• R Wormald, A Naude, and H Rowley.
• Children's University Hospital, Temple Street, Dublin, Ireland. r_wormald@yahoo.com
• Int. J. Pediatr. Otorhinolaryngol. 2009 Apr 1;73(4):551-4.

ObjectiveThe aim of this paper is to highlight our experience with the use of non-invasive positive pressure ventilation (NIPPV) in children, neonates and pre-term infants with upper airway obstruction.MethodsThis was a retrospective review of our recent experience in using NIPPV for the management of upper airway obstruction in paediatric patients.ResultsNIPPV was successful in preventing tracheostomy in patients with significant laryngo-tracheomalacia as well as being used to optimise the timing of surgery in subglottic stenosis. Furthermore, it proved beneficial in stabilising the airway after aryepiglottoplasty and also had a role in the management of obstructive sleep apnoea.ConclusionThe use of NIPPV in children with upper airway obstruction can be a safe and effective alternative to invasive mechanical ventilation. NIPPV can potentially be beneficial in avoiding prolonged invasive ventilation, avoiding tracheostomy, stabilizing the airway after extubation or decannulation, and management of obstructive sleep apnoea.

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