Who is using noninvasive ventilation? A descriptive study examining the population enrolled in a pediatric noninvasive ventilation program

Abstract

Design and Methods: This study used a retrospective design and involved reviewing the charts of infants and children enrolled in the noninvasive ventilation (NIV) program at a quaternary pediatric hospital located in Western Canada in 2017. Demographic and clinical variables were collected, along with variables related to adherence to NIV therapy. For data storage and analysis purposes, a comprehensive database was created. Descriptive statistics were used to analyze and better understand patterns within the data. Results: Findings included a comprehensive description of the population of infants and children enrolled in this NIV program in 2017, including demographic and clinical variables as well as follow-up and adherence data. This study identified that the NIV program at this pediatric center has unique characteristics which provide an exciting opportunity for further research into the population that requires NIV support.Practice Implications: This study presents new knowledge, gathered by examining the clinical characteristics of a pediatric population that requires NIV, which can be used to inform practice, support NIV program planning, and health resource allocation, as well as suggest directions for future research on pediatric NIV therapy.

Pediatric invasive long‐term ventilation—A 10‐year review

“…Therefore, the reduction in the number of complex neonatal pathologies presenting needing LTMV reflected by this study was unlikely to be due to prenatal diagnostic improvements. Conversely, developments in neonatal intensive care provision, as well as improved NIV interfaces for small babies, likely precluded some from progressing to LTMV that may have required it in preceding years 2,18,26,27 …”