ERS statement on paediatric long-term noninvasive respiratory support

Fauroux, Brigitte; Abel, François; Amaddeo, Alessandro; Bignamini, Elisabetta; Chan, Elaine; Corel, L. J. A.; Cutrera, Renato; Ersu, Refika; Installé, Sophie; Khirani, Sonia; Krivec, Uroš; Narayan, Omendra; MacLean, Joanna E.; Perez-de-Sa, Valeria; Pons-Òdena, Martí; Stehling, Florian; Ferreira, Rosário; Verhulst, Stijn

doi:10.1183/13993003.01404-2021

Cited by 59 publications

(56 citation statements)

References 246 publications

(200 reference statements)

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“…Fig. 2 shows the application algorithm for noninvasive and invasive ventilation in children [ 11 ]. The goal of HMV in children with chronic respiratory failure is to correct alveolar hypoventilation and maximize development, as possible [ 18 ].…”

Section: Diagnosis and Patient Selection For Home Mechanical Ventilationmentioning

confidence: 99%

“…The advantages and disadvantages of NIV are summarized in Table 2 [ 37 , 38 ]. In cases of NIV failure, tracheostomy is the only alternative and the ultimate therapeutic option [ 11 ].…”

Section: Modes Of Home Mechanical Ventilation In Childrenmentioning

confidence: 99%

“…Successful weaning is attributable to the physiological growth, weight loss, or interventions such as adenotonsillectomy, upper airway surgery, maxillofacial surgery, or orthodontic treatment [ 67 - 70 ]. Successful weaning in children with NMD is less common than that in children with other conditions [ 71 - 73 ]; however, this is expected to be changed along with the development of new therapeutic options, particularly in children with spinal muscular atrophy [ 11 ]. Currently, there are no established weaning criteria; however, a recent study by Mastouri et al [ 73 ] proposed respiratory criteria for weaning from CPAP/NIV, including four major criteria and three minor criteria; all four major criteria must be fulfilled with at least two minor criteria for considering weaning from CPAP/NIV.…”

Section: Weaningmentioning

confidence: 99%

“…Therefore, HMVs are more suitable for patients with chronic respiratory failure than for patients with hypoxemic respiratory failure [ 10 ]. Although HMV is now accepted as a standard treatment option for patients with chronic respiratory failure, patient selection and HMV management vary substantially among countries [ 11 ]. Moreover, for children, HMV in children has more considerations than for adults because children are still developing physically and mentally.…”

Section: Introductionmentioning

confidence: 99%

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Home mechanical ventilation in children with chronic respiratory failure: a narrative review

Kwak¹

2023

JYMS

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Advances in perinatal and pediatric intensive care and recent advances in mechanical ventilation during the last two decades have resulted in an exponential increase in the number of children undergoing home mechanical ventilation (HMV) treatment. Although its efficacy in chronic respiratory failure is well established, HMV in children is more complex than that in adults, and there are more considerations. This review outlines clinical considerations for HMV in children. The goal of HMV in children is not only to correct alveolar hypoventilation but also to maximize development as much as possible. The modes of ventilation and ventilator settings, including ventilation masks, tubing, circuits, humidification, and ventilator parameters, should be tailored to the patient’s individual characteristics. To ensure effective HMV, education for the parent and caregiver is important. HMV continues to change the scope of treatment for chronic respiratory failure in children in that it decreases respiratory morbidity and prolongs life spans. Further studies on this topic with larger scale and systemic approach are required to ensure the better outcomes in this population.

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Section: Diagnosis and Patient Selection For Home Mechanical Ventilationmentioning

confidence: 99%

“…The advantages and disadvantages of NIV are summarized in Table 2 [ 37 , 38 ]. In cases of NIV failure, tracheostomy is the only alternative and the ultimate therapeutic option [ 11 ].…”

Section: Modes Of Home Mechanical Ventilation In Childrenmentioning

confidence: 99%

Section: Weaningmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Home mechanical ventilation in children with chronic respiratory failure: a narrative review

Kwak¹

2023

JYMS

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“…For the purposes of tidal volume calculation, a tidal volume of 6to 10 ml/kg is targeted ( 27 ). The IPAP minimum is calculated by adding 4 cmH 2 O to EPAP, similar to adults.…”

Section: Pediatric Settingsmentioning

confidence: 99%

Pediatric Average Volume Assured Pressure Support

et al. 2022

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Average volume assured pressure support (AVAPS) is a modality of non-invasive ventilation that enables the machine to deliver a pre-set tidal volume by adjusting the inspiratory pressure support within a set range. Data on its use in the pediatric population are limited to case reports and single centre case series. This article reviews paediatric data on use of AVAPS and highlights the need for validation to help develop specific guidelines on use of AVAPS in children.

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Effect of long term noninvasive ventilation in children on parent's quality of life

Sanctis

Khirani

Vedrenne-Cloquet

et al. 2023

Pediatric Pulmonology

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ObjectiveImproving or maintaining the quality of life of the family of children treated with long term continuous positive airway pressure (CPAP) or noninvasive ventilation (NIV) is a major concern; but studies are scarce. The aim of the study was to evaluate the impact of long term CPAP or NIV in children on anxiety, depression, quality of sleep, and quality of life of their parents.MethodsValidated questionnaires evaluating anxiety and depression (hospital anxiety and depression scale), sleep quality (Pittsburgh sleep quality index), daytime sleepiness (Epworth sleepiness scale), and parents' quality of life (PedsQL family impact module) were completed by parents of children who were started on CPAP/NIV before (M0) and after 6−9 months (M6) of treatment.ResultsThe questionnaires of 36 parents (30 mothers, 6 fathers) of 31 children were analyzed. For the entire group, no significant change was observed in anxiety, depression, sleep quality, daytime sleepiness, and quality of life between M0 and M6. When analyzing questionnaire class changes between M0 and M6: anxiety was relieved in 23% of parents and worsened in 29%, depression was relieved in 14% and worsened in 20%, sleep quality improved in 43% and worsened in 27%, sleepiness improved in 26% and worsened in 17%, with no change in the other parents.ConclusionLong term CPAP/NIV in children had no significant effect on parents' anxiety, depression, sleep quality, and quality of life.

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ERS statement on paediatric long-term noninvasive respiratory support

Cited by 59 publications

References 246 publications

Home mechanical ventilation in children with chronic respiratory failure: a narrative review

Home mechanical ventilation in children with chronic respiratory failure: a narrative review

Pediatric Average Volume Assured Pressure Support

Effect of long term noninvasive ventilation in children on parent's quality of life

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