What is the recommended IPAP for patients under 12 years of age?

In pediatric patients under the age of 12, the recommended inspiratory positive airway pressure (IPAP) is generally around 20 cmH2O. This recommendation is based on clinical guidelines that emphasize the need for appropriate settings that balance effective ventilation support while minimizing the risk of over-distension of the lungs.

Pediatric patients often have different anatomical and physiological characteristics compared to adults, which necessitates careful consideration of pressure settings in non-invasive ventilation. A pressure of 20 cmH2O is typically sufficient to achieve adequate ventilation while also being safe for this age group.

Higher pressures, such as 25 cmH2O or 30 cmH2O, may be excessive and could lead to complications, including barotrauma or discomfort during treatment, making them less suitable for this population. A lower setting, such as 15 cmH2O, may not provide enough support for adequate ventilation, particularly in cases of respiratory distress or failure.

Overall, setting IPAP at 20 cmH2O reflects a balance between effective respiratory support and safety, aligning with best practices in pediatric care.