Noninvasive Respiratory Support in Infants and Children

Katherine L Fedor1

  • 1Pediatric Respiratory Therapy, Cleveland Clinic, Cleveland, Ohio. fedork@ccf.org.

Respiratory Care
|May 27, 2017
PubMed

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.

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