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New noninvasive modalities in long-term pediatric ventilation: a scoping review

Authors :
Martino Pavone
Giovanni Misseri
Mariachiara Ippolito
Cesare Gregoretti
Renato Cutrera
Source :
Monaldi Archives for Chest Disease (2024)
Publication Year :
2024
Publisher :
PAGEPress Publications, 2024.

Abstract

Long-term noninvasive ventilation modalities for the pediatric population have undergone a continuous evolution. Hybrid noninvasive ventilation modalities have been recently introduced in clinical practice. Combining the advantages of conventional ventilation, hybrid modes use algorithms that automatically adjust the ventilator’s settings to achieve a predefined ventilation target. Most of the recommendations on the use and settings of hybrid noninvasive ventilation modalities in children are derived from adult experience. Therefore, there is a lack of evidence on its implementation in pediatric chronic respiratory diseases. This scoping review aims to map the existing information regarding the use of hybrid ventilation modalities in the pediatric population and identify knowledge or research gaps. We performed a literature search using MEDLINE and Pubmed following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews. We included 13 studies (ten studies on average volume-assured pressure-support ventilation; two studies on intelligent volume-assured pressure-support ventilation; and one study on adaptive servoventilation). The use of new noninvasive ventilation modes in the pediatric population has been applied for the treatment of neuromuscular and hypoventilation syndromes as an alternative therapeutic option in the case of the failure of conventional noninvasive ventilation. Their widespread use has been hampered by the limited evidence available. Longitudinal studies on a larger number of patients are needed to confirm their effectiveness and evaluate their long-term clinical and functional outcomes.

Details

Language :
English
ISSN :
11220643 and 25325264
Database :
Directory of Open Access Journals
Journal :
Monaldi Archives for Chest Disease
Publication Type :
Academic Journal
Accession number :
edsdoj.3c911edd0714ca6a0b3e699a1c3aecd
Document Type :
article
Full Text :
https://doi.org/10.4081/monaldi.2024.2841