Special considerations for pediatric patients

Detecting a child’s tidal volume and/or respiratory effort requires sensitive algorithms and technology. ResMed has engineered respiratory support devices that offer advanced inspiratory trigger sensitivity, thereby improving synchrony and respiratory support for the child.

  • ResMed ventilators offer adjustable trigger sensitivities, allowing clinicians to choose a high or very high sensitivity to make triggering easier.
  • ClimateLineMAX Oxy tubing neatly connects to the back of any ResMed S9 device, removing the inconvenience of a separate tube connection to the mask and allowing oxygen to completely mix with the warmed, humidified air.

  • The Stellar Series of ventilators allows oxygen to be connected directly to the ventilator, reducing the likelihood of compromised triggering.

To achieve adequate minute ventilation and/or patient synchrony, some children require an elevated respiratory rate.

  • Stellar devices offer an adjustable back-up breath rate of up to 60 bpm. The rate of the VPAP ST and the VPAP ST-A can be set up to 50 bpm.
  • S9 VPAP ST-A and Stellar series also offer the Pressure Assist Control (PAC) mode, allowing clinicians to set both a back-up rate and a fixed inspiratory time.

Unintentional leaks are inevitable, especially for pediatric patients who move frequently, or who don’t yet understand the need to keep the mask on.

  • ResMed ventilators allow clinicians to set a "tight" Ti Max for pediatric patients to ensure that each breath terminates and cycles back into expiration, even in the presence of a large leak.

NIV can be used to treat various respiratory conditions

  • S9 VPAP ST-A and Stellar are approved for pediatric patients in the hospital and the home.
  • Both S9 VPAP ST-A and the Stellar series offer a comprehensive menu of alarm options, as well as integrated oximetry, making it ideal for pediatric NIV use.
  • In addition, both bilevels allow oxygen to be bled into the therapy, ClimateLineMAX Oxy used with the S9 VPAP ST-A has a maximum bleed of 15L/min. With Stellar, up to 30L/min of oxygen to be connected directly to the device, and also offer an FiO2 monitoring option, suitable for hospital use.

For pediatric patients, it's important to ensure that the bilevel has appropriate alarms.

  • Most ResMed ventilators include alarms such as power failure or device failure.
  • S9 VPAP ST-A and Stellar offer a comprehensive menu of alarm options, including an apnea alarm.

Designed with your pediatric patients in mind.

  • Stellar ventilators allow clinicians to use the PAC mode, which ensures a specified breath rate and inspiratory time.
  • Alternatively, Stellar and VPAP devices allow clinicians to set the Ti Min, which will ensure a minimum inspiratory time in S and ST modes.

Pediatric patients may be prescribed an oximeter.

  • Stellar ventilators and VPAP devices offer an integrated oximeter with alarms. The integrated oximeter improves caregiver efficiency.

It's important for families of children on NIV to participate in normal activities and excursions that promote bonding and quality of life.

  • Stellar ventilators are equipped with an internal battery for extra mobility.
  • The batteries facilitate continuity of therapy for the pediatric patient.
  • Additionally, many ResMed ventilators can accommodate the ResMed Power Station II (RPS II), which can provide from eight to sixteen hours of battery duration (based on whether one or two batteries are used). (For example, the battery has an eight-hour life if used in PAC mode with pressure settings of at EPAP 5 cm H2O, IPAP 15 cm H2O and 20 bpm — two batteries can be connected simultaneously).

More ventilation for pediatric patients