Noninvasive ventilation in acute respiratory failure

Details

Serval ID
serval:BIB_26D9A22A40A1
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Noninvasive ventilation in acute respiratory failure
Journal
Cardiovascular Medicine
Author(s)
Ogna Adam, Domenighetti Guido
ISSN
1664-2031
ISSN-L
1664-2031
Publication state
Published
Issued date
2007
Volume
10
Number
1
Pages
21-26
Language
german
Notes
DOI: 10.4414/cvm.2007.01221
Abstract
Over the past few years, noninvasive ventilation
(NIV) with only PEEP (CPAP) or pressure
support with PEEP has been increasingly applied
during various episodes of acute respiratory
failure. This led to a relevant number of
published clinical studies dealing with the
application of this technique in the different
varieties of an acute respiratory insufficiency,
particularly in patients with an acute exacerbation
of COPD and in those presenting
with an acute cardiogenic pulmonary oedema.
Strongly supported through pathophysiological,
clinical and epidemiological data, NIV is
currently considered an evidence-based applied
treatment in both conditions.
Considering the encouraging consequences
on the decline of hospital-acquired
infections (ventilator-associated pneumonia)
through the reduction of intubation rate and
the potential positive effects on lung tissue
recruitment, NIV has become an attractive
option in other acute respiratory failures like
severe diffuse pneumonia, ALI (acute lung injury)
or even ARDS. However, in spite of recent
promising results, the application of noninvasive
pressure support ventilation in patients
with severe hypoxaemic non-hypercapnic
acute respiratory failure still remains controversial
and potentially predictive of a high
failure rate predominantly in patients with a
coexisting bacteraemia associated with distant
organ dysfunction.
Keywords
noninvasive ventilation, CPAP, pressure support ventilation, acute respiratory failure
Create date
25/08/2017 10:46
Last modification date
21/08/2019 6:32
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