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Posted by FormerRT on May 26, 2004 at 17:03:18:In Reply to: CHILD ON BIPAP DURING DAYTIME HOURS posted by gaytor on May 26, 2004 at 13:49:10:
People (adults and children both) can use BiPAP as non-invasive ventilation for home use...particularly people w/neurmuscular compromise that need the extra support to help prevent atelectasis. They typically only need this at night (due to the constraint of it all), but this can also be used during the day for the same purpose. We frequently have pt's that go on for 4 hours, off for 4 hours, etc. I've also had pt's on for 24hrs at a time.
I've worked in pediatrics for 10 years and we would send pts home on BiPAP when the parents are against traching the patients, or the pt has a difficult time remaining extubated due pulmonary hygiene difficulties/muscular compromise.
In this particular case, if it is being used only for these breathing treatments, I would think that an IPPB machine or a cough-assist device would be more effective. Those are easy to use and effective for delivering the medications more deeply into the lungs and to help expectorate any "congestion" and help eliminate atelectasis.
Is this the information that you were wanting? Hope this helps.
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