Journal of Pediatric Emergency and Intensive Care Medicine,Volume 13 No. 1, April 2026
Non-invasive Mechanical Ventilation in Children and Newborns: A Bibliometric Analysis Study and Literature Review
Sri Martuti, Annang Giri Moelyo, Hanum Ferdian, Sari Dwi Jayanti
Universitas Sebelas Maret Faculty of Medicine, Department of Child Health, Surakarta, Indonesia
Abstract
Non-invasive ventilation (NIV) supports breathing without endotracheal intubation, lowering the risk of airway injury, sedation-related instability, hospital-acquired infections, and ventilator-associated complications. Growth in publications accelerated during and after the coronavirus disease-2019 (COVID-19) pandemic, yet regional representation of evidence remains uneven. Bibliometric synthesis is useful to clarify research structure, influence, collaboration intensity, and unmet scientific priorities in pediatric NIV. To analyze global publication trends, thematic clusters, and research-collaboration networks in pediatric NIV literature from 2013 to 2023. A systematic search of Scopus metadata was performed on July 23, 2024, using TITLE-ABS-KEY (non-invasive AND mechanical AND ventilation AND pediatric) and restricted to English-language publications (2013-2023). A total of 358 records were analyzed using Scopus analytics to assess annual output, author and institutional productivity, country contributions, keyword co-occurrence, and international co-authorship mapping. Frequently cited studies underwent a narrative review to provide clinical-translational context. Of the 358 documents, 276 (77.1%) were research articles and 55 (14.4%) were reviews. Publication output fluctuated between 2013 and 2018, followed by a steep and sustained rise from 2019 to 2023. The most prolific countries were the United States, Canada, and Spain, whereas Southeast Asia contributed a smaller share, highlighting opportunities for expansion in that region. Highly productive authors included Emeriaud G., Jouvet P., and Essouri S. Four major keyword clusters were identified: respiratory insufficiency, mechanical ventilation, continuous positive airway pressure (CPAP)/bronchiolitis, and acute respiratory distress syndrome/extubation failure. Overlay mapping revealed an increasing interest in CPAP, weaning/extubation outcomes, viral infection (COVID-19), and mortality-related metrics from 2020 to 2023. Pediatric NIV research is expanding, evolving from neonatal oxygenation and interface topics toward broader prognostication, de-escalation safety, and hard clinical outcomes. Underrepresented regions, including Southeast Asia, present clear potential for collaborative research. Future work should standardize criteria for early NIV success and failure and directly compare high-flow nasal cannula with CPAP/non-invasive positive pressure ventilation across diverse pediatric settings.
Keywords: Non-invasive ventilation (NIV), bibliometric, respiratory failure, pediatric intensive care, children
Address for Correspondence/Yazışma Adresi: Hanum Ferdian, MD, Universitas Sebelas Maret Faculty of Medicine, Department of Child Health, Surakarta, Indonesia E-mail: lynne06chelin@gmail.com ORCID ID: orcid.org/0009-0005-9603-3388 Received/Geliş Tarihi: 27.11.2025 Accepted/Kabul Tarihi: 19.01.2026 Publication Date/Yayınlanma Tarihi: 01.04.2026 Cite this article as: Martuti S, Moelyo AG, Ferdian H, Jayanti SD. Non-invasive mechanical ventilation in children and newborns: a bibliometric analysis study and literature review. J Pediatr Emerg Intensive Care Med. 2026;13(1):69-78