Non-invasive ventilation in children in France: focus on neuromuscular diseases

A cross-sectional study was conducted in June 2019 by the French pediatric “NIV/CPAP” network, which brings together 27 pediatric academic centers in 24 French cities. Published in 2021, it involved 1447 children treated with long-term noninvasive ventilation (NIV) or continuous positive airway pressure (CPAP) for at least 3 months as of June 1, 2019. Its results showed that 46% of children had upper airway obstruction and 28% had neuromuscular disease. A large half (55%) were on NIV while CPAP was used in 45% of cases.

A paper published in September 2022 details the data for children with neuromuscular disease:

  • 387 patients, 63% of whom were boys, with a mean age of 11.2 ± 5.5 years,
  • 33% had spinal muscular atrophy (SMA), 30% congenital myopathy or congenital muscular dystrophy, 20% Duchenne muscular dystrophy, 7% Steinert’s myotonic dystrophy, 9% other neuromuscular disease,
  • 94% were under NIV, 6% under CPAP,
  • ventilation was started during an acute respiratory episode (15% of cases) or, in the majority of cases, in the presence of sleep apnea and/or blood gas abnormalities.

 

Long term noninvasive ventilation and continuous positive airway pressure in children with neuromuscular diseases in France. Allaer L, Khirani S, Griffon L et al. Neuromuscul Disord. 2022 Sep 24:S0960-8966(22)00684-8

 

Paediatric long term continuous positive airway pressure and noninvasive ventilation in France: A cross-sectional study. Fauroux B, Khirani S, Amaddeo A et al. Respir Med. 2021 May;181:106388.

 

Long-term noninvasive mechanical ventilation for children at home: a national survey. Fauroux B, Boffa C, Desguerre I, Estournet B, Trang H. Pediatr Pulmonol. 2003 Feb;35(2):119-25.