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Continuous Positive Airway Pressure, Non-invasive Spontaneous Timed Positive Airway Pressure

Key results:
Not enough research has been done to either recommend or not recommend this treatment. One pilot study was found that asked the question if adding non-invasive spontaneous/timed airway pressure to standard treatment, would make the patient feel better. The research team found that symptoms resolved more quickly when medications are delivered using non-invasive spontaneous/timed airway pressure, but only 20 patients were studied. As studies become available that test this therapy in a larger number of patients in the ED, our confidence in using this.

For more information click here for the Critically Appraised Topic (CAT) on Non-invasive ventilation.

Basnet, S., Mander, G., Andoh, J., Klaska, H., Verhulst, S., & Koirala, J. (2012). Safety, efficacy, and tolerability of early initiation of noninvasive positive pressure ventilation in pediatric patients admitted with status asthmaticus: a pilot study. Pediatr Crit Care Med, 13(4), 393-398. doi:10.1097/PCC.0b013e318238b07a


These guidelines do not establish a standard of care to be followed in every case. It is recognized that each case is different and those individuals involved in providing health care are expected to use their judgment in determining what is in the best interests of the patient based on the circumstances existing at the time. It is impossible to anticipate all possible situations that may exist and to prepare guidelines for each. Accordingly these guidelines should guide care with the understanding that departures from them may be required at times.