Services on Demand
Jornal de Pediatria
On-line version ISSN 1678-4782
RESENER, Tânia D.; MARTINEZ, Francisco E.; REITER, Karl and NICOLAI, Thomas. Home ventilation of pediatric patients: description of a program. J. Pediatr. (Rio J.) [online]. 2001, vol.77, n.2, pp. 84-88. ISSN 1678-4782. http://dx.doi.org/10.1590/S0021-75572001000200006.
OBJECTIVE: to describe a German program for home ventilatory support, and to analyze the possibility of applying it in Brazil. MATERIALS AND METHODS: we assessed Dr. von Haunersches Kinderklinik’s Pediatric Intensive Care Unity - Ludwig-Maximilians - Universität - München (Munich, Germany) home ventilatory support program between April 1997 and June 1998. RESULTS: patients aged between 1 and 21 years - 11 boys and 15 girls - participated in the study. Fifteen out of 26 children presented neuromuscular pathologies, 8 of them had ventilatory problems of central causes, and 3 children presented obstructive pulmonary diseases. Twelve (46.2%) were receiving noninvasive ventilatory assistance, and 19 (73.1%) only needed intermittent ventilatory support. CONCLUSION: the program relies on a permanent multidisciplinary staff to treat intercurrent diseases. Patients, at predetermined periods, are re-evaluated as to the evolution of respiratory insufficiency. The adequate system organization provides patients and their families with security, and accounts for the success of the home ventilatory support program. A great deal of organizational efforts should be consolidated before implementing similar programs in Brazil.
Keywords : artificial respiration; respiratory insufficiency; lung diseases.