Primary tracheocutaneous fistula closure with immediate transition to nocturnal noninvasive positive pressure ventilation in two children with Congenital Central Hypoventilation Syndrome.

Abstract:

:Transitioning children with Congenital Central Hypoventilation Syndrome (CCHS) from nocturnal invasive ventilation via tracheostomy to noninvasive positive pressure ventilation (NIPPV) is challenging due to the leak caused by the tracheocutaneous fistula (TCF), resulting in insufficient ventilation. Decannulation and primary closure of the TCF with immediate transition to nocturnal NIPPV was performed in two children with CCHS at a tertiary care children's hospital. Neither child developed significant adverse effects such as pneumomediastinum or pneumothorax. This technique is a novel approach that may improve decannulation outcomes and aid transition to NIPPV in this patient population.

authors

Kallenbach SL,Espahbodi M,Amos LB,Beste DJ,Chun RH

doi

10.1016/j.ijporl.2020.110019

subject

Has Abstract

pub_date

2020-07-01 00:00:00

pages

110019

eissn

0165-5876

issn

1872-8464

pii

S0165-5876(20)30162-2

journal_volume

134

pub_type

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