Respiratory Unit, Pediatric Department, Bambino Gesù Children's Hospital, Piazza S. Onofrio 4, 00165 Rome, Italy.
Early Hum Dev. 2013 Oct;89 Suppl 3:S25-31. doi: 10.1016/j.earlhumdev.2013.07.019. Epub 2013 Aug 16.
Non-invasive positive pressure ventilation is increasingly used in children both in acute and in chronic setting. Clinical data supporting safety, efficacy and limitations in children are growing. Technical problems related to the ventilators performance and interfaces selection have not been fully resolved, especially for younger children. Non-invasive ventilation can be applied at home. Its use at home requires appropriate diagnostic procedures, accurate titration of the ventilators, cooperative and educated families and careful, well-organized follow-up programs.
无创正压通气在儿童急性和慢性疾病中的应用越来越广泛。支持儿童安全性、有效性和局限性的临床数据也在不断增加。与通气机性能和接口选择相关的技术问题尚未得到完全解决,尤其是对于年龄较小的儿童。无创通气可以在家中使用。在家中使用需要进行适当的诊断程序、准确调整通气机、合作和有教育意识的家庭以及仔细、组织良好的随访计划。