ABSTRACT
Chapter overview 391 Ventilation 392 Nursing skills for a child requiring LTV 394 Humidification: using a heat-moisture 397
exchanger device Speaking valves 398
Teaching families to provide care at home 401 Outings away from home 402 The discharge process: from hospital to home 403 Supporting children and families 405 Conclusion 406 References 406
LEARNING OUTCOMES
Upon completion of this chapter, the reader should be able to accomplish the following: 1 Define long-term ventilation (LTV) 2 Understand common reasons for LTV 3 Describe common modes of ventilation used
with LTV 4 Discuss advantages and disadvantages of invasive
versus non-invasive ventilation 5 Develop insight into the general nursing skills
required to care for a child on LTV 6 Explore the role of humidification and HME filters
(wet and dry circuits) 7 Appraise the use of speaking valves 8 Gain insight into the teaching of parents and
children including the discharge process 9 Describe the considerations of LTV at home
including psychosocial implications
• neuromuscular disease; • congenital central hypoventilation syndrome
(CCHS); • spinal injury; • bronchopulmonary dysplasia (BPD); • tracheal-bronchial malacia (floppy airways).
