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Weaning nocturnal ventilation and decannulation in a pediatric ventilator care program.


ABSTRACT: Children with chronic respiratory failure and upper airway disorders may require tracheostomy placement and long-term mechanical ventilation, yet many improve to permit ventilator weaning and decannulation.As a quality improvement project, we conducted a chart review of patients followed by our Ventilator Care Program who underwent evaluation for weaning nocturnal ventilation (NV) and/or decannulation from 2007-2014. We collected patient demographics and characterized location, monitoring techniques, and outcomes for patients undergoing weaning NV or decannulation. We attempted to implement end tidal carbon dioxide (ETCO2 ) monitoring and used linear regression to compare ETCO2 with morning pCO2 .Weaning NV was successful in 20/21 patients. Decannulation was successful in 18/21 attempts. Once implemented, ETCO2 was piloted and successfully performed in 12 attempts (29%). Blood testing was performed in 24/42 trials (57%). When measured, the final ETCO2 result partially correlated with morning pCO2 (R(2) ?=?0.53, P?

SUBMITTER: Liptzin DR 

PROVIDER: S-EPMC5070936 | biostudies-literature | 2016 Aug

REPOSITORIES: biostudies-literature

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Weaning nocturnal ventilation and decannulation in a pediatric ventilator care program.

Liptzin Deborah R DR   Connell Elisabeth A EA   Marable Jennifer J   Marks Jill J   Thrasher Jodi J   Baker Christopher D CD  

Pediatric pulmonology 20160425 8


<h4>Introduction</h4>Children with chronic respiratory failure and upper airway disorders may require tracheostomy placement and long-term mechanical ventilation, yet many improve to permit ventilator weaning and decannulation.<h4>Methods</h4>As a quality improvement project, we conducted a chart review of patients followed by our Ventilator Care Program who underwent evaluation for weaning nocturnal ventilation (NV) and/or decannulation from 2007-2014. We collected patient demographics and char  ...[more]

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