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ERS statement on paediatric long-term noninvasive respiratory support

Brigitte Fauroux1,2, François Abel3, Alessandro Amaddeo4

  • 1AP-HP, Hôpital Necker, Pediatric Noninvasive Ventilation and Sleep Unit, Paris, France brigitte.fauroux@nck.aphp.fr.

The European Respiratory Journal
|December 17, 2021
PubMed

Insights

Long-term noninvasive respiratory support, including continuous positive airway pressure (CPAP) and noninvasive ventilation (NIV) for children, is growing but lacks standardized initiation criteria and evaluated long-term benefits. Enhancing patient and caregiver education is crucial for adherence and quality of life.

Area of Science:

  • Pediatric Pulmonology
  • Respiratory Medicine
  • Biomedical Engineering

Background:

  • Long-term noninvasive respiratory support (CPAP/NIV) for children is expanding globally.
  • Increasingly complex pediatric cases and new indications like palliative care are emerging.
  • Advances in equipment and interfaces have improved support delivery.

Purpose of the Study:

  • To review current scientific input on pediatric long-term CPAP/NIV.
  • To identify gaps in knowledge and suggest future research directions.
  • To emphasize optimal management strategies for pediatric patients requiring long-term respiratory support.

Main Methods:

  • Expert consensus statement based on current scientific literature.
  • Review of existing data on pediatric CPAP/NIV initiation, follow-up, and outcomes.
  • Discussion of challenges and best practices in long-term noninvasive respiratory support.

Main Results:

  • Lack of validated criteria for CPAP/NIV initiation, follow-up, and monitoring.
  • Long-term benefits and weaning strategies require further evaluation.
  • Therapeutic education and continuous support are vital for patient/caregiver adherence and quality of life.

Conclusions:

  • Pediatric long-term CPAP/NIV requires standardized guidelines for initiation and monitoring.
  • Further research is needed to assess long-term benefits and optimize weaning protocols.
  • Multidisciplinary team management and robust patient/caregiver education are essential for successful outcomes.

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