Volume assured pressure support mode use for non-invasive ventilation in pediatrics

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Nisha Cithiravel1, Lena Xiao2, Jenny Shi2

  • 1Department of Respiratory Therapy, The Hospital for Sick Children, Toronto, Canada.

Pediatric Pulmonology
|October 11, 2023
PubMed

Insights

Volume Assured Pressure Support (VAPS) ventilation is increasingly used in pediatric patients, including those with congenital central hypoventilation syndrome and neuromuscular diseases. This review guides clinicians on VAPS initiation, settings, and troubleshooting for children.

Area of Science:

  • Pediatric Pulmonology
  • Mechanical Ventilation
  • Sleep Medicine

Background:

  • Volume Assured Pressure Support (VAPS) is gaining traction in pediatric care, expanding beyond its traditional adult applications.
  • Its use is growing in pediatric populations with conditions like obesity hypoventilation syndrome, congenital central hypoventilation syndrome, and neuromuscular diseases (e.g., Duchenne muscular dystrophy, spinal muscular atrophy).

Approach:

  • This review provides a comprehensive guide for pediatric pulmonologists and sleep physicians on VAPS.
  • It covers initiation methods, specific ventilator settings, and identification of suitable pediatric patient groups.
  • The article details ventilator titration using polysomnography and interpretation of ventilator data downloads.
  • Common challenges and troubleshooting for VAPS machine alarms are also addressed.

Key Points:

  • Familiarity with VAPS is crucial for pediatric specialists due to its expanding use.
  • The review offers practical guidance on VAPS implementation and management in children.
  • Effective troubleshooting of VAPS alarms is essential for patient safety.

Conclusions:

  • This review aims to enhance the understanding and application of VAPS in pediatric respiratory care.
  • It equips clinicians with the knowledge to optimize VAPS therapy for diverse pediatric conditions.
  • Improved VAPS management can lead to better outcomes for children requiring ventilatory support.

Keywords:
childrenneuromuscular diseasesnon-invasive ventilation

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