Related Experiment Video

Updated: Aug 9, 2025

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation
04:46

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation

Published on: January 17, 2011

21.6K

Long-term non-invasive ventilation in children: Transition from hospital to home

Joanna E MacLean1, Brigitte Fauroux2

  • 1Department of Pediatrics, Faculty of Medicine and Dentistry, University of Alberta, Canada; Women and Children's Health Research Institute, University of Alberta, Canada; Stollery Children's Hospital, Edmonton, Alberta, Canada.

Paediatric Respiratory Reviews
|February 22, 2023
PubMed

Insights

Long-term non-invasive ventilation (NIV) supports children with respiratory issues transitioning home. Careful planning ensures successful home use, improving quality of life and reducing hospital stays.

Area of Science:

  • Pediatric critical care
  • Respiratory medicine
  • Home healthcare

Background:

  • Long-term non-invasive ventilation (NIV) is a recognized treatment for pediatric sleep-related breathing disorders and respiratory failure.
  • Increased survival of critically ill children with comorbidities contributes to the growing use of long-term NIV.
  • NIV is utilized in acute care settings to prevent intubation, aid extubation, and support tracheostomy decannulation or avoidance.

Purpose of the Study:

  • To discuss the considerations and challenges in transitioning children requiring long-term NIV from hospital to home.
  • To highlight the importance of careful decision-making regarding NIV appropriateness for individual children and families.

Main Methods:

  • This abstract reviews the current applications and transition process for pediatric long-term NIV.
  • It emphasizes the practical aspects of equipment setup, caregiver education, and clinical follow-up planning.

Main Results:

  • Long-term NIV is increasingly used for children with complex respiratory needs.
  • Successful hospital-to-home transition requires comprehensive preparation, including equipment management and family training.
  • Careful planning aims to shorten hospital stays and enable children to thrive at home.

Conclusions:

  • Transitioning children to long-term NIV at home is feasible with meticulous planning and support.
  • The goal is to optimize respiratory support while enhancing the child's quality of life within the family environment.
  • Effective management of NIV at home is crucial for pediatric patients with chronic respiratory insufficiency.

Keywords:
Critical careHome careMechanical ventilationMedical technologyTransition

More Related Videos

Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia05:39

Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia

Published on: May 26, 2023

1.6K
Laryngeal Mask Airway LMA Placement in a Neonatal Patient Simulator Using a Non-Inflatable Supraglottic Airway SGA04:56

Laryngeal Mask Airway LMA Placement in a Neonatal Patient Simulator Using a Non-Inflatable Supraglottic Airway SGA

Published on: July 14, 2023

3.0K

Related Concept Videos

Mechanical Ventilation III: Noninvasive Ventilation01:23

Mechanical Ventilation III: Noninvasive Ventilation

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...
169
Mechanical Ventilation II: Invasive Ventilation01:23

Mechanical Ventilation II: Invasive Ventilation

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...
195
Ventilatory Modes01:14

Ventilatory Modes

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...
279
Mechanical Ventilation I: Indication and Settings01:29

Mechanical Ventilation I: Indication and Settings

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...
646
Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen01:16

Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen

Oxygen therapy is a pivotal aspect of medical care, particularly for patients with respiratory ailments. Two prominent oxygen-delivering systems include the Venturi mask and the transtracheal oxygen catheter.
Venturi Mask
The Venturi mask, named after the Venturi effect, is designed to deliver precise oxygen concentrations. It consists of a large tube with an oxygen inlet that narrows down, causing a pressure drop that pulls air in through adjustable side ports. The mask is a lightweight,...
800
Endotracheal Tube Extubation01:24

Endotracheal Tube Extubation

Endotracheal tube extubation is a critical procedure in weaning patients from mechanical ventilation. It involves physically removing the oral or nasal endotracheal (ET) tube, marking the final step in liberating a patient from ventilatory support.
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
1.0K