Home mechanical ventilation in children: Retrospective survey of a pediatric population

Giancarlo Ottonello, Ilaria Ferrari, Ines Maria Grazia Pirroddi, Maria Cristina Diana, Giovanna Villa, Laura Nahum, Pietro Tuo, Andrea Moscatelli, Gilberto Silvestri

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Home care support is beneficial for children needing mechanical ventilation, when clinically stable. Methods: A retrospective analysis was carried out of the long-term home ventilation management of a pediatric population with chronic respiratory failure composed of 20 ventilator-dependent children categorized according to age, diagnosis and ventilation support. Age groups consisted of 10% under 1 year, 30% between 2 and 5 years, 30% between 6 and 12 years, and 30% older than 12 years. Diagnostic categories included myopathic disorder, n = 5; congenital central hypoventilation syndrome, n = 6; chest wall disorder, n = 5; cystic fibrosis, n = 1; pulmonary hypertension, n = 1; and diaphragmatic paralysis, n = 2. Results: Sixty-five percent were ventilated using non-invasive mode (NIMV): eight with nasal mask, five with full-face mask, and two children in NIMV also used negative pressure mode; 35% were ventilated using tracheostomy, one of them also used a diaphragmatic pacer. Seventy percent needed nocturnal ventilatory support, (20% 12-18 h, 10% full-day). A total of 18 children were included in the home care and follow-up program. Two children died: one because of worsening of his chronic disease and one because of septic shock. Conclusion: Although home care ventilation is not yet widely diffused, it represents a valid alternative to long hospitalization for children with stable chronic respiratory failure.

Original languageEnglish
Pages (from-to)801-805
Number of pages5
JournalPediatrics International
Volume49
Issue number6
DOIs
Publication statusPublished - Dec 2007

Keywords

  • Chronic respiratory failure
  • Home mechanical ventilation
  • Non-invasive ventilation
  • Technology dependent children
  • Tracheostomy

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Fingerprint Dive into the research topics of 'Home mechanical ventilation in children: Retrospective survey of a pediatric population'. Together they form a unique fingerprint.

Cite this