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Review
. 2023 Mar;58(3):712-719.
doi: 10.1002/ppul.26274. Epub 2022 Dec 21.

Transition from intensive care unit to a portable ventilator in children with severe bronchopulmonary dysplasia

Robin L McKinney  1 , Amit Agarwal  2
Affiliations
Review

Transition from intensive care unit to a portable ventilator in children with severe bronchopulmonary dysplasia

Robin L McKinney et al. Pediatr Pulmonol. 2023 Mar.

Abstract

As the population of ventilator-dependent children (VDC) with tracheostomies due to underlying severe bronchopulmonary dysplasia grows, there is an increasing need to shift the care of these children from hospital to home. Transitioning the ventilator-dependent child from the hospital to home is a complex process that requires coordination between the medical team and the family. One crucial step in the process is transitioning from an Intensive care unit (ICU) ventilator to a portable home ventilator (PHV). The Clinical team needs to understand the nuances in transitioning to PHV, including assessing readiness to transition and choosing the optimum settings on an available home ventilator. In recent years, various ventilator modes have been available in PHV that can help achieve synchronous breathing to allow for adequate gas exchange for the infant. This review details some approaches to asses readiness to transition and the process of Transition along with commonly used modes of support available in PHV, as well as the primary and secondary settings in which we should be mindful in supporting a child with chronic respiratory failure in the home setting.

Keywords: bronchopulmonary dysplasia; chronic respiratory failure; home mechanical ventilation; long term ventilatory support; pediatrics; portable ventilator; respiratory; transition to home.

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References

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