Non- Invasive Ventilation in Children
Nazanin Farahbakhsh1,Seyed Ahmad Tabatabaii2,Ghamartaj Khanbabaee2,Saeed Sadr1
Abstract: Use of noninvasive ventilation (NIV) in children is expanding worldwide. All age ranges may be concerned, from neonates to adolescents. It is a modality that pressure support is delivered through a mask interface or less commonly through other non-invasive interfaces.
Materials and methods: The type of non-invasive ventilation used depends on the pathophysiological features of the respiratory failure. For example, non-invasive ventilation will need to either replace central drive if the disorder is characterised by an abnormal central drive or substitute for the respiratory muscles if the condition is associated with respiratory muscle weakness. Non-invasive ventilation might also need to unload the respiratory muscles in case of an increase in respiratory load, as seen in upper airway obstruction and some lung diseases.
Findings: Technical aspects are also important when choosing non-invasive ventilation—eg, appropriate interface and device. The great heterogeneity of disorders, age ranges of affected children, prognoses, and outcomes of patients needing long-term non-invasive ventilation underline the need for management by skilled multidisciplinary centres with technical competence in paediatric non-invasive ventilation and expertise in sleep studies and therapeutic education
Conclusion: Although the use of NIV is increasingly recognized in pediatrics, there are currently still no generally accepted guidelines for its use. patients placed on NIV should be monitored closely and this mode of ventilation should be reviewed if there is a lack of response within a few hours after commencement of therapy.
Keywords: Non invasive , ventilation, pediatric