Outcomes of home nCPAP and nNIV (non-invasive ventilation) in children under 2 years

Abstract

Current literature is scarce on outcomes for children <2 years who are commenced on nasal mask ventilator support; either CPAP or non-invasive bilevel pressure support [NIV]. This is a 10 year review of all children established on nasal mask support in our unit from 2007 to 2017. It is a retrospective audit of and internal electronic data bases from Mater Health services and Lady Cilento Children's Hospital. We aim to describe the disease profile of the individual children plus outcomes of therapy for this group. Our objective being to potentially improve the clinical decision making in this age group who require CPAP or nNIV therapy. Results: there were 40 children wo were commenced on nCPAP and 15 with nNIV over the period. They have > 33 different primary diagnoses and all had complex disease profiles. They lived from northern NSW to Cairns hinterland. Of the nNIV children-14 of the 15 continue on therapy; longest 7 years. Commencement of therapy was from 0.3-1.9 years, all were tolerant; Males: females 10:5. Of those on nCPAP 50% have ceased therapy and 20 continue; longest 9 years. Commencement of therapy 0.2-1.7 years; 4 were non tolerant; 1 progressed to tracheostomy and the other 3 had complex genetic abnormalities were managed conservatively Discussion: This retrospective study confirms that children < 2years can be successfully established on nCPAP and nNIV. From this we plan to provide improved education and support to future families.L6246120072018-11-01 <br />