La télésurveillance du patient insuffisant respiratoire chronique en France : l’opportunité d’organiser une prise en charge efficiente

Borel, Jean-Christian; Bughin, François; Texereau, J.

doi:10.1016/j.rmr.2023.05.002

Cited by 1 publication

(1 citation statement)

References 26 publications

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“…The costs and reimbursements of telemonitoring differ between manufacturers and countries and may limit its use. 113 Actually, there is still little clinical application and evidence for telemonitoring of NIV, particularly in pediatrics, and clinical studies are required to determine the best strategies to optimize telemonitoring use. This may help to further develop telemonitoring, reduce the cost and expand the reimbursement.…”

Section: Telemonitoringmentioning

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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Section: Telemonitoringmentioning

confidence: 99%