Hull Jeremy
Arch Dis Child. 2014 Nov;99(11):1050-4. doi: 10.1136/archdischild-2013-305322. Epub 2014 Jun 25.
Non-invasive ventilation (NIV) use has increased markedly over the last 10 years. Children being treated with NIV are now a common sight in most paediatric intensive care units and high dependency units and nearly all tertiary respiratory units will look after a cohort of children who use NIV at home. Although the published evidence base for use of NIV in acute and chronic respiratory failure is relatively weak, it is now very unlikely that there will be any more randomised controlled trials of this intervention. Effectiveness of NIV will need to be evaluated on each child as it used. It is important to define the purpose of using NIV in each child, and then determine whether it is effective.
在过去十年中，无创通气（NIV）的使用显著增加。目前，在大多数儿科重症监护病房和高依赖病房中，接受无创通气治疗的儿童已屡见不鲜，几乎所有三级呼吸科病房都会照护一群在家中使用无创通气的儿童。尽管关于无创通气在急慢性呼吸衰竭中应用的已发表证据基础相对薄弱，但现在极不可能再有针对该干预措施的随机对照试验。无创通气的有效性需要在使用时对每个儿童进行评估。明确每个儿童使用无创通气的目的，然后确定其是否有效，这一点很重要。
