The development process and limitations of non-invasive ventilation in children
10.3760/cma.j.issn.1673-4912.2024.06.002
- VernacularTitle:儿童无创通气的发展历程及其局限性
- Author:
Yueqiang FU
1
;
Chengjun LIU
Author Information
1. 重庆医科大学附属儿童医院重症医学科 国家儿童健康与疾病临床医学研究中心 儿童发育疾病研究教育部重点实验室 儿童代谢与炎症性疾病重庆市重点实验室 400014
- Keywords:
Non-invasive ventilation;
Childern;
Acute respiratory failure;
Pediatric acute respiratory distress syndrome;
Immune dysfunction
- From:
Chinese Pediatric Emergency Medicine
2024;31(6):412-415
- CountryChina
- Language:Chinese
-
Abstract:
The development process of non-invasive ventilation (NIV) has been nearly a century, reflecting the history of modern medical development. At present, NIV is widely used in pediatrics,and which is an important component of respiratory support therapy, as well as an important method for treating acute respiratory failure in children. However, non-invasive ventilation, due to its own characteristics, has limitations and contraindications, and cannot replace invasive mechanical ventilation. Before using NIV, it is necessary to carefully evaluate the patient's condition. NIV may fail in the treatment of pediatric patients with acute respiratory distress syndrome, immune dysfunction and post-extubation with acute respiratory failure, leading to poor prognosis. When the efficacy of NIV is poor and the condition worsens, prompt tracheal intubation and invasive mechanical ventilation treatment should be performed. Medical personnel should strengthen their training on the use of NIV.Teams with experienced members and refined management are important guarantees for the safe and effective use of NIV.
