Early use of Nasal-BiPAP in two infants with Congenital Central Hypoventilation syndrome.
 
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Descrição

To reduce the problems caused by prolonged artificial ventilation in babies with Congenital Central Hypoventilation syndrome (CCHS). Methods: Two term infants with CCHS, weighing 4030 g and 3100 g, respectively, at the beginning of treatment and aged 53 and 31 d, respectively, were successfully ventilated with a Nasal Bilevel Positive Airway Pressure (N-BiPAP) device. Results: In the first patient the tcPO[SUB2] recordings (mean ± SD) during sleep were 46 ± 12 mmHg before using N-BiPAP and 58 ± 13 mmHg after using the device, while those for tcPCO[SUB2] were 75 ± 9 mmHg and 49 ± 11 mmHg, respectively. In the second patient tcPO[SUB2] during sleep was 42 ± 3 mmHg before, and 55 ± 5 after N-BiPAP, and for tcPCO[SUB2] the recordings were 119 ± 24 mmHg and 55 ± 6 mmHg, respectively, showing a significant improvement. One infant had persistent gastro-oesophageal reflux, and frontal skin abrasion caused by the face mask. Nevertheless, these complications did not necessitate the discontinuation of N-BiPAP ventilation, thus precluding prolonged use of intubation and tracheotomy. Conclusion: In infants with CCHS, early use of non-invasive, positive-pressure ventilation with N-BiPAP, in association with careful monitoring, can decrease problems caused by prolonged intubation and tracheotomy

Enviado por:

Emanuel Santana (Emanuel)

Enviado em:

22 Jan 2010

Tamanho do Arquivo:

79.46 Kb

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6

Data do arquivo:

22 Jan 2010

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