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Diffusion of paediatric long-term ventilation as a reflection of changing clinical scenarios and practice
  1. Leonardo Meggiolaro,
  2. Daniele Trevisanuto
  1. Department of Woman’s and Child’s Health, University Hospital of Padova, Padova, Italy
  1. Correspondence to Dr Daniele Trevisanuto, University Hospital of Padova, Padova, Italy; daniele.trevisanuto{at}

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Commentary on: Barker N, Sinha A, Jesson C, Doctor T, Narayan O, Elphick HE. Changes in UK paediatric long-term ventilation practice over 10 years. Arch Dis Child. 2023 Mar;108(3):218-224. doi: 10.1136/archdischild-2021-323562. Epub 2022 Nov 29.

Implications for practice and research

  • Up-to-date information on the use of long-term ventilation (LTV) in the UK paediatric population helps LTV centres to plan services and support healthcare needs.

  • The future development of a national LTV children database could advise clinical guidelines and assist resource allocation planning.


LTV consists in the delivery of respiratory support provided on a daily basis for a minimum period of 3 months through various mechanical interventions.1 LTV, particularly long-term non-invasive ventilation (NIV), is an increasing practice in children as there has been evidence of improving survival and quality of life in several clinical scenarios characterised by respiratory failure. Moreover, it is also increasingly used for palliative purposes so the …

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  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.