Helmet-delivered continuous positive airway pressure with heliox in respiratory syncytial virus bronchiolitis

被引：27
作者：
Mayordomo-Colunga, J. [1 ]
Medina, A. [1 ]
Rey, C. [1 ]
Concha, A. [1 ]
Los Arcos, M. [1 ]
Menendez, S. [1 ]
机构：
[1] Univ Oviedo, Hosp Univ Cent Asturias, Dept Paediat, Paediat Intens Care Unit, Oviedo, Asturias, Spain
来源：
ACTA PAEDIATRICA | 2010年 / 99卷 / 02期
关键词：
Apnoeas; Bronchiolitis; Continuous positive airway pressure; Heliox; Infant; SUPPORT VENTILATION; FAILURE; INFANTS; CPAP; CHILDREN;
D O I：
10.1111/j.1651-2227.2009.01529.x
中图分类号：
R72 [儿科学];
学科分类号：
100202 ;
摘要：
Aim: The objective of this study was to check the feasibility and efficacy of helmet-delivered heliox-continuous positive airway pressure (CPAP) in infants with bronchiolitis. Methods: Children < 3 months of age diagnosed with respiratory syncytial virus bronchiolitis and recurrent apnoeas or a venous PCO2 > 55 mmHg or a transcutaneous oxygen saturation < 92% in room air were eligible for inclusion in the study. CPAP was delivered by a noninvasive ventilator connected to a heliox port. The interface was a helmet. Results: Eight consecutive infants fulfilled the inclusion criteria. Apnoeas were present in six children before respiratory support was started; they disappeared in five of them. Two infants had to be changed to pressure support noninvasive ventilation, and one of them required intubation. No side effects were recorded. Conclusion: We propose a relatively new device to deliver heliox-CPAP in small infants with bronchiolitis. Although this is just a descriptive study with a short sample, this system seems to be feasible and effective.
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收藏
页码：308 / 311
页数：4
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