Core guidelines for the discharge home of the child on long term assisted ventilation in the United Kingdom
The Institute of
Child Health and Great Ormond Street Hospital for Children NHS Trust,
London WC1N 3JH, UK
Correspondence to: Dr C Wallis, Consultant in Paediatric Respiratory Disease, Respiratory Unit, Great Ormond Street Hospital for Children NHS Trust, London WC1N 3JH, UK.
Received 8 January 1998; Returned to authors 31 March 1998; Revised version received 27 April 1998; Accepted for publication 8 May 1998
Paediatric home ventilation is a feasible option and can be
successful in a wide range of conditions and ages. Advances in ventilator technology and an ethos of optimism for home care has increased the possibilities for discharging chronically ventilated children from intensive care units and acute medical beds. With careful
planning the process can succeed, but difficulties often thwart the
responsible team, especially when attempting discharge for the first
time. These core guidelines aim to assist a smooth, swift and
successful transfer. They were developed by a working party of
interested professionals spanning a wide range of health care
disciplines and represent a synthesis of views accumulated from the
experiences of individual teams throughout the UK. Three case scenarios
provide further illustrative detail and guidance.
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KEY MESSAGES
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© 1998 by Thorax
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