Document Detail


Helmet-delivered continuous positive airway pressure with heliox in respiratory syncytial virus bronchiolitis.
MedLine Citation:
PMID:  19811455     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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 PCO(2) >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.
Authors:
J Mayordomo-Colunga; A Medina; C Rey; A Concha; M Los Arcos; S Men?ndez
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Publication Detail:
Type:  Journal Article     Date:  2009-10-07
Journal Detail:
Title:  Acta paediatrica (Oslo, Norway : 1992)     Volume:  99     ISSN:  1651-2227     ISO Abbreviation:  Acta Paediatr.     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-03-31     Completed Date:  2010-04-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9205968     Medline TA:  Acta Paediatr     Country:  Norway    
Other Details:
Languages:  eng     Pagination:  308-11     Citation Subset:  IM    
Affiliation:
Paediatric Intensive Care Unit, Department of Paediatrics, Hospital Universitario Central de Asturias, University of Oviedo, Oviedo, Asturias, Spain. jmcolunga@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Apnea / therapy
Bronchiolitis / therapy*
Continuous Positive Airway Pressure / instrumentation*,  methods*
Feasibility Studies
Female
Helium
Humans
Infant
Infant, Newborn
Male
Oxygen
Respiratory Syncytial Virus Infections / therapy*
Treatment Outcome
Chemical
Reg. No./Substance:
58933-55-4/heliox; 7440-59-7/Helium; 7782-44-7/Oxygen

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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