Noninvasive ventilation in pediatric emergency care: a literature review and description of our experience

Expert Rev Respir Med. 2013 Oct;7(5):545-52. doi: 10.1586/17476348.2013.816570.


Noninvasive ventilation (NIV) refers to a kind of mechanical respiratory support used in order to avoid the progression of respiratory failure to endotracheal intubation. Even though if this method is widely known in patients affected by chronic diseases and in children admitted in pediatric and neonatal intensive care units, few data are actually available on its use in intermediate care units. The present review focuses on the efficiency of NIV performed in children with acute respiratory failure due to different conditions. Moreover, the authors have described their experience with NIV in pediatric patients admitted to their acute and emergency room where NIV was started, well tolerated and led to an improvement of gas exchanges, decreasing the muscular respiratory work and endotracheal intubation avoidance in most of the patients.

Publication types

  • Review

MeSH terms

  • Acute Disease
  • Age Factors
  • Child
  • Child, Preschool
  • Emergency Service, Hospital*
  • Humans
  • Infant
  • Infant, Newborn
  • Intubation, Intratracheal / adverse effects
  • Lung / physiopathology*
  • Noninvasive Ventilation* / adverse effects
  • Pediatrics / methods*
  • Pulmonary Gas Exchange
  • Recovery of Function
  • Respiratory Insufficiency / diagnosis
  • Respiratory Insufficiency / etiology
  • Respiratory Insufficiency / physiopathology
  • Respiratory Insufficiency / therapy*
  • Respiratory Muscles / physiopathology
  • Risk Factors
  • Treatment Outcome
  • Work of Breathing