Non-invasive ventilation and home respiratory support — structured clinical encounter

Station brief (candidate)

You are the paediatric registrar in a respiratory and long-term ventilation clinic. A 13-year-old boy with Duchenne muscular dystrophy, a full-time wheelchair user, is referred with morning headaches, daytime sleepiness and a weakening cough; his last chest infection took two weeks to clear, and his daytime blood gas is normal. The team asks you to establish what is happening, order and interpret the investigations, choose the ventilatory treatment, address the cough, and plan for safe home ventilation. You have 12 minutes with the team and 5 minutes for examiner discussion. ^[6]