RT Journal Article
SR Electronic
T1 Outpatient respiratory management of the child with severe neurological impairment
JF Archives of disease in childhood - Education & practice edition
JO Arch Dis Child Educ Pract Ed
FD BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health
SP 84
OP 91
DO 10.1136/archdischild-2012-302324
VO 98
IS 3
A1 Nadine McCrea
A1 Roddy O'Donnell
A1 Richard Brown
YR 2013
UL http://ep.bmj.com/content/98/3/84.abstract
AB Most paediatricians will have faced the challenge of managing respiratory problems in the child with severe neurological impairment. These children are under-represented in clinical trials, and data is therefore often extrapolated from other groups, for example children with cystic fibrosis. This means that robust evidence for respiratory management in children with severe neurological impairment is often lacking. Here we have attempted to piece together the existing evidence to provide a rational approach to the management of respiratory problems in children with severe neurological impairment. We also hope to highlight areas of uncertainty, in order to aid honest discussions with families. The respiratory management of the child with neuromuscular disease is beyond the scope of this article.