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Long-term ventilation in children: ten years later
C Cancelinha1, N Madureira2, P Mação1
1Pediatric Pulmonology Unit, Pediatric Hospital, Coimbra University and Hospital Centre, Coimbra, Portugal.
Revista Portuguesa De Pneumologia
|April 10, 2015
Summary
Home mechanical ventilation (HMV) offers safe, long-term respiratory support for children with chronic respiratory failure. This study shows children can use HMV for over 10 years with good compliance and few hospitalizations.
Area of Science:
- Pediatric Pulmonology
- Respiratory Medicine
- Critical Care
Background:
- Home mechanical ventilation (HMV) is a vital treatment for pediatric chronic respiratory failure, improving survival.
- Long-term mechanical ventilation (LTMV) extends survival for children with complex respiratory disorders.
Purpose of the Study:
- To characterize children receiving LTMV for over 10 years (LTMV-10).
- To evaluate the safety, compliance, and outcomes of extended LTMV in a pediatric population.
Main Methods:
- Retrospective analysis of pediatric patients on LTMV for >10 years.
- Inclusion criteria: tertiary pediatric hospital setting.
- Data collected on indications, ventilation type, duration, and outcomes.
Main Results:
- 31 children (61% female) in the LTMV-10 group.
- Common indications: neuromuscular (39%), metabolic (23%), central hypoventilation (19%).
- Mean support duration: 146 months; 19% mortality rate; respiratory morbidity most frequent hospitalization cause.
Conclusions:
- HMV programs provide essential and safe respiratory support for children with severe chronic respiratory failure.
- Sustained LTMV (>10 years) is feasible with good patient compliance and manageable hospitalizations.
- HMV significantly improves prognosis and survival in pediatric chronic respiratory failure.
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