Paediatric Respiratory Reviews
Volume 11, Issue 1 , Pages 46-53, March 2010

The Role of Heliox in Paediatric Respiratory Disease

  • Marie D. Frazier

      Affiliations

    • Division of Critical Care, Marshall University, Huntington, WV 25701, USA
    • Corresponding Author InformationCorresponding authors. Tel.: +1 304 691 1300; Fax: +1 304 691 1375.
  • ,
  • Ira M. Cheifetz

      Affiliations

    • Paediatric Critical Care Medicine, Paediatric Intensive Care Unit, Duke Children's Hospital, Durham, NC 277710, USA
    • Corresponding Author InformationCorresponding authors. Tel.: +1 304 691 1300; Fax: +1 304 691 1375.

Summary 

Helium-oxygen (heliox) gas mixtures have been studied for over 70 years as an adjunctive therapy for airway obstruction in a variety of respiratory diseases. The medical use of heliox is based on the physical properties of helium as its low density makes it advantageous in promoting more efficient flow through narrowed passages. Clinical evidence of the efficacy of heliox in treating paediatric respiratory diseases is increasing in the medical literature. This article consists of a comprehensive review of the literature investigating the utility of heliox in the treatment of paediatric respiratory disorders, including upper and lower airway obstruction, mechanical ventilation, and aerosol delivery.

Keywords: heliox, asthma, bronchiolitis, croup, paediatric respiratory disease, mechanical ventilation, reactive airways disease, bronchospasm, carbon dioxide, helium, oxygen, airway obstruction, neonate, paediatric

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PII: S1526-0542(09)00076-1

doi:10.1016/j.prrv.2009.10.008

Paediatric Respiratory Reviews
Volume 11, Issue 1 , Pages 46-53, March 2010