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Updated: Aug 19, 2026

Quantitative Mapping of Specific Ventilation in the Human Lung using Proton Magnetic Resonance Imaging and Oxygen as a Contrast Agent
08:26

Quantitative Mapping of Specific Ventilation in the Human Lung using Proton Magnetic Resonance Imaging and Oxygen as a Contrast Agent

Published on: June 5, 2019

Non-invasive home ventilation

C Wallis1

  • 1Respiratory Unit, Great Ormond Street Hospital for Children NHS Trust, Great Ormond Street, London, WC1N 3JH, UK. c.wallis@ich.ucl.ac.uk

Paediatric Respiratory Reviews
|January 18, 2003
PubMed

Insights

Non-invasive ventilation (NIV) is a practical option for managing children with chronic respiratory issues at home. Careful patient selection and a dedicated team approach are key to successful home ventilation for pediatric patients.

Area of Science:

  • Pediatric Pulmonology
  • Respiratory Medicine
  • Home Healthcare

Background:

  • Chronic ventilatory insufficiency in children presents management challenges.
  • Home management offers advantages over institutional care.
  • Non-invasive ventilation (NIV) is increasingly utilized in pediatric respiratory care.

Purpose of the Study:

  • To highlight the benefits and practicalities of using NIV for children with chronic ventilatory insufficiency at home.
  • To discuss the application of NIV in specific pediatric respiratory conditions.
  • To emphasize the importance of a multidisciplinary approach in NIV management.

Main Methods:

  • Review of current clinical experience with NIV in pediatric home care.
  • Discussion of patient selection criteria for NIV.
  • Emphasis on team-based assessment and follow-up strategies.

Main Results:

  • NIV is effective for children with upper airway obstruction, thoracic cage abnormalities, and central respiratory drive issues, particularly during sleep.
  • Successful home ventilation requires careful patient selection and appropriate device choice.
  • A phased introduction and perseverance are often necessary for successful NIV implementation.

Conclusions:

  • Home-based NIV is a viable, practical, and advantageous alternative to institutional care for children with chronic ventilatory insufficiency.
  • Non-invasive techniques empower pediatricians to manage complex respiratory conditions in the home setting.
  • A collaborative approach involving healthcare teams and families is crucial for optimizing NIV outcomes in pediatric patients.

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