Skip to main content
SpringerLink
Log in

Long-Term Home Ventilation in Children: Advances and Perspectives

  • Chapter
Pediatric Anesthesia, Intensive Care and Pain: Standardization in Clinical Practice

  • 2260 Accesses

Abstract

Long-term mechanical ventilation (LTMV) has been defined as the need for mechanical ventilation delivered via tracheotomy (invasive mechanical ventilation) or noninvasive interfaces (noninvasive ventilation, NIV), including continuous positive airway pressure (CPAP), for at least 3 months after its commencement, for a minimum amount of 6 h per day, in medically stable conditions [1, 2]. A recent Italian study showed that all LTMV users received invasive or noninvasive positive pressure ventilation (NPPV) and only 1.5% of children were also managed with other ventilatory assistance modes (i.e., 1% with glossopharyngeal breathing and 0.5% with phrenic nerve stimulation) [1].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Racca, F, Bonati M, Del Sorbo L et al. (2011) Invasive and non-invasive long-term mechanical ventilation in Italian children. Minerva Anestesiol 77(9):892–901

    PubMed  CAS  Google Scholar 

  2. Racca, F, Berta G, Sequi M et al. (2011) Long-term home ventilation of children in Italy: a national survey. Pediatr Pulmonol 46(6):566–572

    Article  PubMed  CAS  Google Scholar 

  3. Graham, RJ, Fleegler E W, Robinson WM (2007) Chronic ventilator need in the community: a 2005 pediatric census of Massachusetts. Pediatrics 119(6):e1280-e1287

    Article  PubMed  Google Scholar 

  4. Gowans M, Keenan HT, Bratton SL (2007) The population prevalence of children receiving invasive home ventilation in Utah. Pediatr Pulmonol 42(3):231–236

    Article  PubMed  Google Scholar 

  5. Edwards EA, Hsiao K, Nixon GM (2005) Paediatric home ventilatory support: the Auckland experience. J Paediatr Child Health 41(12):652–658

    Article  PubMed  CAS  Google Scholar 

  6. Jardine E, O’Toole M, Paton JY et al. (1999) Current status of long term ventilation of children in the United Kingdom: questionnaire survey. BMJ 318(7179):295–299

    Article  PubMed  CAS  Google Scholar 

  7. Wallis C, Paton JY, Beaton S et al. (2011) Children on long-term ventilatory support: 10 years of progress. Arch Dis Child 96(11):998–1002

    Article  PubMed  CAS  Google Scholar 

  8. Wang CH, Finkel RS, Bertini ES et al. (2007) Consensus statement for standard of care in spinal muscular atrophy. J Child Neurol 22(8):1027–1049

    Article  PubMed  Google Scholar 

  9. Finder JD, Birnkrant D, Carl J et al. (2004) Respiratory care of the patient with Duchenne muscular dystrophy: ATS consensus statement. Am J Respir Crit Care Med 170(4):456–465

    Article  PubMed  Google Scholar 

  10. Annane D, Orlikowski D, Chevret S et al. (2007) Nocturnal mechanical ventilation for chronic hypoventilation in patients with neuromuscular and chest wall disorders. Cochrane Database Syst Rev (4):CD001941

    Google Scholar 

  11. Katz S, Selvadurai H, Keilty K et al. (2004) Outcome of non-invasive positive pressure ventilation in paediatric neuromuscular disease. Arch Dis Child 89(2):121–124

    Article  PubMed  CAS  Google Scholar 

  12. Make BJ, Hill NS, Goldberg AI et al. (1998) Mechanical ventilation beyond the intensive care unit. Report of a consensus conference of the American College of Chest Physicians. Chest 113(5 Suppl):S289-S344

    Google Scholar 

  13. Norregaard O (2008) NIV: indication in case of acute respiratory failure in children

    Google Scholar 

  14. White DP, Douglas NJ, Pickett CK et al. (1983) Sleep deprivation and the control of ventilation. Am Rev Respir Dis 128(6):984–986

    PubMed  CAS  Google Scholar 

  15. Wang CH, Bonnemann CG, Rutkowski A et al. (2010) Consensus statement on standard of care for congenital muscular dystrophies. J Child Neurol 25(12):1559–1581

    Article  PubMed  Google Scholar 

  16. Bushby K, Finkel R, Birnkrant DJ et al. (2010) Diagnosis and management of Duchenne muscular dystrophy, part 2: implementation of multidisciplinary care. Lancet Neurol 9(2):177–189

    Article  PubMed  CAS  Google Scholar 

  17. Chatwin M, Bush A, Simonds AK (2011) Outcome of goal-directed non-invasive ventilation and mechanical insufflation/exsufflation in spinal muscular atrophy type I. Arch Dis Child 96(5):426–432

    Article  PubMed  CAS  Google Scholar 

  18. Fauroux B (2011) Why, when and how to propose noninvasive ventilation in cystic fibrosis? Minerva Anestesiol 77(11):1108–1114

    PubMed  CAS  Google Scholar 

  19. Fauroux BAG, Lofaso F (2008) NIV and chronic respiratory failure in children, Eur Respir Mon

    Google Scholar 

  20. Brochard L, Pluskwa F, Lemaire F (1987) Improved efficacy of spontaneous breathing with inspiratory pressure support. Am Rev Respir Dis 136(2):411–415

    Article  PubMed  CAS  Google Scholar 

  21. Essouri S, Nicot F, Clement A et al. (2005) “Noninvasive positive pressure ventilation in infants with upper airway obstruction: comparison of continuous and bilevel positive pressure” Intensive Care Med 31(4):574–580

    Article  PubMed  Google Scholar 

  22. Marcus CL, Rosen G, Ward SL et al. (2006) Adherence to and effectiveness of positive airway pressure therapy in children with obstructive sleep apnea. Pediatrics 117(3):e442-e451

    Article  PubMed  Google Scholar 

  23. Fauroux B, Leroux K, Desmarais G et al. (2008) Performance of ventilators for noninvasive positive-pressure ventilation in children. Eur Respir J 31(6):1300–1307

    Article  PubMed  CAS  Google Scholar 

  24. Fauroux B, Louis B, Hart N et al. (2004) The effect of back-up rate during non-invasive ventilation in young patients with cystic fibrosis. Intensive Care Med 30(4):673–681

    Article  PubMed  Google Scholar 

  25. Fauroux B, Nicot F, Essouri S et al. (2004) Setting of noninvasive pressure support in young patients with cystic fibrosis. Eur Respir J 24(4):624–630

    Article  PubMed  CAS  Google Scholar 

  26. (1999) Clinical indications for noninvasive positive pressure ventilation in chronic respiratory failure due to restrictive lung disease, COPD, and nocturnal hypoventilation - a consensus conference report. Chest 116:521–534

    Google Scholar 

  27. Dubey SP, Garap JP (1999) Paediatric tracheostomy: an analysis of 40 cases. J Laryngol Otol 113(7):645–651

    Article  PubMed  CAS  Google Scholar 

  28. Wetmore RF, Marsh RR, Thompson ME et al. (1999) Pediatric tracheostomy: a changing procedure? Ann Otol Rhinol Laryngol 108(7 Pt 1):695–699

    PubMed  CAS  Google Scholar 

  29. Ruben RJ, Newton L, Jornsay D et al. (1982) Home care of the pediatric patient with a tracheotomy. Ann Otol Rhinol Laryngol 91(6 Pt 1):633–640

    PubMed  CAS  Google Scholar 

  30. Waters KA, Everett F, Sillence DO et al. (1995) Treatment of obstructive sleep apnea in achondroplasia: evaluation of sleep, breathing, and somatosensory-evoked potentials. Am J Med Genet 59(4):460–466

    Article  PubMed  CAS  Google Scholar 

  31. Ottonello G, Villa G, Moscatelli A et al. (2007) Noninvasive ventilation in a child affected by achondroplasia respiratory difficulty syndrome. Paediatr Anaesth 17(1):75–79

    Article  PubMed  Google Scholar 

  32. Anzai Y, Ohya T, Yanagi K (2006) Treatment of sleep apnea syndrome in a Down syndrome patient with behavioral problems by noninvasive positive pressure ventilation: a successful case report. No To Hattatsu 38(1):32–36

    PubMed  Google Scholar 

  33. Leboulanger N, Picard A, Soupre V et al. (2010) Physiologic and clinical benefits of noninvasive ventilation in infants with Pierre Robin sequence. Pediatrics 126(5):e1056-e1063

    Article  PubMed  Google Scholar 

  34. Ramirez A, Delord V Khirani S et al. (2012) Interfaces for long-term noninvasive positive pressure ventilation in children. Intensive Care Med 38(4):655–662

    Article  PubMed  Google Scholar 

  35. Niranjan V, Bach JR (1998) Noninvasive management of pediatric neuromuscular ventilatory failure. Crit Care Med 26(12):2061–2065

    Article  PubMed  CAS  Google Scholar 

  36. Nava S, Navalesi P, Gregoretti C (2009) Interfaces and humidification for noninvasive mechanical ventilation. Respir Care 54(1):71–84

    PubMed  Google Scholar 

  37. Toussaint M, Steens M, Wasteels G et al. (2006) Diurnal ventilation via mouthpiece: survival in end-stage Duchenne patients. Eur Respir J 28(3):549–555

    Article  PubMed  CAS  Google Scholar 

  38. Fauroux B, Lavis JF, Nicot F et al. (2005) Facial side effects during noninvasive positive pressure ventilation in children. Intensive Care Med 31(7):965–969

    Article  PubMed  Google Scholar 

  39. Li KK, Riley RW, Guilleminault C (2000) An unreported risk in the use of home nasal continuous positive airway pressure and home nasal ventilation in children: mid-face hypoplasia. Chest 117(3):916–918

    Article  PubMed  CAS  Google Scholar 

  40. Villa MP, Pagani J, Ambrosio R et al. (2002) Mid-face hypoplasia after long-term nasal ventilation. Am J Respir Crit Care Med 166(8):1142–1143

    Article  PubMed  Google Scholar 

  41. Tzeng AC, Bach JR (2000) Prevention of pulmonary morbidity for patients with neuromuscular disease. Chest 118(5):1390–1396

    Article  PubMed  CAS  Google Scholar 

  42. Bach JR, Rajaraman R, Ballanger F et al. (1998) Neuromuscular ventilatory insufficiency: effect of home mechanical ventilator use v oxygen therapy on pneumonia and hospitalization rates. Am J Phys Med Rehabil 77(1):8–19

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Pediatric Anesthesiology and Intensive Care Unit, SS. Antonio Biagio e Cesare Arrigo Hospital, Alessandria, Italy

    Fabrizio Racca

Authors
  1. Fabrizio Racca
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Cesare Gregoretti
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Elena Capello
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Cristina Bella
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Ida Salvo
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Edoardo Calderini
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Marco Ranieri
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Fabrizio Racca .

Editor information

Editors and Affiliations

  1. Anesthesia and Intensive Care, Pediatric Anesthesia and Intensive Care Section, and Postgraduate School, University of Catania, AOU Policlinico-Vittorio Emanuele, Catania, Italy

    Marinella Astuto

Rights and permissions

Reprints and permissions

Copyright information

© 2013 Springer-Verlag Italia

About this chapter

Cite this chapter

Racca, F. et al. (2013). Long-Term Home Ventilation in Children: Advances and Perspectives. In: Astuto, M. (eds) Pediatric Anesthesia, Intensive Care and Pain: Standardization in Clinical Practice. Anesthesia, Intensive Care and Pain in Neonates and Children. Springer, Milano. https://doi.org/10.1007/978-88-470-2685-8_7

Download citation

  • DOI: https://doi.org/10.1007/978-88-470-2685-8_7

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-2684-1

  • Online ISBN: 978-88-470-2685-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation