Mechanical Ventilation Beyond the PICU

  • G. Ottonello
  • A. Franceschi
Conference paper


Long-term ventilation is referred to any child who, when medically stable, requires mechanical aid for breathing after an acknowledged failure to wean, or a slow wean 3 months after ventilation initiation [1]. The number of children with chronic respiratory failure requiring long-term ventilation support, even 24 h a day, is constantly increasing as a consequence of better medical treatment and technological advances that have contributed to longer survival of critical patients and to the development of suitable home medical equipment [2, 3, 4]. However, the hospital — and especially the intensive care unit (ICU) — is definitely an inadequate environment in which to assist these patients, particularly in regard to their physical and psychological development [5, 6]. Furthermore, in these cases long-term hospitalisation represents inappropriate exploitation of resources [7]. Therefore, for children who are medically stable, home care is an appropriate alternative despite the resulting radical change in family life.


Spinal Muscular Atrophy Noninvasive Ventilation Nasal Mask Chronic Respiratory Failure Home Mechanical Ventilation 
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Copyright information

© Springer-Verlag Italia 2011

Authors and Affiliations

  • G. Ottonello
  • A. Franceschi

There are no affiliations available

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