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Journal of Child Neurology
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Reviews

Topical Review: Pediatric Noninvasive Nasal Ventilation

David J. Bimkrant, MD

Case Western Reserve University School of Medicine, and the Department of Pediatrics, MetroHealth Medical Center, Cleveland, Ohio

John F. Pope, MD

Case Western Reserve University School of Medicine, and the Department of Pediatrics, MetroHealth Medical Center, Cleveland, Ohio

Robert M. Eiben, MD

Case Western Reserve University School of Medicine, and the Department of Pediatrics, MetroHealth Medical Center, Cleveland, Ohio

Noninvasive nasal ventilation is an effective but underutilized method of chronic respiratory support for patients with respiratory insufficiency due to neuromuscular disease. Noninvasive nasal ventilation corrects nocturnal hypoxia and hypercapnia, resolving symptoms of chronic alveolar hypoventilation. Noninvasive nasal ventilation can allow selected patients with acute respiratory failure to avoid intubation and it can facilitate endotracheal extubation. Practical guidelines and the rationale for pediatric noninvasive nasal ventilation therapy will be discussed in this review. (J Child Neurol 1997;12:231-236).

Journal of Child Neurology, Vol. 12, No. 4, 231-236 (1997)
DOI: 10.1177/088307389701200401
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