Walking with continuous positive airway pressure.
A ventilator-dependent child had been in the paediatric intensive care unit (PICU) ever since birth. As a result, she had fallen behind considerably in her development. After 18 months, continuous positive airway pressure was successfully administered via a tracheostomy tube with a novel lightweight device. This enabled her to walk in the PICU. With this device, the child was discharged home where she could walk with an action range of 10 m. Subsequently, her psychomotor development improved remarkably. To the authors' knowledge, this is the first case report of a patient, adult or paediatric, who could actually walk with a sufficient radius of action while receiving long-term respiratory support.
Surgical Intensive Care Unit, Department of Pediatrics, University Medical Center Groningen, P.O. Box 30.001, 9700 RB Groningen, The Netherlands.
W
W
Dieperink
J F
JF
Goorhuis
W
W
de Weerd
A
A
Hazenberg
J G
JG
Zijlstra
M W N
MW
Nijsten
D000015:Abnormalities, Multiple / Q000503:physiopathology / Q000628:therapy*; D002675:Child, Preschool; D045422:Continuous Positive Airway Pressure / Q000295:instrumentation*; D002658:Developmental Disabilities / Q000503:physiopathology / Q000628:therapy; D003964:Diaphragm / Q000002:abnormalities* / Q000503:physiopathology; D004867:Equipment Design; D005260:Female; D006330:Heart Defects, Congenital / Q000503:physiopathology / Q000628:therapy*; D006554:Hernia, Umbilical / Q000503:physiopathology / Q000628:therapy*; D006699:Home Care Services; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D015278:Intensive Care Units, Pediatric; D010496:Pericardium / Q000002:abnormalities*; D013249:Sternum / Q000002:abnormalities*; D014139:Tracheostomy / Q000295:instrumentation; D016138:Walking / Q000502:physiology*