Related Experiment Video
Updated: Nov 27, 2025
04:46
A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation
Published on: January 17, 2011
21.8K
Non-invasive Ventilation for Children With Chronic Lung Disease
Emine Atag1, Uros Krivec2, Refika Ersu3
1Division of Pediatric Pulmonology, Medipol University, Istanbul, Turkey.
Frontiers in Pediatrics
|December 2, 2020
Summary
Non-invasive ventilation (NIV) improves gas exchange in children with chronic lung disease, including cystic fibrosis. While effective, adherence and potential complications like skin trauma require careful management for optimal outcomes.
Area of Science:
- Pediatric Pulmonology
- Respiratory Medicine
Background:
- Advances in medical care improve survival for children with chronic lung conditions.
- Non-invasive ventilation (NIV) can reverse nocturnal hypoventilation in patients with chronic lung disease.
- Bronchopulmonary dysplasia (BPD) and cystic fibrosis (CF) are significant chronic lung diseases in children requiring respiratory support.
Purpose of the Study:
- To review the current evidence on indications for NIV in children with chronic lung disease.
- To discuss the adverse effects and long-term follow-up of NIV in this population.
- To examine adherence challenges and strategies for NIV use in pediatric patients.
Main Methods:
- Review of current literature on non-invasive ventilation in pediatric chronic lung disease.
- Analysis of evidence regarding efficacy, adverse events, and adherence.
- Synthesis of findings related to BPD and CF patient populations.
Main Results:
- NIV improves gas exchange in patients with moderate to severe CF lung disease compared to oxygen alone.
- Evidence suggests NIV may offer a survival benefit and act as a bridge to lung transplantation.
- Complications include skin trauma, potential neurodevelopmental impact, and pulmonary aspiration; adherence is a key challenge.
Conclusions:
- NIV is an important respiratory support modality for children with severe chronic lung disease.
- Careful consideration of potential adverse effects and strategies to improve adherence are crucial for successful NIV implementation.
- Further research may be needed to optimize long-term NIV use and outcomes in pediatric populations.
Related Concept Videos
01:23Mechanical Ventilation III: Noninvasive Ventilation
373
Noninvasive positive-pressure ventilation (NIPPV), continuous positive airway pressure (CPAP), and bilevel positive airway pressure (BiPAP) are essential methods in respiratory care. These ventilation techniques offer unique benefits for patients with various respiratory conditions, providing adequate support without requiring intubation. Let's explore how each method is crucial in improving patient outcomes and enhancing respiratory therapy.
Noninvasive Positive-Pressure Ventilation...
Noninvasive Positive-Pressure Ventilation...
373
01:23Mechanical Ventilation II: Invasive Ventilation
455
Ventilators are essential medical equipment used to aid patients with respiratory difficulties. Their primary function is to assist or replace spontaneous breathing by providing mechanical ventilation. There are two general classes of mechanical ventilators: negative-pressure and positive-pressure ventilators.
Negative-Pressure Ventilators
Negative-pressure ventilators create a vacuum around the chest or body to draw air into the lungs, simulating breathing. This method does not require an...
Negative-Pressure Ventilators
Negative-pressure ventilators create a vacuum around the chest or body to draw air into the lungs, simulating breathing. This method does not require an...
455
01:14Ventilatory Modes
855
Mechanical ventilators are life-saving devices that support or replace spontaneous breathing. They deliver breaths to patients through varying methods known as ventilator modes. Understanding these modes is critical for healthcare providers managing patients with respiratory failure.
There are three ventilatory modes: full support, partial support, and spontaneous. These are described below.
Full Support Modes
Full support modes include controlled mechanical ventilation, continuous mandatory...
There are three ventilatory modes: full support, partial support, and spontaneous. These are described below.
Full Support Modes
Full support modes include controlled mechanical ventilation, continuous mandatory...
855
01:29Mechanical Ventilation I: Indication and Settings
1.9K
Mechanical ventilation is a life-saving technique for managing acute respiratory failure and other respiratory complications. The process involves using a machine known as a ventilator to supply oxygen to the lungs and assist in removing carbon dioxide. It serves as a bridge to long-term mechanical ventilation or a temporary measure until ventilatory support is discontinued. The ventilator can maintain this function for a prolonged period, providing critical support for patients until they can...
1.9K
01:27Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies
2.8K
Assessing and diagnosing Chronic Obstructive Pulmonary Disease (COPD) involves a detailed approach that includes a comprehensive review of medical history, physical examination, and a variety of diagnostic tests. This thorough evaluation is essential to ensure an accurate diagnosis and guide effective management strategies.
Medical History
Medical History
2.8K
01:30Chronic Obstructive Pulmonary Disease-V: Nursing Management
4.7K
Nursing management of Chronic Obstructive Pulmonary Disease (COPD) is crucial for providing thorough care and support to patients. Nurses play an integral role in this process through detailed assessment, careful planning, targeted interventions, and ongoing evaluation. Here's an overview of the critical steps in nursing management for COPD.
Assessment
Assessment
4.7K