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Interfaces for noninvasive ventilation in the acute setting in children
Guillaume Mortamet1, Alessandro Amaddeo2, Sandrine Essouri3
1Pediatric Intensive Care Unit, CHU Sainte-Justine, Montreal, Quebec, Canada; Université de Montréal, Montréal, Quebec, Canada; INSERM U 955, Equipe 13, Créteil, France.
Paediatric Respiratory Reviews
|November 27, 2016
Summary
Choosing the right interface for noninvasive ventilation (NIV) in a pediatric intensive care unit (PICU) is crucial for treatment success. This review details pediatric NIV interface options, guiding selection and monitoring for optimal patient tolerance.
Area of Science:
- Pediatric Critical Care Medicine
- Respiratory Therapy
- Biomedical Engineering
Background:
- Noninvasive ventilation (NIV) use differs significantly between acute and chronic settings.
- Pediatric Intensive Care Units (PICUs) may require continuous NIV, necessitating rapid and simple initiation.
- Despite increased NIV use and interface options, pediatric-specific data and selection guidelines are limited.
Purpose of the Study:
- To review available NIV interfaces for pediatric acute care.
- To discuss the advantages and limitations of each interface type.
- To provide guidance on selecting the optimal interface and monitoring patient tolerance.
Main Methods:
- Systematic literature review of pediatric NIV interfaces.
- Analysis of interface characteristics, efficacy, and patient tolerance.
- Synthesis of current evidence to inform clinical practice.
Main Results:
- Various interfaces exist for pediatric NIV, including masks and helmets.
- Each interface has unique benefits and drawbacks impacting usability and effectiveness.
- Optimal interface selection is critical for successful NIV implementation in children.
Conclusions:
- Evidence-based recommendations for pediatric NIV interface selection are needed.
- Standardized monitoring protocols for interface tolerance should be established.
- Further research comparing different interfaces in pediatric acute settings is warranted.
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