Long-term non-invasive ventilation (NIV) is an accepted therapy for sleep-related respiratory disorders and respiratory insufficiency or failure. Increase in the use of long-term NIV may, in part, be driven by an increase in the number of children surviving critical illness with comorbidities. As a result, some children start on long-term NIV as part of transitioning from hospital to home. NIV may be used in acute illness to avoid intubation, facilitate extubation or support tracheostomy decannulation, and to avoid the need for a tracheostomy for long-term invasive ventilation. The decision about whether long-term NIV is appropriate for an individual child and their family needs to be made with care. Preparing for transition from the hospital to home involves understanding how NIV equipment is obtained and set-up, education and training for parents/caregivers, and arranging a plan for clinical follow-up. While planning for these transitions is challenging, the goals of a shorter time in hospital and a child living well at home with their family are important.

长期无创通气 (NIV) 是治疗与睡眠相关的呼吸系统疾病和呼吸功能不全或衰竭的公认疗法。长期 NIV 使用的增加可能部分是由于患有合并症的危重病儿童数量的增加。因此，一些儿童开始接受长期 NIV，作为从医院过渡到家庭的一部分。NIV 可用于急性疾病，以避免插管、促进拔管或支持气管切开拔管，并避免长期有创通气时需要气管切开术。关于长期 NIV 是否适合个别儿童及其家庭的决定需要谨慎做出。准备从医院过渡到家庭包括了解如何获得和设置 NIV 设备、对父母/护理人员进行教育和培训，以及安排临床随访计划。虽然规划这些转变具有挑战性，但缩短住院时间和让孩子与家人在家里过得更好的目标很重要。