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Ventilator change in children on home mechanical ventilation affected by the Philips respironics trilogy ventilator

Heather Brandt1, Dawn M Simon1, Ajay S Kasi1

  • 1Division of Pediatric Pulmonology, Department of Pediatrics, Children's Healthcare of Atlanta, Emory University, Atlanta, Georgia, USA.

Pediatric Pulmonology
|October 19, 2021
PubMed

Insights

The Philips Respironics recall impacted Trilogy ventilators used in children requiring home positive airway pressure ventilation via tracheostomy (PPV-T). A collaborative protocol helped transition these patients to new portable home ventilators (PHV) efficiently.

Area of Science:

  • Pediatric Respiratory Care
  • Medical Device Recalls
  • Home Ventilation

Background:

  • The 2021 Philips Respironics recall affected Trilogy ventilators crucial for pediatric home positive airway pressure ventilation via tracheostomy (PPV-T).
  • Optimal strategies for replacing recalled ventilators in this vulnerable population were unclear.

Purpose of the Study:

  • To evaluate the effectiveness of a collaborative institutional protocol for transitioning children using recalled Trilogy ventilators to non-recalled portable home ventilators (PHV).

Main Methods:

  • Retrospective study of children with recalled Trilogy ventilators requiring home PPV-T.
  • Analysis of patients who underwent inpatient ventilator change to PHV using a collaborative protocol.
  • Data collected on hospitalization duration for ventilator change.

Main Results:

  • 19 children transitioned from recalled Trilogy ventilators to PHV during the study period.
  • The median hospitalization duration for ventilator change was 2 days (IQR: 6 days).
  • Patients admitted solely for ventilator change had a median hospitalization of 1 day.

Conclusions:

  • A systematic, collaborative protocol involving patients, physicians, and durable medical equipment companies can optimize the transition to non-recalled portable home ventilators for children.
  • This approach addresses critical needs following significant medical device recalls in pediatric home ventilation.

Keywords:
chronic respiratory failurehome mechanical ventilationpediatricsventilator recall

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