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Delivery of average assured pressure support (AVAPS) through tracheostomy in paediatric patients

Vishal Saddi1,2, Antonia O'Connor1,2, Ganesh Thambipillay1,2

  • 1Department of Sleep Medicine Sydney Children's Hospital Sydney New South Wales Australia.

Respirology Case Reports
|December 11, 2023
PubMed

Insights

Average volume-assured pressure support (AVAPS) successfully ventilated four pediatric patients with tracheostomies. This study shows AVAPS is a viable option for complex pediatric ventilation cases.

Area of Science:

  • Pediatric critical care medicine
  • Respiratory physiology
  • Mechanical ventilation

Background:

  • Average volume-assured pressure support (AVAPS) is a ventilation mode designed to deliver a set tidal volume by adjusting inspiratory pressure.
  • Limited data exists on AVAPS use in pediatric populations, especially those requiring tracheostomy ventilation.

Observation:

  • This case series evaluated the use of AVAPS in four pediatric patients with tracheostomies.
  • These patients presented with complex respiratory needs requiring mechanical ventilation.

Findings:

  • AVAPS mode was successfully implemented in all four pediatric patients.
  • The mode effectively delivered the prescribed tidal volumes while adapting to patient needs.

Implications:

  • AVAPS may be a safe and effective ventilation strategy for pediatric patients with tracheostomies.
  • Further research is warranted to explore AVAPS in broader pediatric critical care settings.

Keywords:
average volume‐assured pressure supportpaediatricstracheostomy

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