Volume assured pressure support mode use for non-invasive ventilation in pediatrics.
Nisha CithiravelLena XiaoJenny ShiJackie ChiangReshma AminPublished in: Pediatric pulmonology (2023)
There has been increasing interest in utilizing volume assured pressure support (VAPS) modes of ventilation for children, which historically had only been favored in adult populations. In addition to patients with obesity hypoventilation syndrome, newer pediatric populations for which it has recently been prescribed include congenital central hypoventilation syndrome and children with neuromuscular disease such as Duchenne muscular dystrophy and spinal muscular atrophy. Given its expanding use in pediatrics, greater familiarity with VAPS is essential for pediatric pulmonologists and sleep physicians. This review article will highlight methods of initiation for this mode, specific ventilator settings, discussion of suitable pediatric patient populations, ventilator titrations via formal polysomnograms and detailed ventilator data downloads specific interpretation. Finally, common challenges to be aware of and how to troubleshoot relevant machine alarms will be reviewed.
Keyphrases
- mechanical ventilation
- duchenne muscular dystrophy
- acute respiratory distress syndrome
- young adults
- respiratory failure
- primary care
- intensive care unit
- metabolic syndrome
- positive airway pressure
- case report
- insulin resistance
- childhood cancer
- weight loss
- extracorporeal membrane oxygenation
- electronic health record
- obstructive sleep apnea
- physical activity
- big data
- adipose tissue
- weight gain
- body mass index
- sleep quality
- data analysis
- depressive symptoms