The Science Journal of the American Association for Respiratory Care
Background - The Children's Hospital of Orange County (CHOC) transport team frequently transports infants and children with respiratory and or cardiac failure for HFOV, Nitric Oxide, and/or ECMO. Increasingly patients are receiving high frequency ventilation (HFV) at the time of referral or have a diagnosis which might benefit from high frequency ventilation. This trend led us to search for a ventilator which could deliver HFV during transport. We report our implementation of transport HFV and our experience to date.
Preparation - All transport personnel were inserviced on the features and indications for use of the VDR
Indications for use -The VDR
Experience to date - 7 transports have been performed using HFV. Cases have included: 2 term infants with sepsis/pneumonia. I term infant with MAS. 2 preterm infants with air leak syndromes (pulmonary interstitial emphysema and broncho-pleural fistula). I term infant with pulmonary hemorrhage and 1 three year old with ARDS.
Duration of return transport has ranged from 30 to 130 minutes. During one transport HFV was combined with N.O. therapy. In all cases to date the oxygen saturation during transport was either improved (5/7) or unchanged (2/7) when compared with the 1 hour prior to transport. Arterial blood gasses obtained upon arrival at CHOC have shown CO2 to be within clinical target range (30 to 50 torr) in all patients. This is the first program to use VDR