Trigger issues with a life support device in children

IF 3.8 2区医学 Q1 CLINICAL NEUROLOGY

Sleep medicine Pub Date : 2025-04-23 DOI:10.1016/j.sleep.2025.106534

Sonia Khirani , Florian Stehling , Benjamin Dudoignon , Alessandro Amaddeo , Marine Dosso , Clément Poirault , Lucie Griffon , Brigitte Fauroux

引用次数: 0

Abstract

Noninvasive ventilation (NIV) is widely used in children. Only a few devices are life support ventilators. The pressure support (PSV) mode is the most common used mode for home NIV, while assist-control pressure ventilation (PAC) is usually used in patients with abnormal central drive. Patient-ventilator asynchrony (PVA) is common during NIV and may have different causes, such as unintentional leaks, inadequate settings or misunderstanding of the settings. However, PVA may also be due to issues related to the NIV device, which is less common and is challenging. We report here the cases of 5 children with PVA due to trigger issues with a recent life support device.

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触发儿童生命维持设备的问题

无创通气（NIV）在儿童中广泛应用。只有少数设备是生命维持呼吸机。压力支持（PSV）模式是家用NIV最常用的模式，而辅助控制压力通气（PAC）通常用于中枢驱动异常的患者。患者-呼吸机不同步（PVA）在NIV期间很常见，可能有不同的原因，如无意泄漏，设置不充分或对设置的误解。然而，PVA也可能是由于与NIV设备相关的问题，这是不常见的，是具有挑战性的。我们在此报告5例儿童PVA由于触发问题与最近的生命支持装置。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Sleep medicine 医学-临床神经学

CiteScore

8.40

自引率

6.20%

发文量

1060

审稿时长

49 days

期刊介绍： Sleep Medicine aims to be a journal no one involved in clinical sleep medicine can do without. A journal primarily focussing on the human aspects of sleep, integrating the various disciplines that are involved in sleep medicine: neurology, clinical neurophysiology, internal medicine (particularly pulmonology and cardiology), psychology, psychiatry, sleep technology, pediatrics, neurosurgery, otorhinolaryngology, and dentistry. The journal publishes the following types of articles: Reviews (also intended as a way to bridge the gap between basic sleep research and clinical relevance); Original Research Articles; Full-length articles; Brief communications; Controversies; Case reports; Letters to the Editor; Journal search and commentaries; Book reviews; Meeting announcements; Listing of relevant organisations plus web sites.