Noninvasive Respiratory Support in Infants and Children
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Published on: July 14, 2023
1Pediatric Respiratory Therapy, Cleveland Clinic, Cleveland, Ohio. fedork@ccf.org.
Insights
Continuous positive airway pressure (CPAP) and noninvasive ventilation (NIV) provide alternatives to intubation for pediatric respiratory disorders. This review covers their indications, management, safety, and the emerging role of high-flow nasal cannula (HFNC).
Area of Science:
- Pediatric critical care medicine
- Respiratory therapy
Background:
- Continuous positive airway pressure (CPAP) and noninvasive ventilation (NIV) are vital for managing pediatric respiratory issues.
- Challenges exist in applying, managing, and ensuring the safety of CPAP and NIV in children.
Purpose of the Study:
- To review indications, contraindications, management strategies, and safety measures for CPAP and NIV in pediatric patients.
- To incorporate evidence on high-flow nasal cannula (HFNC) as a newer alternative.
Main Methods:
- Literature review of evidence on CPAP, NIV, and HFNC in pediatric respiratory care.
- Synthesis of information regarding clinical application and safety protocols.
Main Results:
- CPAP and NIV offer alternatives to mechanical ventilation for acute and chronic pediatric respiratory conditions.
- High-flow nasal cannula (HFNC) is an emerging alternative to CPAP and NIV.
Conclusions:
- Understanding the specific challenges and safety measures for CPAP and NIV in pediatrics is crucial.
- HFNC presents a promising alternative, expanding therapeutic options for pediatric respiratory support.
Abstract:
CPAP and noninvasive ventilation (NIV) offer an alternative to intubation and mechanical ventilation in the treatment of acute and chronic respiratory disorders commonly encountered in infants and children. There are many distinct challenges associated with the application, management, and safety of CPAP and NIV in the pediatric population. This review attempts to identify indications, contraindications, management strategies, and safety measures associated with the application of CPAP or NIV delivery in children. More recently, high-flow nasal cannula (HFNC) has emerged as an alternative to CPAP and NIV. Evidence related to the use of CPAP, NIV, and HFNC is included in this review.
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