• Dafne Cardoso Bourguignon da Silva, Flavia Andrea Krepel Foronda, and Eduardo Juan Troster.
• Instituto Fernandes Figueira / FIOCRUZ, RJ, Brazil.
• J Pediatr (Rio J). 2003 Nov 1;79 Suppl 2:S161-8.

ObjectiveTo introduce the notion of noninvasive mechanical ventilation as an alternative for invasive ventilation in children, describing advantages and disadvantages, indications, and the process of equipment installation.Source Of DataLiterature review through PubMed/Medline, using as source articles focusing on noninvasive ventilation in pediatric populations, as well as consensus statements and metanalyses concerning noninvasive ventilation in adults.Summary Of The FindingsThe main indication for noninvasive ventilation is respiratory failure due to hypercapnia. It is contra-indicated in the presence of hemodynamic instability. The advantages of noninvasive ventilation include: the equipment is easy to install; it is not invasive and involves less discomfort; there is a lower incidence of complications associated with the endotracheal tube; lower cost. The disadvantages are: gastric distention; transient hypoxemia; facial skin necrosis. The equipment required for noninvasive ventilation includes an interface (mask) and a respirator. The removal of noninvasive ventilation equipment is relatively simple, but chronic patients may require assistance in the home.ConclusionsNoninvasive ventilation is a less costly, efficient and simple to perform alternative in cases of respiratory failure without hemodynamic instability.

9 keywords...

hide…