Panel discussion on chronic non-invasive ventilation in children – ERS Consensus Statement

Long-term noninvasive respiratory support, comprising continuous positive airway pressure (CPAP) and noninvasive ventilation (NIV), in children is expanding worldwide, with increasing complexities of children being considered for this type of ventilator support and expanding indications such as palliative care. There have been improvements in equipment and interfaces. Despite growing experience, there are still gaps in a significant number of areas: there is a lack of validated criteria for CPAP/NIV initiation, optimal follow-up and monitoring; weaning and long term benefits have not been evaluated. Therapeutic education of the caregivers and the patient is of paramount importance, as well as continuous support and assistance, in order to achieve optimal adherence. The preservation or improvement of the quality of life of the patient and caregivers should be a concern for all children treated with long term CPAP/NIV. As NIV is a highly specialised treatment, patients are usually managed by an experienced paediatric multidisciplinary team. This Statement written by experts in the field of paediatric long term CPAP/NIV aims to emphasize on the most recent scientific input and should open up to new perspectives and research areas.

Educational aims

• Overview of the ERS Consensus Statement on chronic non-invasive ventilation in children
• Overview of disorders that might benefit from chronic NIV
• To list initiation criteria
• To get familiarized with a titration protocol and the correct equipment and interfaces
• Follow-up of children with NIV
• Weaning criteria
• To list clinical and research gaps in the field of pediatric NIV

Topics

• Practical aspects of NIV initiation (criteria, interfaces, equipment and titration)
• Follow-up of children on chronic NIV (adherence, follow-up sleep studies, weaning criteria)
• Clinical and research opportunities in paediatric chronic NIV

Format

Webinar with three interactive lectures

Learning outcomes

Following the webinar, participants will be able to:

• Identify patient groups at risk for chronic respiratory insufficiency and know the initiation criteria for paediatric NIV
• Know technical aspects of different interfaces and equipment used in paediatric NIV
• Be familiar with titration protocols
• Be familiar with the follow-up of children on chronic NIV including maximizing adherence, aspects of follow-up sleep studies and weaning criteria
• Identify clinical and research opportunities in this field

CME credit

An application for accreditation of this webinar has been made to the European Board for Accreditation in Pneumology (EBAP) for 1 CME credit per 1-hour attendance. If accredited, the CME credit will be granted upon attendance of at least 60 minutes during the live webinar only.

What is a webinar?

A webinar closely simulates a lecture-based teaching experience. The speaker can interact with the audience, just as in a classroom setting. During the webinar, you will be asked to share your opinion on issues related to the topic using interactive polls.

All participants will be able to hear the lecturer and see the slides throughout the presentation. As a participant you will be able to pose questions or discuss ideas with the other participants via the text chat facility and the speaker will respond to the questions via the microphone.

Login guidelines

More information will be communicated in due course.

• Please log in to the webinar 20 minutes before it is scheduled to commence. If you have any technical difficulties whilst trying to log in or during the session please contact e-learning@ersnet.org.
• Check Central European Summer Time.
• To achieve the best quality, we recommend to avoid downloading anything from the internet during your connection to the lecture and stopping all other programmes.
• Please also ensure that your audio settings are not set to mute and adjust the volume to a comfortable level.