Assisting Ventilation in Respiratory Failure by Negative Pressure Ventilation and by Rocking Bed

Goldstein, Roger; Molotiu, N; Skrastins, Roland; Long, Susan E.; Contreras, M.

doi:10.1378/chest.92.3.470

Cited by 24 publications

(5 citation statements)

References 17 publications

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“…5 In a short term comparative study of ventilation by a rocking bed with negative pressure ventilation using a cuirass shell, both methods produced similar increments in SpO 2 . 6 Rocking beds have a valuable role in the management of patients who require NIV because of respiratory failure of neuromuscular origin involving the diaphragm. They also allow freedom from continuous NIV where its use is associated with local complications such as facial and nasal bridge ulceration.…”

Section: Discussionmentioning

confidence: 99%

Rocking bed and prolonged independence from nocturnal non-invasive ventilation in neurogenic respiratory failure associated with limb weakness

Cormican¹,

Higgins

Davidson

et al. 2004

Postgraduate Medical Journal

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A 40 year old mother of three with autosomal dominant scapuloperoneal muscular dystrophy presented with severe neurogenic respiratory failure requiring nocturnal non-invasive ventilation (NIV). Because of the development of profound proximal muscular weakness as a consequence of the progressive nature of her neurological disease, she eventually was unable to apply and remove the facial interface to set up her NIV circuit. She therefore became dependent on her children and carers to start and stop NIV during the night. A rocking bed was successfully employed as an alternative to nocturnal NIV. Ventilation was facilitated by the passive movement of the diaphragm as a consequence of the movement of the abdominal contents under the effect of gravity. Benefit was demonstrated objectively by pulse oximetry and subjectively by the improvement in the patient’s symptomatology and continued independence at night. The ease of use of a rocking bed should be borne in mind when the necessity for nocturnal ventilatory support in neuromuscular disease results in the potential loss of independence for a patient.

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Section: Discussionmentioning

confidence: 99%

Rocking bed and prolonged independence from nocturnal non-invasive ventilation in neurogenic respiratory failure associated with limb weakness

Cormican¹,

Higgins

Davidson

et al. 2004

Postgraduate Medical Journal

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“…The effects of NPV on electromyographic activity (EMG) of respiratory muscles in patients with ARF have not been investigated. Several studies, however, have reported that EMG of the respiratory muscles is reduced during NPV in patients with chronic respiratory failure due both to COPD and neuromuscular and skeletal disorders [27][28][29][30]. RODENSTEIN and co-workers [31,32] have studied the adaptation of normal subjects [31] and stable COPD patients [32] to mechanical ventilation by using a "Drinker tank respirator".…”

Section: Respiratory Musclesmentioning

confidence: 99%

“…can enter chamber; 10) tubing to pressure monitor. (Modified and used with permission, from SAMUELS and SOUTHALL [62] 28 were successfully extubated with the aid of negative extrathoracic pressure and 24 survived. Fifty four patients (61%) survived and were discharged; among these, six needed to be ventilated at home with a negative extra thoracic ventilatory support.…”

Section: Paediatric Diseasesmentioning

confidence: 99%

Negative pressure ventilation in the treatment of acute respiratory failure: an old noninvasive technique reconsidered

Corrado¹,

Gorini²,

Villella³

et al. 1996

European Respiratory Journal

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Negative pressure ventilation in the treatment of acute respiratory failure: an old noninvasive technique reconsidered. A. Corrado, M. Gorini, G. Villella, E. De Paola. ©ERS Journals Ltd 1996. ABSTRACT: Noninvasive mechanical ventilatory techniques include the use of negative and positive pressure ventilators. Negative pressure ventilators, such as the "iron lung", support ventilation by exposing the surface of the chest wall to subatmospheric pressure during inspiration; whereas, expiration occurs when the pressure around the chest wall increases and becomes atmospheric or greater than atmospheric.In this review, after a description of the more advanced models of tank ventilators and the physiological effects of negative pressure ventilation (NPV), we summarize the recent application of this old technique in the treatment of acute respiratory failure (ARF). Several uncontrolled studies suggest that NPV may have a potential therapeutic role in the treatment of acute on chronic respiratory failure in patients with chronic obstructive pulmonary disease and restrictive thoracic disorders, reducing the need for endotracheal intubation. In the paediatric field, after substantial technical improvement, NPV has been successfully reintroduced for the treatment of ARF due to neonatal distress syndrome and bronchopulmonary dysplasia, and for the weaning from positive pressure ventilation in intubated patients.The positive results of these reports need to be formally confirmed by further prospective and controlled studies before recommending the generalized use of negative pressure ventilation in acute respiratory failure as a standard of care.

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“…The others had severe scoliosis, fit poorly into the ventilator, and had upper airway obstruction, respectively. Others have substantiated that nocturnal NPBV use can significantly improve both nocturnal and daytime blood gases for individuals with neuromuscular conditions (10,20), as well as for those with intrinsic pulmonary disease (21)(22)(23)(24)(25), and advocate the use of these methods as alternatives to tracheostomy. Schiavina and Fabiani also reported significant improvement in the quality and structure of sleep for patients with chronic ventilatory insufficiency using NPBVs in spite of an increased number of arousals associated with obstructive apneas (20).…”

Section: Direct Action Body Ventilatorsmentioning

confidence: 99%

Body Ventilator Use for the Ventilatory Support of Individuals with Neuromuscular Disease

Bach

1992

Neurorehabilitation and Neural Repair

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Over one hundred individuals with progressive neuromuscular disease, including about fifty individuals with Duchenne muscular dystrophy (DMD), whose lives have been prolonged by three to ten years using body ventilators up to 24 hours a day, have been described. Since noninvasive intermittent positive pressure ventilation (IPPV) methods of ventilatory support were not available to the great majority of these individuals, and many also had inadequate access to effective noninvasive methods of airway. secretion clearance, many patients were forced to prematurely undergo tracheostomy for continued ventilatory assistance and airway secretion management. Negative pressure body ventilators (NPBVs) were most commonly used for nocturnal support, and the intermittent abdominal pressure ventilator (IAPV) was the body ventilator of choice for daytime aid. Of the former, the iron lung was most popular for nocturnal support in the home. However, portable iron lungs, wrap style ventilators, and the convenient chest shell ventilators (CSVs) have recently gained in popularity. Additionally, NPBVs are very useful during the conversion of individuals from ventilatory support via endotracheal intubation or indwelling tracheostomy tubes to noninvasive methods. They have also been used by patients otherwise ventilated by noninvasive IPPV techniques during the management of upper respiratory tract infections when frequent access to nasal and oral passages is necessary for managing airway secretions.

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Assisting Ventilation in Respiratory Failure by Negative Pressure Ventilation and by Rocking Bed

Cited by 24 publications

References 17 publications

Rocking bed and prolonged independence from nocturnal non-invasive ventilation in neurogenic respiratory failure associated with limb weakness

Rocking bed and prolonged independence from nocturnal non-invasive ventilation in neurogenic respiratory failure associated with limb weakness

Negative pressure ventilation in the treatment of acute respiratory failure: an old noninvasive technique reconsidered

Body Ventilator Use for the Ventilatory Support of Individuals with Neuromuscular Disease

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