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JYMS : Journal of Yeungnam Medical Science

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Review article
Home mechanical ventilation in children with chronic respiratory failure: a narrative review
Soyoung Kwak
J Yeungnam Med Sci. 2023;40(2):123-135.   Published online May 27, 2022
DOI: https://doi.org/10.12701/jyms.2022.00227
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  • 7 Web of Science
  • 7 Crossref
AbstractAbstract PDF
Advances in perinatal and pediatric intensive care and recent advances in mechanical ventilation during the last two decades have resulted in an exponential increase in the number of children undergoing home mechanical ventilation (HMV) treatment. Although its efficacy in chronic respiratory failure is well established, HMV in children is more complex than that in adults, and there are more considerations. This review outlines clinical considerations for HMV in children. The goal of HMV in children is not only to correct alveolar hypoventilation but also to maximize development as much as possible. The modes of ventilation and ventilator settings, including ventilation masks, tubing, circuits, humidification, and ventilator parameters, should be tailored to the patient’s individual characteristics. To ensure effective HMV, education for the parent and caregiver is important. HMV continues to change the scope of treatment for chronic respiratory failure in children in that it decreases respiratory morbidity and prolongs life spans. Further studies on this topic with larger scale and systemic approach are required to ensure the better outcomes in this population.

Citations

Citations to this article as recorded by  
  • Indications and practice of home invasive mechanical ventilation in children
    Secahattin Bayav, Nazan Çobanoğlu
    Pediatric Pulmonology.2024;[Epub]     CrossRef
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    Pediatric Pulmonology.2024;[Epub]     CrossRef
  • Transitioning children using home invasive mechanical ventilation from hospital to home: Discharge criteria, disparities, and ethical considerations
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    Pediatric Pulmonology.2024;[Epub]     CrossRef
  • Mask interfaces and devices for home noninvasive ventilation in children
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    Pediatric Pulmonology.2024;[Epub]     CrossRef
  • The follow‐up of children on home invasive mechanical ventilation after hospital discharge
    Halime Nayır Büyükşahin, Ebru Yalcın
    Pediatric Pulmonology.2023;[Epub]     CrossRef
  • Identifying and managing psychosocial problems in children on home invasive mechanical ventilation
    Gizem Özcan, Nazan Çobanoğlu
    Pediatric Pulmonology.2023;[Epub]     CrossRef
  • Management of gastrointestinal and nutritional problems in children on home invasive mechanical ventilation
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    Pediatric Pulmonology.2023;[Epub]     CrossRef

JYMS : Journal of Yeungnam Medical Science