PT  - JOURNAL ARTICLE
AU  - Najma Iqbal
AU  - Shabnam Moledina
AU  - Titus Ninan
TI  - The provision of an acute paediatric NIV service at a district general hospital
DP  - 2011 Sep 01
TA  - European Respiratory Journal
PG  - p2073
VI  - 38
IP  - Suppl 55
4099  - http://erj.ersjournals.com/content/38/Suppl_55/p2073.short
4100  - http://erj.ersjournals.com/content/38/Suppl_55/p2073.full
SO  - Eur Respir J2011 Sep 01; 38
AB  - The experience of acute NIV in Paediatrics is limited. The experience outside a PICU is even more limited.We looked at our acute NIV usage over a 3 year period (January 2007 to December 2009) in a Paediatric HDU at a District General Hospital with no PICU facilities. The indication for NIV was Type 2 respiratory failure as defined by pH <7.30, pC02 >6 (children <5 years) pH <7.35, pC02 >7.35 (children >5).23 patients had 31 admissions over the study period. 11 previously stable children (Group 1) admitted with acute respiratory failure needed NIV; the largest diagnostic group was children with SMA followed by Duchenne muscular dystrophy. 10 children (Group 2) who were stable on NIV were admitted with a respiratory exacerbation and needed enhanced NIV support. The largest diagnostic group in this cohort was children with Duchenne Muscular Dystrophy. 11 of the 14 children in group 1 and all 10 of the children in Group 2 improved clinically and on blood gases measurements were discharged home.NIV has been implemented successfully out with a PICU. There are significant benefits to the family and to the economy.