Role Of Non Invasive Ventilation With Average Volume Assured Pressure Support (AVAPS)mode in patients with COPD and Type II Respiratory Failure

Ramachandran, Mg; Yuvarajan, S; Radhakrishnan, P.; Selvam, Antonius Maria; Reddy, G.D.

doi:10.1183/13993003.congress-2019.pa2298

Cited by 3 publications

(2 citation statements)

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“…The mean duration of hospital stay (days) was lower in group A (8.54 ±2.29) than in group B (9.90±2.59), p=0.003. Likewise, Ramchadaran et al found significant difference in the two groups in terms of duration of hospital stay in favor of group 1 (BIPAP with AVAPS) as compared to group 2 (BIPAP S/T), p<0.001 [ 12 ]. Similarly, in a study done by Bajaj et al, it was observed that the length of stay in intensive care unit and hospital stay was less in the non-intubated as compared to intubated groups in patients with acute hypoxic respiratory failure [ 13 ].…”

Section: Discussionmentioning

confidence: 99%

Role of Average Volume Assured Pressure Support Mode (AVAPS) in the Management of Acute Exacerbation of Chronic Obstructive Pulmonary Disease With Type 2 Respiratory Failure

Maheshwari¹,

Khatri²,

Soni³

et al. 2022

Cureus

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BackgroundNon-invasive ventilation (NIV) is a well-established approach in the treatment of acute exacerbation of chronic obstructive pulmonary disease (COPD) with type 2 respiratory failure. Average volume-assured pressure support (AVAPS) mode integrates the characteristics of both volume and pressure-controlled modes of NIV. In bilevel positive airway pressure (BiPAP) mode, volume is the dependent variable, whereas in AVAPS mode, pressure is the dependent variable. In this study, we aimed to compare the role of AVAPS mode with BiPAP spontaneous/timed (S/T) mode for the management of patients with acute exacerbation of COPD with type 2 respiratory failure. MethodologyA hospital-based comparative and analytical study was carried out on 100 patients with acute exacerbation of COPD with type 2 respiratory failure admitted to respiratory disease hospital, Sardar Patel Medical College, Bikaner (Rajasthan, India). Patients were randomly divided into two groups of 50 patients each. Group A patients were treated with AVAPS mode and group B patients with BiPAP (S/T) mode. Arterial blood gases, average duration of hospital stay, and need for invasive mechanical ventilation were compared between the two groups. ResultsThere was a statistically significant difference in favor of group A in terms of improvement in pH and pCO 2 as compared to group B at 6 h (pH, p=0.027; pCO 2 , p=0.012) and 24 h (pH, p=0.032; pCO 2 , p=0.013).The duration of hospital stay was found to be lower in group A (p=0.003). However, no significant difference was found in terms of need for invasive mechanical ventilation between both groups (p=0.338). ConclusionApplication of AVAPS mode results in more rapid and steady improvement in patients of COPD as compared to BiPAP (S/T) mode. Thus, management through non-invasive ventilation AVAPS mode should be considered in patients with acute exacerbation of COPD with type 2 respiratory failure.

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Section: Discussionmentioning

confidence: 99%

Role of Average Volume Assured Pressure Support Mode (AVAPS) in the Management of Acute Exacerbation of Chronic Obstructive Pulmonary Disease With Type 2 Respiratory Failure

Maheshwari¹,

Khatri²,

Soni³

et al. 2022

Cureus

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“…4 Further, several abstracts have shown a reduction in days on NIPPV, days of hospitalization, and treatment compliance using BPAP with AVAPS compared with traditional BPAP settings. 5,6 Whether the use of BPAP with AVAPS reduces the progression to mechanical intubation when compared to patients on traditional BPAP settings has yet to be investigated.…”

Section: Bpap With Avaps In Hypercapnic Encephalopathymentioning

confidence: 99%

Non-invasive positive pressure ventilation with average volume assured pressure support may benefit patients with acute hypercapnic respiratory failure

Bracey

Weingart

2020

Clin Exp Emerg Med

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Application of average volume assured pressure support (AVAPS) and ultrasound assessment in COVID-19 infection: real-life observation

et al. 2021

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Role Of Non Invasive Ventilation With Average Volume Assured Pressure Support (AVAPS)mode in patients with COPD and Type II Respiratory Failure

Cited by 3 publications

References 0 publications

Role of Average Volume Assured Pressure Support Mode (AVAPS) in the Management of Acute Exacerbation of Chronic Obstructive Pulmonary Disease With Type 2 Respiratory Failure

Role of Average Volume Assured Pressure Support Mode (AVAPS) in the Management of Acute Exacerbation of Chronic Obstructive Pulmonary Disease With Type 2 Respiratory Failure

Non-invasive positive pressure ventilation with average volume assured pressure support may benefit patients with acute hypercapnic respiratory failure

Application of average volume assured pressure support (AVAPS) and ultrasound assessment in COVID-19 infection: real-life observation

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