About this Research Topic
Long term mechanical ventilation (LTV) has been defined as the need for non-invasive or invasive ventilation for a period of at least 3 months daily, carried out mostly in the user's home or other long-term care facility. Non-invasive ventilation (NIV) is a respiratory aid where assistance to breathing or full ventilation is delivered through an interface outside the airways. In children with chronic respiratory failure the aims of home mechanical ventilation (HMV) include prolonging life, maintaining its quality and reducing morbidity. Provision of NIV support and the population of children who survive reaching adulthood are exponentially increasing. This Research Topic aims to go into the topic of long term non-invasive ventilation through different subjects.
The practical aspect of long term non-invasive ventilation is dealt with a deepening on ventilators and ventilatory modalities, the most recent developments on non-invasive ventilation and the use of build-in software to assess compliance and trends of home ventilation. Moreover, we will include articles on modalities of education of patients and families to ensure a good compliance.
In this Research Topic, different experts on non-invasive ventilation will discuss main indications and complications, newest evidence and clinical issues of non-invasive ventilation in order to provide a detailed outline of state-of-the-art on the subject. Since tracheostomy is rarely indicated, with improvements in expertise and management of non-invasive ventilation, the relative role of invasive ventilation per tracheostomy compared to NIV will be also described.
The last part of this Research Topic will be focused on emerging issues that are changing the perspectives on long term non-invasive ventilation, such as:
• The use of mechanical ventilation in palliative care;
• The ethical issue of using non-invasive ventilation in children with chronic evolutive diseases without effective treatments;
• Transition to adult care in children on long term non-invasive ventilation.
Transition to adult care is one of the most challenging problems linked to the increase of life expectancy in children on long term ventilation, which requires particular attention and needs to be developed further.
This Research Topic has received financial support from Phillips and Air Liquide.
Keywords: pediatric pulmonology, long term ventilation, long term non-invasive ventilation, mechanical ventilation
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