| Autor: |
OTTONELLO, GIANCARLO, FERRARI, ILARIA, PIRRODDI, INES MARIA GRAZIA, DIANA, MARIA CRISTINA, VILLA, GIOVANNA, NAHUM, LAURA, TUO, PIETRO, MOSCATELLI, ANDREA, SILVESTRI, GILBERTO |
| Předmět: |
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| Zdroj: |
Pediatrics International; Dec2007, Vol. 49 Issue 6, p801-805, 5p, 2 Charts, 2 Graphs |
| Abstrakt: |
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. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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