Pediatric Average Volume Assured Pressure Support

Saddi, Vishal; Thambipillay, Ganesh; Martin, Bradley J.; Blecher, Gregory; Teng, Arthur

doi:10.3389/fped.2022.868625

Cited by 7 publications

(6 citation statements)

References 27 publications

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“…A recent review of the current literature behind the use of AVAPS in the pediatric population described several studies that found the efficacy of AVAPS in several conditions compared with traditional bilevel PAP. These included an improved treatment of hypoventilation and improved adherence [ 26 ]. However, the authors noted that the body of evidence on the use of AVAPS in pediatric patients remains confined to a single center and case studies without control groups, and highlighted the need for prospective randomized controlled trials [ 26 ].…”

Section: Discussionmentioning

confidence: 99%

Average Volume-assured Pressure Support as Rescue Therapy after CPAP Failure in Pediatric Obstructive Sleep Apnea: A Retrospective Case Series Study

Peng¹,

Hwig²,

Lasso‐Pirot³

et al. 2023

TORMJ

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Background: Continuous positive airway pressure (CPAP) is frequently prescribed for patients with residual obstructive sleep apnea (OSA) following adenotonsillectomy. Objectives: The goal was to examine the efficacy of noninvasive ventilation with average volume-assured pressure support (AVAPS) as a potential option for children with failed CPAP titration. Methods: In a single-center retrospective study, we included children aged 1-17 years, with polysomnographically confirmed OSA who underwent AVAPS titration following failed CPAP titration. In addition to describing the clinical characteristics of the included patients, we compared polysomnographic parameters before and after AVAPS. Results: Nine patients met the inclusion criteria; out of them, 8 (89%) were males with an age range of 6.7 ± 3.9 years and a body mass index percentile of 81.0 ± 28.9. Reasons for failed CPAP titration were: 3 (33%) patients due to inability to control apnea-hypopnea index (AHI), 3 (33%) patients due to sleep-related hypoventilation, 2 (22%) patients due to treatment-emergent central sleep apnea, and 1 (11%) patient due to intolerance to CPAP. AVAPS resulted in a greater reduction in AHI than CPAP (reduction following CPAP = 24.6 ± 29.3, reduction following AVAPS = 42.5 ± 37.6, p = 0.008). All patients had resolution of the problems which caused CPAP failure. Conclusion: In this case a series of children with OSA and with failed CPAP titration, AVAPS resulted in a greater reduction in AHI compared with CPAP as well as resolution of the problems which caused CPAP failure.

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Section: Discussionmentioning

confidence: 99%

Average Volume-assured Pressure Support as Rescue Therapy after CPAP Failure in Pediatric Obstructive Sleep Apnea: A Retrospective Case Series Study

Peng¹,

Hwig²,

Lasso‐Pirot³

et al. 2023

TORMJ

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“…[52][53][54][55] Nocturnal gas exchange and adherence to NIV may be better with volume-assured BPAP modes compared with conventional BPAP modes, [54][55][56] however further studies are required in pediatrics to confirm these findings and to address the benefices and limitations of these hybrid modes. [57][58][59] Regarding autoset expiratory airway positive pressure modalities, they may be used in selected children with nocturnal hypoventilation and obstructive sleep apnea, however to our knowledge, no study has described their use in children.…”

Section: Bpap Devicesmentioning

confidence: 99%

Mask interfaces and devices for home noninvasive ventilation in children

Khirani,

Ducrot

2024

Pediatric Pulmonology

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Home noninvasive ventilation (NIV), including continuous (CPAP) and bilevel (BPAP) positive airway pressure, is increasingly used in children worldwide. In this narrative review, we present a comprehensive summary of the equipment available for home NIV in pediatrics, excluding neonates. NIV may be challenging in young children, as the majority of the equipment has been developed for adults. Regarding the interfaces, only a few masks have been specifically developed for young children in recent years, while older children may benefit from a large variety of interfaces. Even though much progress has been made, skin injuries are still present, and need to be managed rapidly. Several studies addressed the management of the side effects, but recent studies are lacking regarding orofacial anomalies. No recent study reported the available interfaces for young children and the strategies for an optimal mask fit. Regarding the devices, an adapted NIV device to pediatrics that allows an adequate patient's breathing detection should guarantee optimal ventilatory efficiency and monitoring of NIV. A close follow‐up and regular monitoring should be mandatory to rule out the potential issues, optimize NIV therapy and ascertain the efficacy of NIV. However, studies are lacking to guide the choice of devices in young children and the optimal management of home NIV in pediatrics. We summarized the characteristics of the different interfaces available for young children and the limitations of NIV devices. We finally addressed potential areas for future research on long‐term home NIV in children.

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“…8 However, data surrounding its use are limited to case reports and limited case series. 9 Furthermore, there is, to our knowledge, no literature or guidance surrounding the use of this modality in pediatric patients who require invasive ventilation via tracheostomy.…”

Section: Mirroring These Improvements New Innovations In Home Ventila...mentioning

confidence: 99%

Use of average volume‐assured pressure support (AVAPS) in invasive pediatric chronic mechanical ventilation

Kaslow

2023

Pediatric Pulmonology

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Pediatric Average Volume Assured Pressure Support

Cited by 7 publications

References 27 publications

Average Volume-assured Pressure Support as Rescue Therapy after CPAP Failure in Pediatric Obstructive Sleep Apnea: A Retrospective Case Series Study

Average Volume-assured Pressure Support as Rescue Therapy after CPAP Failure in Pediatric Obstructive Sleep Apnea: A Retrospective Case Series Study

Mask interfaces and devices for home noninvasive ventilation in children

Use of average volume‐assured pressure support (AVAPS) in invasive pediatric chronic mechanical ventilation

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