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Children 2017, 4(5), 41; doi:10.3390/children4050041

Respiratory Care Considerations for Children with Medical Complexity

1
Holland Bloorview Kids Rehabilitation Hospital, The University of Toronto, Toronto, ON M4G 1R8, Canada
2
Division of Respiratory Medicine, The Hospital for Sick Children, The University of Toronto, Toronto, ON M5G 1X8, Canada
*
Author to whom correspondence should be addressed.
Received: 27 February 2017 / Revised: 8 May 2017 / Accepted: 16 May 2017 / Published: 19 May 2017
(This article belongs to the Special Issue Children with Complex Health Care Needs)
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Abstract

Children with medical complexity (CMC) are a growing population of diagnostically heterogeneous children characterized by chronic conditions affecting multiple organ systems, the use of medical technology at home as well as intensive healthcare service utilization. Many of these children will experience either a respiratory-related complication and/or they will become established on respiratory technology at home during their care trajectory. Therefore, healthcare providers need to be familiar with the respiratory related complications commonly experienced by CMC as well as the indications, technical and safety considerations and potential complications that may arise when caring for CMC using respiratory technology at home. This review will outline the most common respiratory disease manifestations experienced by CMC, and discuss various respiratory-related treatment options that can be considered, including tracheostomy, invasive and non-invasive ventilation, as well as airway clearance techniques. The caregiver requirements associated with caring for CMC using respiratory technology at home will also be reviewed. View Full-Text
Keywords: children with medical complexity (CMC); tracheostomy; ventilation; noninvasive ventilation; polysomnogram; mechanical insufflation-exsufflation children with medical complexity (CMC); tracheostomy; ventilation; noninvasive ventilation; polysomnogram; mechanical insufflation-exsufflation
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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Chiang, J.; Amin, R. Respiratory Care Considerations for Children with Medical Complexity. Children 2017, 4, 41.

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