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Helmet‐delivered continuous positive airway pressure with heliox in respiratory syncytial virus bronchiolitis
Author(s) -
MayordomoColunga J,
Medina A,
Rey C,
Concha A,
Los Arcos M,
Menéndez S
Publication year - 2010
Publication title -
acta pædiatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/j.1651-2227.2009.01529.x
Subject(s) - heliox , medicine , bronchiolitis , continuous positive airway pressure , anesthesia , positive pressure , airway , respiratory system , intubation , obstructive sleep apnea
Aim: The objective of this study was to check the feasibility and efficacy of helmet‐delivered heliox‐continuous positive airway pressure (CPAP) in infants with bronchiolitis. Methods: Children <3 months of age diagnosed with respiratory syncytial virus bronchiolitis and recurrent apnoeas or a venous PCO 2 >55 mmHg or a transcutaneous oxygen saturation <92% in room air were eligible for inclusion in the study. CPAP was delivered by a noninvasive ventilator connected to a heliox port. The interface was a helmet. Results: Eight consecutive infants fulfilled the inclusion criteria. Apnoeas were present in six children before respiratory support was started; they disappeared in five of them. Two infants had to be changed to pressure support noninvasive ventilation, and one of them required intubation. No side effects were recorded. Conclusion: We propose a relatively new device to deliver heliox‐CPAP in small infants with bronchiolitis. Although this is just a descriptive study with a short sample, this system seems to be feasible and effective.