Use of Noninvasive Ventilation with Volume-Assured Pressure Support to Avoid Tracheostomy in Severe Obstructive Sleep Apnea

Obstructive sleep apnea (OSA) is a common disorder in children but can occasionally present with life-threatening hypoxemia. Obesity is a significant risk factor for poor outcomes of OSA treatment. Continuous positive airway pressure (CPAP) is indicated in children who are not candidates for or have...

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Published inCase reports in pediatrics Vol. 2018; no. 2018; pp. 1 - 4
Main Authors Pereira, Kevin D., Rogers, Valerie E, Isaiah, Amal, Diaz-Abad, Montserrat, Lasso-Pirot, Anayansi
Format Journal Article
LanguageEnglish
Published Cairo, Egypt Hindawi Publishing Corporation 01.01.2018
Hindawi
Hindawi Limited
Wiley
Subjects
Anoxemia
Apnea
Care and treatment
Case Report
Case reports
Child health
Childhood obesity
Children & youth
Congenital diseases
Continuous positive airway pressure
Eye movements
Medical research
Medical schools
Morbidity
Novels
Obesity
Ostomy
Otolaryngology
Pediatrics
Respiration disorders
Risk factors
Sleep apnea
Sleep disorders
Surgery
Systematic review
Tracheostomy
Ventilators
Weight control
Maryland
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Summary:Obstructive sleep apnea (OSA) is a common disorder in children but can occasionally present with life-threatening hypoxemia. Obesity is a significant risk factor for poor outcomes of OSA treatment. Continuous positive airway pressure (CPAP) is indicated in children who are not candidates for or have an unsatisfactory response to adenotonsillectomy. Children acutely at risk for significant morbidity with other therapies are candidates for a tracheostomy. An eight-year-old patient with morbid obesity and severe OSA refractory to CPAP therapy was treated successfully with a novel noninvasive ventilation (NIV) mode with volume-assured pressure support (VAPS) and avoided tracheostomy.
Bibliography:Academic Editor: Albert M. Li
ISSN:2090-6803
2090-6811
DOI:10.1155/2018/4701736