Anest. intenziv. Med. 1999;10(2):79-84
Airway Pressure Release Ventilation (APRV) and Biphasic Positive Airway Pressure (BIPAP) in children without severe pulmonary pathologyArticles
- ARO a ECMO centrum Fakultní dětské nemocnice Brno, přednosta prim. MUDr. Michal Klimovič, vedoucí ECMO centra doc. MUDr. Roman Nekvasil, CSc.
Thirty-four mechanically ventilated paediatric patients without severe lung dysfunction (ALI/ARDS) were ventilated in APRV/BIPAP mode.Following parameters were monitored: acid-base balance were achieved (pO2 11,5 kPa in time 0 and 12,3 kPa in 72 hours, pCO2 6,33 and 4,72 kPa;p 0,05); FiO2 could be decreased from 0,42 to 0,33. There were lower pressures in the airways [Phigh 15,3 vs. 14,3 MAP 6,8 vs. 4,3; Plow 4,8 vs. 3,3(cmH2O)] and better indexes - AaDO2 20,2 vs. 13,2 kPa; OI 3,3 vs. 1,4; pO2/FiO2 217,3 vs. 296,6 torr (p 0,05). We did not observe any complicationassociated with mechanical ventilation; ventilatory mode was well tolerated.
Keywords: mechanical ventilation; APRV; BIPAP; children
Published: April 1, 1999 Show citation
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Fedora M, Klimovič M, Šeda M, Nekvasil R, Dominik P. Airway Pressure Release Ventilation (APRV) and Biphasic Positive Airway Pressure (BIPAP) in children without severe pulmonary pathology. Anest. intenziv. Med. 1999;10(2):79-84.