Open AccessNoninvasive ventilation in a young infant with congenital central hypoventilation and 7‐year follow‐up
Author(s) -
Xu Zhifei,
Wu Yunxiao,
Li Bei,
Zheng Li,
Liu Jingyuan,
Shen Kunling
Publication year - 2019
Publication title -
pediatric investigation
Language(s) - English
Resource type - Journals
ISSN - 2574-2272
DOI - 10.1002/ped4.12167
Subject(s) - congenital central hypoventilation syndrome , hypoventilation , medicine , noninvasive ventilation , ventilation (architecture) , pediatrics , positive airway pressure , anesthesia , respiratory system , mechanical ventilation , obstructive sleep apnea , mechanical engineering , engineering
Congenital central hypoventilation syndrome ( CCHS ) is a rare disorder characterized by alveolar hypoventilation and autonomic system dysregulation secondary to mutations of the PHOX 2B gene. Treatment consists of assisted ventilation using positive‐pressure ventilators via tracheostomy, bi‐level positive airway pressure ( BPAP ) via a noninvasive interface, negative‐pressure ventilators, or diaphragm pacing. The long‐term use of BPAP in younger children at home has been less frequently reported. Case presentation We present a case of a 2‐month‐old infant with CCHS who was successfully managed by BPAP without the need for tracheostomy and followed up for 7 years. Conclusion CCHS is a rare disease that manifests as nocturnal desaturation and carbon dioxide retention in early life. Noninvasive ventilation can be successfully used in young infants via an appropriate mask.