Noninvasive positive pressure ventilation prevents postoperative pulmonary complications in chronic ventilators users

Lumbierres, Marina; Prats, Enric; Farrero, Eva; Monasterio, Carmen; Gracia, Teresa Ruiz; Manresa, F.; Escarrabill, Joan

doi:10.1016/j.rmed.2006.04.012

Cited by 17 publications

(16 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…After careful consideration of the risks and benefits, patients with significant respiratory-muscle weakness might be eligible for surgery, albeit with increased risk, if these patients are highly skilled preoperatively in the use of non-invasive ventilation and assisted cough. 156,157 Emergency-care considerations Because of the involvement of different systems in DMD, many factors must be taken into account on presentation of a patient to an emergency room. From the outset, the diagnosis, current medication, respiratory status, cardiac status, and associated medical disorders should be made clear to the emergency-room staff.…”

Section: Respiratory Considerationsmentioning

confidence: 99%

Diagnosis and management of Duchenne muscular dystrophy, part 1: diagnosis, and pharmacological and psychosocial management

Bushby

Finkel

Birnkrant

et al. 2010

The Lancet Neurology

1,721

1,596

View full text Add to dashboard Cite

Section: Respiratory Considerationsmentioning

confidence: 99%

Diagnosis and management of Duchenne muscular dystrophy, part 1: diagnosis, and pharmacological and psychosocial management

Bushby

Finkel

Birnkrant

et al. 2010

The Lancet Neurology

1,721

1,596

View full text Add to dashboard Cite

“…NPPV can play an important role in preventing post-operative pulmonary complications in high-risk patients using chronic ventilators as a consequence of restrictive lung pathology [73].…”

Section: Acute Cardiogenic Pulmonary Oedemamentioning

confidence: 99%

Noninvasive positive pressure ventilation in the acute care setting: where are we?

Ambrosino¹,

Vagheggini²

2008

Eur Respir J

170

128

View full text Add to dashboard Cite

Noninvasive positive pressure ventilation (NPPV) is a technique used to deliver mechanical ventilation that is increasingly utilised in acute and chronic conditions. The present review examines the evidence supporting the use of NPPV in acute respiratory failure (ARF) due to different conditions. Strong evidence supports the use of NPPV for ARF to prevent endotracheal intubation (ETI), as well as to facilitate extubation in patients with acute exacerbations of chronic obstructive pulmonary disease and to avoid ETI in acute cardiogenic pulmonary oedema, and in immunocompromised patients. Weaker evidence supports the use of NPPV for patients with ARF due to asthma exacerbations, with post-operative or post-extubation ARF, pneumonia, acute lung injury, acute respiratory distress syndrome, or during bronchoscopy. NPPV should be applied under close clinical and physiological monitoring for signs of treatment failure and, in such cases, ETI should be promptly available. A trained team, careful patient selection and optimal choice of devices can optimise outcome of NPPV.Noninvasive positive pressure ventilation is increasingly being used in the management of acute respiratory failure but caregivers must respect evidence-supported indications and avoid contraidincations. Additionally, the technique must be applied in the appropriate location by a trained team in order to avoid disappointing results.

show abstract

“…Patients in the failure group also had a higher mortality rate [39]. NIV can also play an important role in preventing post-operative pulmonary complications in high-risk chronic ventilator users as a consequence of a restrictive lung pathology [40]. Other studies show that NIV has a role in ARF after solid organ transplantation (liver, lung and renal) [41,42].…”

Section: Abdominal and Thoracic Surgerymentioning

confidence: 97%

Unusual applications of noninvasive ventilation

Ambrosino¹,

Guarracino²

2011

Eur Respir J

View full text Add to dashboard Cite

The use of noninvasive ventilation (NIV) in acute hypercapnic respiratory failure, cardiogenic pulmonary oedema, acute lung injury/acute respiratory distress syndrome (ARDS), community-acquired pneumonia and weaning/post-extubation failure is considered common in clinical practice. Herein, we review the use of NIV in unusual conditions.Evidence supports the use of NIV during fibreoptic bronchoscopy, especially with high risks of endotracheal intubation (ETI), such as in immunocompromised patients. During transoesophageal echocardiography as well as in interventional cardiology and pulmonology, NIV can reduce the need for deep sedation or general anaesthesia and prevent respiratory depression induced by deep sedation. NIV may be useful after surgery, including cardiac surgery, and, with a lower level of evidence, in patients with pulmonary contusion.NIV should not be considered as an alternative to ETI in severe communicable airborne infections likely to progress to ARDS. NIV is being used increasingly as an alternative to ETI in end-stage symptomatic patients, especially to relieve dyspnoea. The role of assisted ventilation during exercise training in chronic obstructive pulmonary disease patients is still controversial.NIV should be applied under close monitoring and ETI should be promptly available in the case of failure. A trained team, careful patient selection and optimal choice of devices, can optimise outcome of NIV.

show abstract

Noninvasive positive pressure ventilation prevents postoperative pulmonary complications in chronic ventilators users

Cited by 17 publications

References 13 publications

Diagnosis and management of Duchenne muscular dystrophy, part 1: diagnosis, and pharmacological and psychosocial management

Diagnosis and management of Duchenne muscular dystrophy, part 1: diagnosis, and pharmacological and psychosocial management

Noninvasive positive pressure ventilation in the acute care setting: where are we?

Unusual applications of noninvasive ventilation

Contact Info

Product

Resources

About