Abstract
Non - invasive ventilation (NIV) is defined as theuse of a mask or interface to provide ventilatorysupport.
Avoiding endotracheal intubation and reducing therate of complications and mortality secondary tointubation is the most important advantage.
In adults noninvasive positive pressure ventilation(NIPPV) is used as a first line intervention in acuterespiratory failure (ARF). Many trials have proventhe beneficial effects of NIPPV in adult patients withchronical deseases.
In pediatric patients with acute respiratory failureNIPPV is still not as well established. There is stilla lack of suitable interfaces for pediatric patientsespecially in small infants.
Resting upon more than ten years experience intreatment of infants and children with NIPPV in ARFI will focus on practical issues and pitfalls concerningnoninvasive ventilation in these group of patients.
The presentation covers both the publishedexperience and practical aspects of noninvasiveventilation in pediatric patients with ARF..
Apart from mentioning different interfaces andventilators it is more important to show how to dealwith the interfaces and the ventilators.
We have to do with questions concerning e.g. skindamage by ventilation interfaces,
ineffective humification, air leaks by gastric tubes, noncompliant patients and how to proceed whithcritical ill children in ARF.
The keypoint of NIPPV in infants and children is theinterdisciplinary collaboration
of doctors and caregivers.
Improvement of NIV in pediatrics is a question ofcontinuous training and education of your team inthe ward.
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Schmitt, B. 1335 Niv in Infants and Children with Acute Respiratory Failure - Practical Issues. Pediatr Res 68 (Suppl 1), 661 (2010). https://doi.org/10.1203/00006450-201011001-01335
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DOI: https://doi.org/10.1203/00006450-201011001-01335