Custom-made 3D printed masks for children using non-invasive ventilation: a comparison of 3D scanning technologies and specifications for future clinical service use, guided by patient and professional experience

Willox, Matt; Metherall, Peter; McCarthy, Avril D.; Jeays-Ward, Katherine; Barker, Nicki; Reed, Heath; Elphick, Heather

doi:10.1080/03091902.2021.1921869

Cited by 9 publications

(6 citation statements)

References 6 publications

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“…[8][9] In this review, various mask types including oxygen masks (eg, NIV and pilot oxygen masks) and respirators (eg, dust mask with or without a filter) were examined. Although masks may be used in different use conditions, [10][11][12][13][14][15][16][17][18][19][20][21][22][23] their ergonomic features and design requirements to achieve optimal fit to users can be similar. Mask designs based on the analyses of face shapes and sizes, mask sizing systems, representative faces, and/or digital headforms have been explored for better comfort and fit of a mask to the face.…”

Section: Resultsmentioning

confidence: 99%

“…Although the customization of the NIV mask interface has not yet arrived to a wide market, many studies have proposed possible solutions to personalize NIV masks to individual patients. 12,14 For example, Morrison et al 10 minimized the leak and discomfort of mask usage in children with craniofacial anomalies by developing a personalized mask frame using 3D scanning, computer-aided customized design, 3D printing, and a silicone molding method. Shikama et al 13 proposed a personalized adapter based on 3D solutions that can be used together with commercial masks to reduce leakage and contact pressure.…”

Section: Troubleshooting When Using Masksmentioning

confidence: 99%

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Ergonomics and Personalization of Noninvasive Ventilation Masks

et al. 2021

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Section: Resultsmentioning

confidence: 99%

Section: Troubleshooting When Using Masksmentioning

confidence: 99%

Ergonomics and Personalization of Noninvasive Ventilation Masks

et al. 2021

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“…The development of pediatric-specific masks has expanded significantly in recent years, which directly influences the ability to provide high-level noninvasive support in younger children (24). Some institutions are even exploring the use of custom-fitted, three-dimensionally printed masks for use in pediatric patients requiring NIV, a practice that has the potential to become a standard of practice in hospitals with sufficient resources (25). There are also increasing data on the efficiency of delivering aerosolized medications such as albuterol through noninvasive ventilator interfaces, which further helps support their use in status asthmaticus (26).…”

Section: Discussionmentioning

confidence: 99%

Changes in the Use of Invasive and Noninvasive Mechanical Ventilation in Pediatric Asthma: 2009–2019

Smith

Dinh

et al. 2023

Annals ATS

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Rationale: Despite lower overall hospitalization rates for asthma in recent years, there has been an increase in the number of pediatric patients receiving intensive care management in the United States.Objectives: To investigate how the use of invasive and noninvasive mechanical ventilation for asthma has changed in the context of an evolving cohort of critically ill pediatric patients with asthma.Methods: We analyzed children admitted to intensive care units for asthma from 2009 through 2019 in the Virtual Pediatric Systems database. Regression analyses were used to evaluate how respiratory support interventions, mortality, and patient characteristics have changed over time. Odds ratios were calculated to determine how patient characteristics were associated with respiratory support needs. Stratified analyses were performed to determine how changing practice patterns may have differed between patient subgroups.Results: There were 67,614 admissions for 56,727 patients analyzed. Intubation occurred in 4.6% of admissions and decreased from 6.9% to 3.4% over time (P , 0.001), whereas noninvasive ventilation as the maximal respiratory support increased from 8.9% to 20.0% (P , 0.001). Over time, the cohort shifted to include more 2-to 6-year-olds and patients of Asian/Pacific Islander or Hispanic race/ethnicity. Although intubation decreased and noninvasive ventilation increased in all subgroups, the changes were most pronounced in the youngest patients and slightly less pronounced for obese patients.Conclusions: In pediatric asthma, use of intubation has halved, whereas use of noninvasive ventilation has more than doubled. This change in practice appears partially related to a younger patient cohort, although other factors merit exploration.

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“…Although custom-made masks are nowadays mainly parts of the "history" of NIV in pediatrics, an increasing interest for new kinds of custom-made masks has emerged, with the widespread accessibility to 3D printing. [27][28][29][30][31][32][33][34] Indeed, with advancements in 3D technology, custom-made masks appear less challenging to be made, and may be of great utility in children with particular face shapes and/or anatomical features. 6,35 However, the mask design should respond to several requirements and considerations.…”

Section: D Printingmentioning

confidence: 99%

Mask interfaces and devices for home noninvasive ventilation in children

Khirani,

Ducrot

2024

Pediatric Pulmonology

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Home noninvasive ventilation (NIV), including continuous (CPAP) and bilevel (BPAP) positive airway pressure, is increasingly used in children worldwide. In this narrative review, we present a comprehensive summary of the equipment available for home NIV in pediatrics, excluding neonates. NIV may be challenging in young children, as the majority of the equipment has been developed for adults. Regarding the interfaces, only a few masks have been specifically developed for young children in recent years, while older children may benefit from a large variety of interfaces. Even though much progress has been made, skin injuries are still present, and need to be managed rapidly. Several studies addressed the management of the side effects, but recent studies are lacking regarding orofacial anomalies. No recent study reported the available interfaces for young children and the strategies for an optimal mask fit. Regarding the devices, an adapted NIV device to pediatrics that allows an adequate patient's breathing detection should guarantee optimal ventilatory efficiency and monitoring of NIV. A close follow‐up and regular monitoring should be mandatory to rule out the potential issues, optimize NIV therapy and ascertain the efficacy of NIV. However, studies are lacking to guide the choice of devices in young children and the optimal management of home NIV in pediatrics. We summarized the characteristics of the different interfaces available for young children and the limitations of NIV devices. We finally addressed potential areas for future research on long‐term home NIV in children.

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Custom-made 3D printed masks for children using non-invasive ventilation: a comparison of 3D scanning technologies and specifications for future clinical service use, guided by patient and professional experience

Cited by 9 publications

References 6 publications

Ergonomics and Personalization of Noninvasive Ventilation Masks

Ergonomics and Personalization of Noninvasive Ventilation Masks

Changes in the Use of Invasive and Noninvasive Mechanical Ventilation in Pediatric Asthma: 2009–2019

Mask interfaces and devices for home noninvasive ventilation in children

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