Reversal of Acute Exacerbation of Chronic Obstructive Lung Disease by Inspiratory Assistance with a Face Mask

Brochard, Laurent; Isabey, Daniel; Piquet, J.; Amaro, Piedade; Mancebo, J.; Messadi, A; Brun-Buison, C.; Rauss, Alain; Memaire, F.; Harf, Alain

doi:10.1097/00132586-199106000-00040

Cited by 10 publications

(13 citation statements)

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“…Owing to a decelerating inspiratory waveform, PSV allows recruitment of zones of alveolar collapse and results in more homogenous distribution of ventilation [19][20][21]. PSV further reduces the work of breathing [22]. PEEP applied through BIPAP prevents expiratory collapse of alveoli hence increasing FRC and mean airway pressure.…”

Section: Discussionmentioning

confidence: 99%

Prevention of Postoperative Atelectasis in the Post-Cardiac Surgical Patient with Poor Left Ventricular Function: A Study of the Efficacy of Bi-Level Positive Airway Pressure

Vats¹

2017

JLPRR

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Section: Discussionmentioning

confidence: 99%

Prevention of Postoperative Atelectasis in the Post-Cardiac Surgical Patient with Poor Left Ventricular Function: A Study of the Efficacy of Bi-Level Positive Airway Pressure

Vats¹

2017

JLPRR

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“…In the late 1980s, the publications from MEDURI et al [15] about facial mask ventilation in COPD patients with ARF were confirmed in a controlled fashion successively by BROCHARD et al [16], KRAMER et al [17] and BOTT et al [18]. Such data favoured numerous publications, proving benefits of this technique in the acute care setting but also in the long-term, as similarly reported in neuromuscular patients by BACH and ALBA [19] in USA and by RIDEAU [20] in France for patients with muscular dystrophy.…”

Section: Historymentioning

confidence: 92%

“…When pressure support ventilation is used [16,49,50,72,80] the level of inspiratory aid is raised from 10 -20 cmH 2 O according to the patient tolerance. A back-up frequency is usually set at 12 breaths?min -1 and the inspiratory duration as short as possible.…”

Section: Ventilators and Interfacesmentioning

confidence: 99%

Noninvasive ventilation and obstructive lung diseases

Cuvelier¹,

Muir²

2001

Eur Respir J

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Noninvasive ventilation and obstructive lung diseases. A. Cuvelier, J-F. Muir. #ERS Journals Ltd 2001. ABSTRACT: The key role of noninvasive positive pressure ventilation (NPPV) is well documented in chronic obstructive pulmonary disease (COPD) patients with acute respiratory failure (ARF) since it may avoid endotrachal intubation in w50% of cases when used as the initial treatment. However, currently only minimal data is available to assess usefulness of NPPV in COPD patients on a long-term basis. Even if such studies are difficult to manage, there is clearly a need for prospective studies comparing longterm oxygen therapy (LTOT) and NPPV in the most severe COPD in a large amount of patients and on a real long-term basis of several years. Two randomized prospective studies are being completed in Europe and the first preliminary results show that NPPV is associated with a reduction of hospitalization for chronic respiratory failure decompensation.The main beneficial effect of long-term mechanical ventilation in COPD patients with chronic respiratory failure implies a correction of nocturnal hypoventilation that could persist beyond the ventilation period because of a temporary improvement in carbon dioxide sensitivity that is often blunted in these patients.A synthesis from the literature suggest to consider NPPV for severe COPD patients who present with chronic hypoxia and hypercapnia and develop an unstable respiratory condition. Instability may be appreciated on a clinical basis and confirmed by a progressive worsening of arterial blood gas tensions, leading to frequent cardiorespiratory decompensations with ominous ARF episodes. NPPV should also be considered after an ARF episode successfully treated by noninvasive ventilation but with the impossibility to wean the patient from the ventilator.Thus, noninvasive positive pressure ventilation could be proposed as a preventive treatment in severe chronic obstructive pulmonary disease patients with unstable respiratory condition associated with fluctuating hypercapnia before, during and after an acute respiratory failure episode, avoiding the need for a tracheotomy. Adjunction of noninvasive ventilation to exercise rehabilitation is under evaluation.

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“…[14][15][16][17] qu'en chronique [18][19][20][21][22], s'est considérable-ment développée au détriment de la vulnérante ventilation par trachéotomie [23,24]. De nos jours, la VNI est surtout synonyme de ventilation par masque nasal ou facial.…”

Section: Ventilation Non Invasiveunclassified

Assistance respiratoire à domicile : place actuelle de l’oxygénothérapie et de la ventilation non invasive

et al. 2009

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Reversal of Acute Exacerbation of Chronic Obstructive Lung Disease by Inspiratory Assistance with a Face Mask

Cited by 10 publications

References 0 publications

Prevention of Postoperative Atelectasis in the Post-Cardiac Surgical Patient with Poor Left Ventricular Function: A Study of the Efficacy of Bi-Level Positive Airway Pressure

Prevention of Postoperative Atelectasis in the Post-Cardiac Surgical Patient with Poor Left Ventricular Function: A Study of the Efficacy of Bi-Level Positive Airway Pressure

Noninvasive ventilation and obstructive lung diseases

Assistance respiratoire à domicile : place actuelle de l’oxygénothérapie et de la ventilation non invasive

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