Adaptive Servo-Ventilation for Treatment of Cheyne-Stokes Breathing in Acutely Decompensated Heart Failure.

Teller, ES; Yuen, G; Reyes-Vidal, Carlos; Weingarten, Jeremy A.; Mooney, AM; Mancini, D.; Basner, RC

doi:10.1164/ajrccm-conference.2009.179.1_meetingabstracts.a5337

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“…ASV has also been used to treat CSB in patients with CHF with preserved ejection fraction [78], with early data suggesting that ASV use in such patients may improve physiologic parameters and reduce incident cardiovascular events [79]. Preliminary data also suggest that ASV use in patients admitted for acutely decompensated CHF results in significantly greater decrease in frequency of CSB compared with optimal medical therapy and oxygen supplementation without positive airway pressure treatment [80].…”

Section: Specific Cardio-respiratory Disorders Nniv In Chf and Hunter-cmentioning

confidence: 99%

Nocturnal non-invasive ventilation for cardio-respiratory disorders in adults

Wahab

Basner

2013

Expert Review of Respiratory Medicine

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Following the classic 'iron lung' non-invasive negative pressure ventilator, non-invasive positive pressure ventilation (NIPPV), particularly used 'nocturnally' has developed a broad role in both the acute hospital setting and domiciliary long-term use for many cardio-respiratory disorders associated with acute and chronic ventilatory failure. This role is based in part upon the perceived relative ease of application and discontinuation of NIPPV, ability to avoid intubation or tracheostomy and their associated morbidities and availability of increasingly portable pressure and volume cycled NIPPV devices. Nevertheless, the many methodologies necessary for optimal NIPPV use are often underappreciated by health care workers and patients alike. This review focuses on the rationale, practice, and future directions for 'nocturnal' use of non-invasive positive pressure ventilation (nNIV) in cardio-respiratory disorders in adults which are commonly associated with sleep-related apnea, hypoventilation and hypoxemia: congestive heart failure (CHF), chronic obstructive pulmonary disease (COPD), obesity hypoventilation syndrome (OHS), cystic fibrosis (CF) and neuromuscular disorders.

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Section: Specific Cardio-respiratory Disorders Nniv In Chf and Hunter-cmentioning

confidence: 99%