20
Guidelines