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Noninvasive ventilation for acute and impending respiratory failure in children

Joshua Nagler, MD
Ira M Cheifetz, MD, FCCM, FAARC
Section Editor
Adrienne G Randolph, MD, MSc
Deputy Editor
James F Wiley, II, MD, MPH


This topic will focus on the use of noninvasive ventilation (NIV) for acute and impending respiratory failure, including benefits and risks, indications and contraindications, approach to initiation, predictors of NIV failure (need for tracheal intubation and invasive mechanical ventilation), and potential complications from use of NIV.

The use of NIV for apnea and respiratory distress syndrome in premature and term neonates, chronic respiratory failure from neuromuscular disease, post-extubation respiratory distress, and obstructive sleep apnea are discussed separately as follows:

(See "Prevention and treatment of respiratory distress syndrome in preterm infants", section on 'Assisted ventilation techniques' and "Mechanical ventilation in neonates", section on 'Noninvasive mechanical ventilation'.)

(See "Respiratory muscle weakness due to neuromuscular disease: Management", section on 'Mechanical ventilation'.)

(See "Extubation management", section on 'Post-extubation management'.)


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Literature review current through: Sep 2016. | This topic last updated: Oct 12, 2015.
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