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[Nasal mechanical ventilation in pediatric patients at home]
C Martínez Carrasco1, I Barrio Gómez de Agüero, C Antelo Landeira
1Unidad de Neumología Pediátrica, Hospital Infantil La Paz, Madrid.
Insights
Home mechanical ventilation is effective for children with chronic respiratory failure, particularly those with neuromuscular conditions or sleep apnea syndrome. This technique offers good tolerance and can aid in ventilator weaning and lung transplantation.
Area of Science:
- Pediatric Pulmonology
- Respiratory Medicine
- Biomedical Engineering
Context:
- Home mechanical ventilation (HMV) is increasingly utilized for managing chronic respiratory failure in pediatric populations.
- Surveillance and long-term outcomes of HMV in children are crucial for optimizing patient care.
- This study focuses on the experience with HMV in a cohort of pediatric patients.
Purpose:
- To present the experience and outcomes of home mechanical ventilation surveillance in pediatric patients.
- To evaluate the efficacy and tolerance of HMV for chronic respiratory failure in children.
- To identify patient subgroups that benefit most from HMV.
Summary:
- A cohort of 14 pediatric patients (20 months to 18 years) received home mechanical ventilation for chronic respiratory failure due to neuromuscular disease, cystic fibrosis, or sleep apnea syndrome.
- Overall tolerance was good in 11 patients; however, 2 patients with cystic fibrosis experienced poor tolerance and succumbed to respiratory failure.
- Patients with neuromuscular disease, cyphoscoliosis, and sleep apnea syndrome showed the most significant benefits from HMV, which was also applied for ventilator weaning and as a bridge to lung transplantation.
Impact:
- Home nasal mechanical ventilation demonstrates utility in treating pediatric chronic respiratory failure.
- The findings support HMV as a valuable therapeutic option for improving quality of life and managing respiratory insufficiency in children.
- This experience contributes to the evidence base for HMV in pediatric respiratory care, informing clinical practice and future research.
Objective:
The aim of this study is to show our experience in the surveillance of home mechanical ventilation in pediatric patients.
Patients And Methods:
Between July 1992 and September 1996, 14 patients (20 months to 18 years of age) received home ventilation on 16 occasions. There were 10 boys and 4 girls. Home ventilation lasted from 7 days to 28 months. All patients had chronic respiratory failure secondary to neuromuscular disease, cystic fibrosis or sleep apnea syndrome.
Results:
Tolerance was good in 11 patients and bad in 3, 2 of which suffered from cystic fibrosis and died in terminal respiratory failure. The patients who benefited most were those with neuromuscular disease, cyphoscoliosis and sleep apnea syndrome. The technique also has been used for ventilator weaning and as a bridge to lung transplantation.
Conclusions:
Home nasal mechanical ventilation is a useful technique for the treatment of chronic respiratory failure in adults and children.