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Posted by NikkiB on June 06, 2006 at 19:27:42:In Reply to: Child with Central Sleep Apnea posted by banda on May 23, 2006 at 05:51:50:
Hi!
I have a condition called Congenital Central Hypoventilation Syndrome, which is caused by my neuromuscular disease called Mitochondrial Cytopathy/Myopathy. CCHS and Central Sleep Apnea have a lot of similarities, except with CCHS the patient stops breathing day and night, not just when sleeping.
I have had it since birth. Most children with CCHS are placed on ventilators day and night now, but when I was a child, it was not standard practice because doctors believed the child would ‘grow out of it’ (and to their credit, some children do). Instead I used an infant apnea monitor which I wore until I was 22, and it would alarm when I stopped breathing, which was hundreds of times a night.
When I was 10 (I am 25 now) a few doctors across the country started using CPAPs on children, and I was one of the first kids to be placed on it. We learned then what is common knowledge now - that CPAP does NOT control CCHS or Central Sleep Apnea. I was switched a few years later to a BiPAP ST, and it worked very well for me during the night. During the day I just had to think about breathing, and be reminded when I would quit.
Since a stroke when I was 22, I was placed on a Bipap ST 24 hours a day, and when I was 23 I was placed on the ResMed VPAP II ST-A, which has more features than your typical BiPAP ST, including tidal volume and other things.
There are many children in the non-invasive ventilation community that use Bipap ST's, VPAPs, and volume ventilators with a nasal mask, some for 24 hours a day, and some just when sleeping. The youngest I know of right now - I am friends with her parents - is 1.5 yrs old and uses it successfully. It is very possible to get a toddler to use a Bipap, it just takes some time, some patience, and a really good pediatric pulmonologist.
I would recommend a BiPAP ST instead of a cpap or Bipap S. The Bipap ST will give your child a pre-determined number of breaths per minute, and allow them to take breaths on their own.
I would try the BiPAP ST before trying the medication, but everyone is different.
If you have more questions, please let me know, and I will help if possible.
Nikki
There are many children now in the non-invasive ventilation comm
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