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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Main Authors: Montserrat Diaz-Abad, Amal Isaiah, Valerie E Rogers, Kevin D. Pereira, Anayansi Lasso-Pirot
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Pediatrics
Online Access:http://dx.doi.org/10.1155/2018/4701736
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author Montserrat Diaz-Abad
Amal Isaiah
Valerie E Rogers
Kevin D. Pereira
Anayansi Lasso-Pirot
author_facet Montserrat Diaz-Abad
Amal Isaiah
Valerie E Rogers
Kevin D. Pereira
Anayansi Lasso-Pirot
author_sort Montserrat Diaz-Abad
collection DOAJ
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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series Case Reports in Pediatrics
spelling doaj-art-894da551763e4e148b4c7064156673f12025-08-20T03:38:02ZengWileyCase Reports in Pediatrics2090-68032090-68112018-01-01201810.1155/2018/47017364701736Use of Noninvasive Ventilation with Volume-Assured Pressure Support to Avoid Tracheostomy in Severe Obstructive Sleep ApneaMontserrat Diaz-Abad0Amal Isaiah1Valerie E Rogers2Kevin D. Pereira3Anayansi Lasso-Pirot4Department of Medicine, University of Maryland School of Medicine, Baltimore, Maryland, USADepartment of Otorhinolaryngology-Head and Neck Surgery, University of Maryland School of Medicine, Baltimore, Maryland, USADepartment of Family and Community Health, University of Maryland School of Nursing, Baltimore, Maryland, USADepartment of Otorhinolaryngology-Head and Neck Surgery, University of Maryland School of Medicine, Baltimore, Maryland, USADepartment of Pediatrics, University of Maryland School of Medicine, Baltimore, Maryland, USAObstructive 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.http://dx.doi.org/10.1155/2018/4701736
spellingShingle Montserrat Diaz-Abad
Amal Isaiah
Valerie E Rogers
Kevin D. Pereira
Anayansi Lasso-Pirot
Use of Noninvasive Ventilation with Volume-Assured Pressure Support to Avoid Tracheostomy in Severe Obstructive Sleep Apnea
Case Reports in Pediatrics
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
url http://dx.doi.org/10.1155/2018/4701736
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