Noizet-Yverneau O, Leclerc F, Santerne B, Akhavi A, Pomédio M, Saad S, Dessioux E, Morville P
Service de réanimation pédiatrique et néonatale, CHU de Reims, Alix-de-Champagne, rue Cognacq-Jay, 51100 Reims, France.
Arch Pediatr. 2008 Oct;15(10):1549-59. doi: 10.1016/j.arcped.2008.07.017. Epub 2008 Sep 30.
The quality of noninvasive ventilation in pediatrics is interface-dependent. Several types of interfaces are currently available: nasal and oral masks, nasal pillows and helmets. Despite material improvements in material design, shape, size and components, interfaces are still not adapted for most children. The ideal interface must fit the child's characteristics and the disease requirements. For instance, a nasal canula is recommended for infants younger than 3 months of age. If necessary, nasal masks can be used as oronasal masks. Repeated and careful evaluations are indicated to ensure interface adequacy and to detect cutaneous injuries and facial deformities. Training is required for medical and paramedical personnel. Pediatrics studies, comparing interfaces, are needed to build evidence-based recommendations.
儿科无创通气的质量取决于接口。目前有几种类型的接口可供选择:鼻罩和口罩、鼻枕和头盔。尽管在材料设计、形状、尺寸和部件方面有了改进,但接口仍不适用于大多数儿童。理想的接口必须符合儿童的特点和疾病需求。例如,建议对3个月以下的婴儿使用鼻导管。如有必要,鼻罩可作为口鼻罩使用。需要进行反复仔细的评估,以确保接口合适,并检测皮肤损伤和面部畸形。医护人员需要接受培训。需要进行儿科研究,比较不同接口,以制定基于证据的建议。