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Transition from ICU to Portable home ventilator (PHV) in children with severe Bronchopulmonary Dysplasia (BPD)
  • Amit Agarwal,
  • Robin McKinney
Amit Agarwal
University of Arkansas for Medical Sciences Department of Pediatrics

Corresponding Author:[email protected]

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Robin McKinney
Brown University Warren Alpert Medical School Department of Pediatrics
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As the population of ventilator-dependent children (VDC) with tracheostomies due to underlying severe BPD grows, there is an increasing need to shift the care of these children from hospital to home. Transitioning the ventilator-dependent child from the hospital to home is a complex process that requires coordination between the medical team and the family. One crucial step in the process is transitioning from an Intensive care unit (ICU) ventilator to a portable home ventilator (PHV). The Clinical team needs to understand the nuances in transitioning to PHV, including assessing readiness to transition and choosing the optimum settings on an available home ventilator. In recent years, various ventilator modes have been available in PHV that can help achieve synchronous breathing to allow for adequate gas exchange for the infant. This review details some approaches to asses readiness to transition and the process of Transition along with commonly used modes of support available in PHV, as well as the primary and secondary settings in which we should be mindful in supporting a child with chronic respiratory failure in the home setting.
28 Aug 2022Submitted to Pediatric Pulmonology
28 Aug 2022Submission Checks Completed
28 Aug 2022Assigned to Editor
01 Sep 2022Reviewer(s) Assigned
22 Sep 2022Review(s) Completed, Editorial Evaluation Pending
23 Sep 2022Editorial Decision: Revise Major
07 Nov 20221st Revision Received
10 Nov 2022Submission Checks Completed
10 Nov 2022Assigned to Editor
10 Nov 2022Review(s) Completed, Editorial Evaluation Pending
10 Nov 2022Reviewer(s) Assigned
06 Dec 2022Editorial Decision: Accept