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Home noninvasive ventilation in pediatric patients: Does one size fit all?

Sonia Khirani1, Lucie Griffon2, Alessandro Amaddeo3

  • 1ASV Santé, F-92000, Gennevilliers, France; Pediatric Noninvasive Ventilation and Sleep Unit, AP-HP, Hôpital Necker-Enfants Malades, F-75015, Paris, France; Université de Paris Cité, EA 7330 VIFASOM, F-75004, Paris, France.

Respiratory Medicine
|February 6, 2025
PubMed

Insights

Continuous positive airway pressure (CPAP) and non-invasive ventilation (NIV) settings in children increase with age. While CPAP/NIV settings vary by age, they are generally similar across different pediatric disorders, emphasizing individual adaptation.

Area of Science:

  • Pediatric respiratory medicine
  • Sleep medicine
  • Medical device technology

Background:

  • Limited data exists on ventilatory settings for children using CPAP or NIV.
  • A French national survey identified 1447 children treated with long-term CPAP/NIV in 2019.

Purpose of the Study:

  • To report on CPAP/NIV settings used in a pediatric population.
  • To analyze these settings based on patient age and underlying disorders.

Main Methods:

  • Analysis of CPAP/NIV settings from a French national survey of 1447 children.
  • Comparison of settings across five age groups and six disease categories.

Main Results:

  • CPAP pressure positively correlated with age; adherence decreased with age.
  • NIV inspiratory positive airway pressure (IPAP) increased with age, while respiratory rate and adherence decreased.
  • Ventilatory settings showed minimal variation across different pediatric disease categories.

Conclusions:

  • Pediatric CPAP pressure and NIV IPAP increase with patient age.
  • Ventilatory settings are largely consistent across various pediatric diseases.
  • Individual patient assessment is crucial for optimal CPAP/NIV therapy adaptation.
Abstract

Keywords:
AdherenceContinuous positive airway pressureNational surveyNoninvasive ventilationPediatricsSettings

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