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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Autores principales: Diaz-Abad, Montserrat, Isaiah, Amal, Rogers, Valerie E, Pereira, Kevin D., Lasso-Pirot, Anayansi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6198579/
https://www.ncbi.nlm.nih.gov/pubmed/30402319
http://dx.doi.org/10.1155/2018/4701736
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author Diaz-Abad, Montserrat
Isaiah, Amal
Rogers, Valerie E
Pereira, Kevin D.
Lasso-Pirot, Anayansi
author_facet Diaz-Abad, Montserrat
Isaiah, Amal
Rogers, Valerie E
Pereira, Kevin D.
Lasso-Pirot, Anayansi
author_sort Diaz-Abad, Montserrat
collection PubMed
description 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.
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spelling pubmed-61985792018-11-06 Use of Noninvasive Ventilation with Volume-Assured Pressure Support to Avoid Tracheostomy in Severe Obstructive Sleep Apnea Diaz-Abad, Montserrat Isaiah, Amal Rogers, Valerie E Pereira, Kevin D. Lasso-Pirot, Anayansi Case Rep Pediatr Case Report 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. Hindawi 2018-10-09 /pmc/articles/PMC6198579/ /pubmed/30402319 http://dx.doi.org/10.1155/2018/4701736 Text en Copyright © 2018 Montserrat Diaz-Abad et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Diaz-Abad, Montserrat
Isaiah, Amal
Rogers, Valerie E
Pereira, Kevin D.
Lasso-Pirot, Anayansi
Use of Noninvasive Ventilation with Volume-Assured Pressure Support to Avoid Tracheostomy in Severe Obstructive Sleep Apnea
title Use of Noninvasive Ventilation with Volume-Assured Pressure Support to Avoid Tracheostomy in Severe Obstructive Sleep Apnea
title_full Use of Noninvasive Ventilation with Volume-Assured Pressure Support to Avoid Tracheostomy in Severe Obstructive Sleep Apnea
title_fullStr Use of Noninvasive Ventilation with Volume-Assured Pressure Support to Avoid Tracheostomy in Severe Obstructive Sleep Apnea
title_full_unstemmed Use of Noninvasive Ventilation with Volume-Assured Pressure Support to Avoid Tracheostomy in Severe Obstructive Sleep Apnea
title_short Use of Noninvasive Ventilation with Volume-Assured Pressure Support to Avoid Tracheostomy in Severe Obstructive Sleep Apnea
title_sort use of noninvasive ventilation with volume-assured pressure support to avoid tracheostomy in severe obstructive sleep apnea
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6198579/
https://www.ncbi.nlm.nih.gov/pubmed/30402319
http://dx.doi.org/10.1155/2018/4701736
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