List Archives

Sun Jan 18 00:00:56 GMT 2009

Dell,

Yes. We have a huge experience on this mode with children. The last I heard AZTRACC was already attempting to conduct a study. I am not sure if children are included on it. I will ask. 

Dutch

________________________________

From: trauma-list-bounces at trauma.org on behalf of moore677 at aol.com
Sent: Sat 1/17/2009 3:17 PM
To: trauma-list at trauma.org
Subject: APRV IN PEDIATRIC TRAUMA PATIENTS

Dutch and members:

Does anyone out there have any experience with APRV (Airway Pressure Release Ventilation) in kids?? We have been using in this in adults and I am now trialing this with our kids in the trauma bay, however, our pediatric intensivists are unfamiliar with this mode.?

We had a great save with this mode in a 4yo who was ejected with a severe TBI, extensive B pulmonary contusions, and aspiration.? We were unable to oxygenate or ventilate her on either conventional?volume or pressure control.? She was placed on APRV (BI-VENT/BI-LEVEL) with marked improvement, however, was taken off for an emergent crani.? The anesthesiologists were again unable to oxygenate or ventilate and we placed her back on APRV.? The peds intensivist wanted to try her on the oscillator, but we were able to convince them to stay on APRV.? She has done remarkably well from a resp standpoint, although she remains with a GCS of 5T.?

Any help, anecdotal or otherwise is appreciated.

Dell..............

Forrest "Dell" Moore, MD, FACS
Trauma Critical Care Surgery
Co-director Trauma & Surgical ICU
St. Joseph's Hospital and Medical Center
Phoenix, AZ
Cell 480 284 1703
--
trauma-list : TRAUMA.ORG
To change your settings or unsubscribe visit:
http://www.trauma.org/index.php?/community/

List Archives

For your convenience, find the Trauma List Archive Below

APRV IN PEDIATRIC TRAUMA PATIENTS