title: Domiciliary noninvasive positive airway pressure therapy in children.
abstract: There has been a dramatic increase in the past few decades in the number of children receiving noninvasive positive airway pressure (PAP) therapy at home. Although PAP therapy was first prescribed for children with obstructive sleep apnea, the indications have rapidly widened to include treatment for central hypoventilation syndromes, neuromuscular and chest wall disorders as well as primary respiratory diseases. Given the rapidly expanding use of PAP therapy in children, pediatric pulmonologists need to be familiar with the indications, technical and safety considerations as well as potential complications and challenges that may arise when caring for children using PAP therapy. This review article covers the definition of PAP therapy, modes, interfaces, devices, indications, contraindications, suggested settings, complications as well as the factors influencing the adherence.
authors.affiliation: Division of Respiratory Medicine, The Hospital for Sick Children, Toronto, Canada.|Department of Paediatrics, University of Toronto, Toronto, Canada.|Department of Child Health and Evaluative Sciences, The Hospital for Sick Children, Toronto, Canada.
authors.forename: Reshma
authors.initials: R
authors.lastname: Amin
authors.affiliation: Division of Respiratory Medicine, The Hospital for Sick Children, Toronto, Canada.|Department of Paediatrics, University of Toronto, Toronto, Canada.|Department of Physiology and Experimental Medicine, The Hospital for Sick Children, Toronto, Canada.
authors.forename: Suhail
authors.initials: S
authors.lastname: Al-Saleh
authors.affiliation: Division of Respiratory Medicine, The Hospital for Sick Children, Toronto, Canada.|Department of Paediatrics, University of Toronto, Toronto, Canada.|Department of Physiology and Experimental Medicine, The Hospital for Sick Children, Toronto, Canada.
authors.forename: Indra
authors.initials: I
authors.lastname: Narang
mesh_terms: D002648:Child; D002908:Chronic Disease; D045422:Continuous Positive Airway Pressure / Q000295:instrumentation; D006699:Home Care Services; D006801:Humans; D010349:Patient Compliance; D010353:Patient Education as Topic; D017410:Practice Guidelines as Topic; D012120:Respiration Disorders / Q000503:physiopathology / Q000628:therapy*
keywords: non-invasive ventilation; respiratory technology; sleep medicine