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Domiciliary noninvasive positive airway pressure therapy in children

Reshma Amin1,2,3, Suhail Al-Saleh1,2,4, Indra Narang1,2,4

  • 1Division of Respiratory Medicine, The Hospital for Sick Children, Toronto, Canada.

Pediatric Pulmonology
|December 15, 2015
PubMed

Insights

Pediatric noninvasive positive airway pressure (PAP) therapy is increasingly used for various respiratory conditions beyond obstructive sleep apnea. This review covers essential considerations for pediatric pulmonologists managing children on PAP therapy.

Area of Science:

  • Pediatric Pulmonology
  • Respiratory Medicine
  • Sleep Medicine

Background:

  • Noninvasive positive airway pressure (PAP) therapy use in children has significantly increased over recent decades.
  • Initial indications focused on obstructive sleep apnea, but now encompass central hypoventilation, neuromuscular disorders, and primary respiratory diseases.

Purpose of the Study:

  • To provide pediatric pulmonologists with a comprehensive overview of noninvasive positive airway pressure (PAP) therapy in children.
  • To cover indications, technical aspects, safety, complications, and adherence factors for pediatric PAP therapy.

Main Methods:

  • This is a review article.
  • It synthesizes current knowledge on pediatric noninvasive positive airway pressure (PAP) therapy.

Main Results:

  • The scope of PAP therapy in pediatric respiratory care has expanded significantly.
  • Effective management requires familiarity with diverse indications, devices, interfaces, and potential complications.

Conclusions:

  • Pediatric pulmonologists must be well-versed in the expanding applications and management of noninvasive positive airway pressure (PAP) therapy.
  • Understanding indications, settings, complications, and adherence is crucial for optimal patient outcomes.

Keywords:
non-invasive ventilationrespiratory technologysleep medicine

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