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

ABSTRACT:

Introduction

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.

Methods

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 .

Results

Weaning NV was successful in 20/21 patien

SUBMITTER: Liptzin DR 

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

REPOSITORIES: biostudies-literature