Non-invasive respiratory support in children and young adults with complex medical conditions in pediatric palliative care - Archive ouverte HAL
Article Dans Une Revue Archives of Disease in Childhood Année : 2024

Non-invasive respiratory support in children and young adults with complex medical conditions in pediatric palliative care

Brigitte Fauroux
Jessica Taytard
Iulia Ioan
  • Fonction : Auteur
Marc Lubrano
  • Fonction : Auteur
Laurence Le Clainche
  • Fonction : Auteur
Plamen Bokov
  • Fonction : Auteur
Benjamin Dudoignon
  • Fonction : Auteur
Stephane Debelleix
  • Fonction : Auteur
Francois Galode
  • Fonction : Auteur
Elodie Sigur
  • Fonction : Auteur
Geraldine Labouret
  • Fonction : Auteur
Morgane Ollivier
  • Fonction : Auteur
Alexandra Binoche
  • Fonction : Auteur
Jean Bergougnioux
  • Fonction : Auteur
Blaise Mbieleu
  • Fonction : Auteur
Aben Essid
  • Fonction : Auteur
Eglantine Hullo
  • Fonction : Auteur
Audrey Barzic
  • Fonction : Auteur
Johan Moreau
  • Fonction : Auteur
Mikael Jokic
  • Fonction : Auteur
Sophie Denamur
  • Fonction : Auteur
Guillaume Aubertin
  • Fonction : Auteur
Cyril Schweitzer
  • Fonction : Auteur

Résumé

Objective Dyspnoea and sleep-disordered breathing (SDB) are common in children with life-limiting conditions but studies on treatment with non-invasive ventilation (NIV) or continuous positive airway pressure (CPAP) are scarce. The aim of the study was to describe children treated with long-term NIV/CPAP within a paediatric palliative care programme in France. Methods Cross-sectional survey on children and young adults with complex medical conditions treated within the French paediatric NIV network with long-term NIV/CPAP. Characteristics of the patients were analysed and patient-related outcome measures of NIV/CPAP benefit were reported. Results The data of 50 patients (68% boys), median age 12 (0.4–21) years were analysed. Twenty-three (46%) patients had a disorder of the central nervous system and 5 (10%) a chromosomal anomaly. Thirty-two (64%) patients were treated with NIV and 18 (36%) with CPAP. NIV/CPAP was initiated on an abnormal Apnoea-Hypopnoea Index in 18 (36%) of the patients, an abnormal nocturnal gas exchange alone in 28 (56%), and after an acute respiratory failure in 11 (22%) of the patients. Mean objective NIV/CPAP adherence was 9.3±3.7 hours/night. NIV/CPAP was associated with a decrease in dyspnoea in 60% of patients, an increase in sleep duration in 60% and in sleep quality in 74%, and an improvement in parents’ sleep in 40%. Conclusions In children with life-limiting conditions, long-term NIV/CPAP may be associated with relief of dyspnoea, an improvement of SDB and an improvement in parents’ sleep.
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Dates et versions

hal-04833828 , version 1 (12-12-2024)

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Citer

Brigitte Fauroux, Jessica Taytard, Iulia Ioan, Marc Lubrano, Laurence Le Clainche, et al.. Non-invasive respiratory support in children and young adults with complex medical conditions in pediatric palliative care. Archives of Disease in Childhood, 2024, 109 (11), pp.918-923. ⟨10.1136/archdischild-2023-326782⟩. ⟨hal-04833828⟩

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