Trigger issues with a life support device in children

Noninvasive ventilation (NIV) is widely used in children. Only a few devices are life support ventilators. The pressure support (PSV) mode is the most common used mode for home NIV, while assist-control pressure ventilation (PAC) is usually used in patients with abnormal central drive. Patient-ventilator asynchrony (PVA) is common during NIV and may have different causes, such as unintentional leaks, inadequate settings or misunderstanding of the settings. However, PVA may also be due to issues related to the NIV device, which is less common and is challenging. We report here the cases of 5 children with PVA due to trigger issues with a recent life support device.

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Publication Details

Journal
Sleep Medicine
Published
2025-04-23
DOI
https://doi.org/10.1016/j.sleep.2025.106534
Citations
3
Primary Topic
Neuroscience of respiration and sleep
Type
article
Field-Weighted Citation Impact
2.74
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Trigger issues with a life support device in children

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Trigger issues with a life support device in children

Alessandro Amaddeo, Sonia Khirani, Benjamin Dudoignon, Clément Poirault, Lucie Griffon, Brigitte Fauroux, Florian Stehling, Marine Dosso
article en
3 citations

Abstract

Noninvasive ventilation (NIV) is widely used in children. Only a few devices are life support ventilators. The pressure support (PSV) mode is the most common used mode for home NIV, while assist-control pressure ventilation (PAC) is usually used in patients with abnormal central drive. Patient-ventilator asynchrony (PVA) is common during NIV and may have different causes, such as unintentional leaks, inadequate settings or misunderstanding of the settings. However, PVA may also be due to issues related to the NIV device, which is less common and is challenging. We report here the cases of 5 children with PVA due to trigger issues with a recent life support device.

Sleep MedicineVol. 131
Hôpital Necker-Enfants Malades (FR), Université Paris Cité (FR), IRCCS Materno Infantile Burlo Garofolo (IT), Yahoo (Spain) (ES), Sorbonne Paris Cité (FR), Assistance Publique – Hôpitaux de Paris (FR), Hôpital Robert-Debré (FR), University of Duisburg-Essen (DE)
Openalex Percentile: Top 11%
Neuroscience of respiration and sleep
2.74
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