[Interfaces for pediatric noninvasive ventilation (excluding neonate)].
The quality of noninvasive ventilation in pediatrics is interface-dependent. Several types of interfaces are currently available: nasal and oral masks, nasal pillows and helmets. Despite material improvements in material design, shape, size and components, interfaces are still not adapted for most children. The ideal interface must fit the child's characteristics and the disease requirements. For instance, a nasal canula is recommended for infants younger than 3 months of age. If necessary, nasal masks can be used as oronasal masks. Repeated and careful evaluations are indicated to ensure interface adequacy and to detect cutaneous injuries and facial deformities. Training is required for medical and paramedical personnel. Pediatrics studies, comparing interfaces, are needed to build evidence-based recommendations.
Noizet-Yverneau
O
O
Service de réanimation pédiatrique et néonatale, CHU de Reims, Alix-de-Champagne, rue Cognacq-Jay, 51100 Reims, France. o.noizet@voila.fr
Leclerc
F
F
Santerne
B
B
Akhavi
A
A
Pomédio
M
M
Saad
S
S
Dessioux
E
E
Morville
P
P
D002648:Child; D006801:Humans; D012121:Respiration, Artificial / Q000295:instrumentation* / Q000379:methods