Noninvasive Mechanical Ventilation in Acute Respiratory Failure

Meduri, G. Umberto; Conoscenti, Craig C.; Menashe, Phillip I.

doi:10.1016/j.chest.2019.09.035

Cited by 3 publications

(2 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…NIV is a well-established technique that has gained popularity in the last 30 years. 36 Usually NIV is delivered by critical care ventilators for severely hypoxic patients. These ventilators allow the option of setting F io 2 through a blender, permit visualization of waveform displays, and allow separate inspiratory and expiratory circuits.…”

Section: Noninvasive Positive-pressure Ventilation With Helmetmentioning

confidence: 99%

High-Flow, Noninvasive Ventilation and Awake (Nonintubation) Proning in Patients With Coronavirus Disease 2019 With Respiratory Failure

Raoof

Nava

Carpati

et al. 2020

Chest

157

150

View full text Add to dashboard Cite

The coronavirus disease 2019 pandemic will be remembered for the rapidity with which it spread, the morbidity and mortality associated with it, and the paucity of evidence-based management guidelines. One of the major concerns of hospitals was to limit spread of infection to health-care workers. Because the virus is spread mainly by respiratory droplets and aerosolized particles, procedures that may potentially disperse viral particles, the so-called “aerosol-generating procedures” were avoided whenever possible. Included in this category were noninvasive ventilation (NIV), high-flow nasal cannula (HFNC), and awake (nonintubated) proning. Accordingly, at many health-care facilities, patients who had increasing oxygen requirements were emergently intubated and mechanically ventilated to avoid exposure to aerosol-generating procedures. With experience, physicians realized that mortality of invasively ventilated patients was high and it was not easy to extubate many of these patients. This raised the concern that HFNC and NIV were being underutilized to avoid intubation and to facilitate extubation. In this article, we attempt to separate fact from fiction and perception from reality pertaining to the aerosol dispersion with NIV, HFNC, and awake proning. We describe precautions that hospitals and health-care providers must take to mitigate risks with these devices. Finally, we take a practical approach in describing how we use the three techniques, including the common indications, contraindications, and practical aspects of application.

show abstract

Section: Noninvasive Positive-pressure Ventilation With Helmetmentioning

confidence: 99%

High-Flow, Noninvasive Ventilation and Awake (Nonintubation) Proning in Patients With Coronavirus Disease 2019 With Respiratory Failure

Raoof

Nava

Carpati

et al. 2020

Chest

157

150

View full text Add to dashboard Cite

show abstract

“…Non-invasive ventilation can be applied with different modes, but the most common are bilevel positive pressure ventilation and continuous positive airway pressure. Three decades ago, there was a report showing the feasibility of non-invasive intermittent positive pressure ventilation delivered via face mask for patients with acute respiratory failure [ 7 , 8 ]. Subsequent studies provided more detail on the physiology of this mode of ventilation, which was then widely incorporated into clinical practice.…”

Section: Non-invasive Ventilation and High-flow Nasal Cannulamentioning

confidence: 99%

Nutrition Therapy in Non-intubated Patients with Acute Respiratory Failure

et al. 2021

View full text Add to dashboard Cite

Purpose of Review A challenging aspect of the care for patients with acute respiratory failure is their nutrition management. This manuscript consists of a literature review on nutrition therapy in non-intubated patients with acute respiratory failure receiving high-flow nasal cannula oxygenation or non-invasive positive pressure ventilation. Recent Findings Studies show that non-intubated patients with acute respiratory failure either on non-invasive ventilation or high-flow nasal cannula are largely underfed in the initial phase of their hospitalization. Although data is limited, the available evidence suggests the feasibility of initiating oral diet in the majority of these patients in the early phase. Summary Initial evaluation includes mental status evaluation, the Yale swallowing screening protocol, and an assessment of severity of illness. The goal should be to initiate oral diet within 24 h. If patient cannot initiate oral diet, the reason for not initiating oral diet should dictate the next step. For instance, if the reason is failure of the swallow screening, further evaluation with fiberoptic endoscopy is warranted. The inability to provide oral diet for a patient in respiratory distress may a harbinger of failure of non-invasive oxygen therapy and should prompt consideration for endotracheal intubation. We suggest placement of a small-bore feeding tube for enteral nutrition if patient is unable receive oral diet after 48 h. Conclusions The nutrition management of these patients is better provided by a multidisciplinary team in a protocolized manner.

show abstract

Cuadro Clínico Del Covid-19

Gil¹,

Bitar²,

Deza³

et al. 2021

Revista Médica Clínica Las Condes

View full text Add to dashboard Cite

El Coronavirus SARS-CoV-2 produce la enfermedad COVID-19, cuya manifestación más grave y potencialmente letal es la neumonía. En este artículo revisaremos las manifestaciones clínicas del COVID-19, la fisiopatología de la neumonía, el manejo intrahospitalario previo al ingreso a Unidades de Cuidados Intensivos, la embolia pulmonar que es una complicación muy frecuente de esta enfermedad y el seguimiento de los pacientes posterior al alta. Para esta publicación nos hemos basado en publicaciones médicas y en estudios que hemos hecho durante esta pandemia en nuestro Centro de Enfermedades Respiratorias.

show abstract

Noninvasive Mechanical Ventilation in Acute Respiratory Failure

Cited by 3 publications

References 4 publications

High-Flow, Noninvasive Ventilation and Awake (Nonintubation) Proning in Patients With Coronavirus Disease 2019 With Respiratory Failure

High-Flow, Noninvasive Ventilation and Awake (Nonintubation) Proning in Patients With Coronavirus Disease 2019 With Respiratory Failure

Nutrition Therapy in Non-intubated Patients with Acute Respiratory Failure

Cuadro Clínico Del Covid-19

Contact Info

Product

Resources

About