Airway Pressure Release Ventilation (APRV) and Biphasic Positive Airway Pressure (BIPAP) in children without severe pulmonary pathology

Czech version

Authors: M. Fedora; M. Klimovič; M. Šeda; R. Nekvasil; P. Dominik
Authors‘ workplace: ARO a ECMO centrum Fakultní dětské nemocnice Brno, přednosta prim. MUDr. Michal Klimovič, vedoucí ECMO centra doc. MUDr. Roman Nekvasil, CSc.
Published in: Anest. intenziv. Med., , 1999, č. 2, s. 79-84
Category:

Overview

Thirty-four mechanically ventilated paediatric patients without severe lung dysfunction (ALI/ARDS) were ventilated in APRV/BIPAP mode.Following parameters were monitored: acid-base balance were achieved (pO2 11,5 kPa in time 0 and 12,3 kPa in 72 hours, pCO2 6,33 and 4,72 kPa;p 0,05); FiO2 could be decreased from 0,42 to 0,33. There were lower pressures in the airways [Phigh 15,3 vs. 14,3 MAP 6,8 vs. 4,3; Plow 4,8 vs. 3,3(cmH2O)] and better indexes - AaDO2 20,2 vs. 13,2 kPa; OI 3,3 vs. 1,4; pO2/FiO2 217,3 vs. 296,6 torr (p 0,05). We did not observe any complicationassociated with mechanical ventilation; ventilatory mode was well tolerated.

Key words:
mechanical ventilation - APRV - BIPAP - children

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