Skip to main content
 

Main menu

  • Home
  • Content
    • Current Issue
    • Editor's Commentary
    • Coming Next Month
    • Archives
    • Top 10 Papers in 2020
  • Authors
    • Author Guidelines
    • Submit a Manuscript
  • Reviewers
    • Reviewer Information
    • Create Reviewer Account
    • Appreciation of Reviewers
  • CRCE
    • Through the Journal
    • JournalCasts
    • AARC University
    • PowerPoint Template
  • Open Forum
    • Call for Abstracts 2021
    • 2020 Abstracts
    • Previous Open Forums
  • Podcast
    • English
    • Portugûes
    • 国语

User menu

  • Subscribe
  • My alerts
  • Log in

Search

  • Advanced search
American Association for Respiratory Care
  • Subscribe
  • My alerts
  • Log in
American Association for Respiratory Care

Advanced Search

  • Home
  • Content
    • Current Issue
    • Editor's Commentary
    • Coming Next Month
    • Archives
    • Top 10 Papers in 2020
  • Authors
    • Author Guidelines
    • Submit a Manuscript
  • Reviewers
    • Reviewer Information
    • Create Reviewer Account
    • Appreciation of Reviewers
  • CRCE
    • Through the Journal
    • JournalCasts
    • AARC University
    • PowerPoint Template
  • Open Forum
    • Call for Abstracts 2021
    • 2020 Abstracts
    • Previous Open Forums
  • Podcast
    • English
    • Portugûes
    • 国语
  • Follow aarc on Twitter
  • Visit aarc on Facebook
Meeting ReportNeonatal/Pediatrics

Oxygen Supplementation in a Model of a Ventilator-Dependent Tracheostomized Child

Cameron Alarcon, Denise Willis and Ariel Berlinski
Respiratory Care October 2020, 65 (Suppl 10) 3441779;
Cameron Alarcon
Respiratory Care Services, Arkansas Children's Hospital, Little Rock, Arkansas, United States
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Denise Willis
Respiratory Care Services, Arkansas Children's Hospital, Little Rock, Arkansas, United States
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Ariel Berlinski
Department of Pediatrics, Pulmonology, University of Arkansas for Medical Sciences, Little Rock, Arkansas, United States
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • References
  • Info & Metrics
Loading

Abstract

Background: Pediatric patients receiving chronic mechanical ventilation via tracheostomy have variable needs for oxygenation. Supplemental oxygen can be supplied either through the ventilator or at the tracheostomy site. In this study we compared tracheal FIO2 achieved through 2 different methods in a model of pediatric mechanical ventilation via tracheostomy. We hypothesize that administering oxygen through the tracheostomy would provide a higher FIO2.

Methods: An in-vitro model of pediatric ventilation via tracheostomy was utilized with a home ventilator (Breas Vivo 65) which was connected in series to a single-limb heated wire passive ventilator circuit (Fisher & Paykel RT219, internal diameter 30 mm), a tracheostomy ring (t-ring) adapter, 4.0 pediatric tracheostomy tube with cuff inflated (Bivona TTS), t-piece with oxygen analyzer (trachea), filter, and an infant test lung (20% leak, resistance Rp50 and compliance 2 mL/mbar). Ventilator settings were PC-SIMV, RR 30, PC 30, I-time 0.6, PEEP 5 and PS 15. Oxygen was administered through the ventilator’s designated oxygen inlet and through the t-ring at different flows and the resultant FIO2 was measured at the tracheal level. Measurements were done in quadruplicate after 5 minutes of continuous operation. A T-test was used to compared tracheal FIO2 obtained with different connections.

Results: See Table.

Conclusions: In an in-vitro model of pediatric ventilation via tracheostomy, delivering supplemental oxygen through the t-ring provided a higher FIO2 than using the ventilator port when oxygen flows were ≥ 3 L/min. However, the use of a t-ring could potentially affect the monitored tidal volume.

View this table:
  • View inline
  • View popup
FIO2 X ± SD

Footnotes

  • Commercial Relationships: Dr. Berlinski served as principal investigator in studies sponsored by: AbbVie, Allergan, Anthera, DCI, Cempra, Cystic Fibrosis Foundation, National Institute of Health, Novartis, Therapeutic Development Network, Trudell Medical International, Vertex and Vivus. Dr. Berlinski serves as science advisor to the International Pharmaceutical Aerosol Consortium on Regulation and Science (IPAC-RS).

  • Copyright © 2020 by Daedalus Enterprises
PreviousNext
Back to top

In this issue

Respiratory Care
Vol. 65, Issue Suppl 10
1 Oct 2020
  • Table of Contents
  • Index by author
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word on American Association for Respiratory Care.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Oxygen Supplementation in a Model of a Ventilator-Dependent Tracheostomized Child
(Your Name) has sent you a message from American Association for Respiratory Care
(Your Name) thought you would like to see the American Association for Respiratory Care web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Citation Tools
Oxygen Supplementation in a Model of a Ventilator-Dependent Tracheostomized Child
Cameron Alarcon, Denise Willis, Ariel Berlinski
Respiratory Care Oct 2020, 65 (Suppl 10) 3441779;

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero

Share
Oxygen Supplementation in a Model of a Ventilator-Dependent Tracheostomized Child
Cameron Alarcon, Denise Willis, Ariel Berlinski
Respiratory Care Oct 2020, 65 (Suppl 10) 3441779;
del.icio.us logo Digg logo Reddit logo Twitter logo CiteULike logo Facebook logo Google logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
  • Figures & Data
  • Info & Metrics
  • References

Related Articles

Cited By...

Info For

  • Subscribers
  • Institutions
  • Advertisers

About Us

  • About Us
  • Editorial Board
  • Reprints/Permissions

AARC

  • Membership
  • Meetings
  • Clinical Practice Guidelines

More

  • Contact Us
  • RSS
American Association for Respiratory Care

Print ISSN: 0020-1324        Online ISSN: 1943-3654

© Daedalus Enterprises, Inc.

Powered by HighWire