Division of Pediatric Pulmonology, Department of Pediatrics, Children's Healthcare of Atlanta, Emory University, Atlanta, Georgia, USA.
Pediatr Pulmonol. 2022 Jan;57(1):43-48. doi: 10.1002/ppul.25730. Epub 2021 Oct 21.
The Philips Respironics recall notification issued in June 2021 affected many of their positive airway pressure devices and mechanical ventilators including the Trilogy 100 and 200 ventilators that are often utilized in children using home positive pressure ventilation via tracheostomy (PPV-T). Optimal strategies to replace ventilators in children using home PPV-T affected by the Philips recall are unknown. We conducted a retrospective study of children using home PPV-T with recalled Trilogy ventilators who underwent inpatient ventilator change to non-recalled portable home ventilators (PHV) using our collaborative institutional protocol. During the study period, there were 40 children using PPV-T with recalled Trilogy ventilators and 19 patients underwent inpatient ventilator change either during an elective hospitalization (n = 8) or during an unscheduled or postoperative hospitalization (n = 11). The median duration of hospitalization for ventilator change was 2 days (interquartile range: 6 days) and generally 1 day for patients admitted solely for ventilator change. In children using PPV-T with recalled Trilogy ventilators, a systematic protocol collaborating with the patients, physicians, and durable medical equipment companies may optimize transition to nonrecalled PHVs.
2021 年 6 月发布的飞利浦 Respironics 召回通知影响了许多其正压通气设备和机械呼吸机，包括 Trilogy 100 和 200 呼吸机，这些呼吸机常用于通过气管造口术（PPV-T）在家中接受正压通气的儿童。在飞利浦召回事件中，受影响的在家中接受 PPV-T 的儿童更换呼吸机的最佳策略尚不清楚。我们根据合作机构的协议，对使用召回的 Trilogy 呼吸机在家中接受 PPV-T 的儿童进行了回顾性研究，这些儿童接受了住院更换非召回便携式家用呼吸机（PHV）。在研究期间，有 40 名使用带有召回 Trilogy 呼吸机的 PPV-T 的儿童和 19 名患者进行了住院更换呼吸机，其中 8 名在择期住院期间，11 名在非计划性或术后住院期间。呼吸机更换的住院中位时间为 2 天（四分位距：6 天），仅为因更换呼吸机而住院的患者的住院时间通常为 1 天。对于使用带有召回 Trilogy 呼吸机的 PPV-T 的儿童，与患者、医生和耐用医疗设备公司合作的系统方案可能会优化向非召回 PHV 的过渡。
