Skip to main content
SpringerLink
Log in
SpringerLink
Log in

Methodology of Non-invasive Mechanical Ventilation in Acute Respiratory Failure

  • Chapter
Intensive Care Medicine

Abstract

The term acute respiratory failure refers to a severe deterioration in gas exchange that may require mechanical ventilation for life support. Instituted when conservative treatment fails, mechanical ventilation aims to correct the pathophysiology of acute respiratory failure and gas exchange abnormalities, reduce the work of breathing (WOB), and ameliorate dyspnea, while concomitant pharmacologic intervention is directed at correcting the condition that resulted in acute respiratory failure. The delivery of positive pressure ventilation (PPV) from the ventilator to the patient’s lungs requires the presence of an interface. Traditionally, an endotracheal (ET) tube is inserted into the trachea to deliver PPV. Endotracheal intubation is an invasive procedure associated with potential complications and discomfort and has confined the use of mechanical ventilation to the most severe forms of acute respiratory failure.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Meduri GU, Conoscenti CC, Menashe P, Nair S (1989) Noninvasive face mask ventilation in patients with acute respiratory failure. Chest 95: 865–870

    Article  PubMed  CAS  Google Scholar 

  2. Meduri GU, Abou-Shala N, Fox RC, Jones CB, Leeper KV, Wunderink RG (1991) Noninvasive face mask mechanical ventilation in patients with acute hypercapnic respiratory failure. Chest 100: 445–454

    Article  PubMed  CAS  Google Scholar 

  3. Gregoretti C, Burbi L, Berardino M, et al (1992) Non invasive mask ventilation ( NIMV) in trauma and major burn patients. Am Rev Respir Dis 145: A75

    Article  Google Scholar 

  4. Antonelli M, Conti G, Rocco M, et al (1998) A comparison of noninvasive positive-pressure ventilation and conventional mechanical ventilation in patients with acute respiratory failure. N Engl J Med 339: 429–435

    Article  PubMed  CAS  Google Scholar 

  5. Bott J, Carroll MP, Conway JH, et al (1993) Randomised controlled trial of nasal ventilation in acute ventilatory failure due to chronic obstructive airways disease. Lancet 341: 1555–1557

    Article  PubMed  CAS  Google Scholar 

  6. Ahmed AH, Fenwick L, Angus RM, Peacock AJ (1992) Nasal ventilation vs doxapram in the treatment of type II respiratory failure complicating chronic airflow obstruction. Thorax 1: 858

    Google Scholar 

  7. Daskalopoulou E, Tsara V, Fekete K, Koutsantas V, Christaki P (1993) Treatment of acute respiratory failure in COPD patients with positive airway pressure via nasal mask ( NPPV ). Chest 103: 271S

    Google Scholar 

  8. Brochard L, Mancebo J, Wysocki M, et al (1995) Noninvasive ventilation for acute exacerbations of chronic obstructive pulmonary disease. N Engl J Med 333: 817–822

    Article  PubMed  CAS  Google Scholar 

  9. Martin TJ, Sanders MH, Bierman MI, Hovis JD (1994) Non-invasive application of bi-level positive airway pressure to prevent endotracheal intubation in acute respiratory failure. Grit Care Med 23:Al29

    Google Scholar 

  10. Kramer N, Meyer TJ, Meharg J, Cece RD, Hill NS (1995) Randomized, prospective trial of noninvasive positive pressure ventilation in acute respiratory failure. Am J Respir Crit Care Med 151: 1799–1806

    Article  PubMed  CAS  Google Scholar 

  11. Martin TJ, Hovis JD, Costantino JP, et al (2000) A randomized, prospective evaluation of noninvasive ventilation for acute respiratory failure. Am J Respir Crit Care Med 161: 807–813

    Article  PubMed  CAS  Google Scholar 

  12. Bardi G, Pierotello R, Desideri M, Valdisserri L, Bottai M, Palla A (2000) Nasal ventilation in COPD exacerbations: early and late results of a prospective, controlled study. Eur Respir J 15: 98–104

    Article  PubMed  CAS  Google Scholar 

  13. Rasanen J, Heikkila J, Downs J, Nikki P, Vaisanen I, Viitanen A (1985) Continuous positive airway pressure by face mask in acute cardiogenic pulmonary edema. Am J Cardiol 55: 296–300

    Article  PubMed  CAS  Google Scholar 

  14. Bersten AD, Holt AW, Vedig AE, Skowronski GA, Baggoley CJ (1991) Treatment of severe cardiogenic pulmonary edema with continuous positive airway pressure delivered by face mask. N Engl J Med 325: 1825–1830

    Article  PubMed  CAS  Google Scholar 

  15. Lin M, Yang YF, Chiang HT, Chang MS, Chiang BN, Cheitlin MD (1995) Reappraisal of continuous positive airway pressure therapy in acute cardiogenic pulmonary edema. Short-term results and long-term follow-up. Chest 107: 1379–1386

    Google Scholar 

  16. Takeda S, Takano T, Ogawa R (1997) The effect of nasal continuous positive airway pressure on plasma endothelin-1 concentrations in patients with severe cardiogenic pulmonary edema. Anesth Analg 84: 1091–1096

    PubMed  CAS  Google Scholar 

  17. Pang D, Keenan SP, Cook DJ, Sibbald WJ (1998) The effect of positive pressure airway support on mortality and the need for intubation in cardiogenic pulmonary edema: a systematic review. Chest 114: 1185–1192

    Article  PubMed  CAS  Google Scholar 

  18. Confalonieri M, Potena A, Carbone G, Porta RD, Tolley EA, Meduri GU (1999) Acute respiratory failure in patients with severe community-acquired pneumonia. A prospective randomized evaluation of noninvasive ventilation. Am J Respir Crit Care Med 160: 15851591

    Google Scholar 

  19. Antonelli M, Conti G, Bufi M, et al (2000) Noninvasive ventilation for treatment of acute respiratory failure in patients undergoing solid organ transplantation: a randomized trial. JAMA 283: 235–241

    Article  PubMed  CAS  Google Scholar 

  20. Appendini L, Patessio A, Zanaboni S, et al (1994) Physiologic effects of positive end-expiratory pressure and mask pressure support during exacerbations of chronic obstructive pulmonary disease. Am J Respir Crit Care Med 149: 1069–1076

    Article  PubMed  CAS  Google Scholar 

  21. de Lucas P, Tarancon C, Puente L, Rodriguez C, Tatay E, Monturiol JM (1993) Nasal continuous positive airway pressure in patients with COPD in acute respiratory failure. A study of the immediate effects. Chest 104: 1694–1697

    Google Scholar 

  22. Carrey Z, Gottfried SB, Levy RD (1990) Ventilatory muscle support in respiratory failure with nasal positive pressure ventilation. Chest 97: 150–158

    Article  PubMed  CAS  Google Scholar 

  23. Brochard L, Isabey D, Piquet J, et al (1990) Reversal of acute exacerbations of chronic obstructive lung disease by inspiratory assistance with a face mask. N Engl J Med 323: 15231530

    Google Scholar 

  24. Ambrosino N, Nava S, Bertone P, Fracchia C, Rampulla C (1992) Physiologic evaluation of pressure support ventilation by nasal mask in patients with stable COPD. Chest 101: 385–391

    Article  PubMed  CAS  Google Scholar 

  25. Elliott MW, Aquilina R, Green M, Moxham J, Simonds AK (1994) A comparison of different modes of noninvasive ventilatory support: effects on ventilation and inspiratory muscle effort. Anaesthesia 49: 279–283

    Article  PubMed  CAS  Google Scholar 

  26. Mehta S, Hill NS (1996) Noninvasive ventilation in acute respiratory failure. Respir Care Clin North Am 2: 267–292

    CAS  Google Scholar 

  27. Meduri GU (1996) Noninvasive positive-pressure ventilation in patients with acute respiratory failure. Clin Chest Med 17: 513–553

    Article  PubMed  CAS  Google Scholar 

  28. Barach AL, Martin J, Eckman L (1937) Positive pressure respiration and its application to the treatment of acute pulmonary edema and respiratory obstruction. Proc Am Soc Clin Invest 16: 664–680

    Google Scholar 

  29. Meyer TJ, Hill NS (1994) Noninvasive positive pressure ventilation to treat respiratory failure. Ann Intern Med 120: 760–770

    Article  PubMed  CAS  Google Scholar 

  30. American Thoracic Society (2001) International Consensus Conferences in Intensive Care Medicine: Noninvasive positive pressure ventilation in acute respiratory failure. Am J Respir Crit Care Med 163: 283–291

    Article  Google Scholar 

  31. Tsuboi T, Ohi M, Kita H, et al (1999) The efficacy of a custom-fabricated nasal mask on gas exchange during nasal intermittent positive pressure ventilation. Eur Respir J 13: 152–156

    Article  PubMed  CAS  Google Scholar 

  32. Soo Hoo GW, Santiago S, Williams AJ (1994) Nasal mechanical ventilation for hypercapnic respiratory failure in chronic obstructive pulmonary disease: determinants of success and failure. Crit Care Med 22: 1253–1261

    Article  PubMed  CAS  Google Scholar 

  33. Chiang AA, Lee KC (1993) Use of nasal mask BiPAP in patients with respiratory distress after extubation. Chest 104: 135S

    Google Scholar 

  34. Ohi M, Chin K, Tsuboi T, Fukui M, Kuno K (1994) Effect of nasal resistance on the increase in ventilation during noninvasive ventilation. Am J Respir Crit Care Med 149: A643

    Article  Google Scholar 

  35. Vitacca M, Rubini F, Foglio K, Scalvini S, Nava S, Ambrosino N (1993) Non-invasive modalities of positive pressure ventilation improve the outcome of acute exacerbations in COPD patients. Intensive Care Med 19: 450–455

    Article  PubMed  CAS  Google Scholar 

  36. Navalesi P, Fanfulla F, Frigerio P, Gregoretti C, Nava S (2000) Physiologic evaluation of noninvasive mechanical ventilation delivered with three types of mask in patients with chronic hypercapnic respiratory failure. Crit Care Med 28: 1785–1790

    Article  PubMed  CAS  Google Scholar 

  37. Elliott MW, Steven MH, Phillips GD, Branthwaite MA (1990) Non-invasive mechanical ventilation for acute respiratory failure. Br Med J 300: 358–360

    Article  CAS  Google Scholar 

  38. Pennock BE, Kaplan PD, Carlin BW, Sabangan JS, Magovern JA (1991) Pressure support ventilation with a simplified ventilatory support system administered with a nasal mask in patients with respiratory failure. Chest 100: 1371–1376

    Article  PubMed  CAS  Google Scholar 

  39. Benhamou D, Girault C, Faure C, Portier F, Muir JF (1992) Nasal mask ventilation in acute respiratory failure. Experience in elderly patients. Chest 102: 912–917

    Google Scholar 

  40. Meduri GU, Mauldin GL, Wunderink RG, et al (1994) Causes of fever and pulmonary densities in patients with clinical manifestations of ventilator-associated pneumonia. Chest 106: 221–235

    Article  PubMed  CAS  Google Scholar 

  41. Wysocki M, Tric L, Wolff MA, Gertner J, Millet H, Herman B (1993) Noninvasive pressure support ventilation in patients with acute respiratory failure. Chest 103: 907–913

    Article  PubMed  CAS  Google Scholar 

  42. Jousela I (1993) Endotracheal tube versus face mask with and without continuous positive airway pressure (CPAP). Acta Anaesthesiol Scand 37: 381–385

    Article  PubMed  CAS  Google Scholar 

  43. Criner GJ, Travaline JM, Brennan KJ, Kreimer DT (1994) Efficacy of a new full face mask for noninvasive positive pressure ventilation. Chest 106: 1109–1115

    Article  PubMed  CAS  Google Scholar 

  44. Branson RD, Hurst JM, DeHaven CB Jr (1985) Mask CPAP: state of the art. Respir Care 30: 846–857

    PubMed  CAS  Google Scholar 

  45. Linton DM, Potgieter PD (1982) Conservative management of blunt chest trauma. S Afr Med J 61 (24): 917–919

    PubMed  CAS  Google Scholar 

  46. Dodds WJ, Hogan WJ, Lydon SB, Stewart ET, Stef JJ, Arndorfer RC (1975) Quantitation of pharyngeal motor function in normal human subjects. J Appl Physiol 39: 692–696

    PubMed  CAS  Google Scholar 

  47. Covelli HD, Weled BJ, Beekman JF (1982) Efficacy of continuous positive airway pressure administered by face mask. Chest 81: 147–150

    Article  PubMed  CAS  Google Scholar 

  48. Pennock BE, Crawshaw L, Kaplan PD (1994) Noninvasive nasal mask ventilation for acute respiratory failure. Institution of a new therapeutic technology for routine use. Chest 105: 441–444

    Google Scholar 

  49. DeVita MA, Friedman Y, Petrella V (1993) Mask continuous positive airway pressure in AIDS. Crit Care Clin 9: 137–151

    PubMed  CAS  Google Scholar 

  50. Gregg RW, Friedman BC, Williams JF, McGrath BJ, Zimmerman JE (1990) Continuous positive airway pressure by face mask in Pneumocystis carinii pneumonia. Crit Care Med 18: 21–24

    Article  PubMed  CAS  Google Scholar 

  51. Girault C, Bonmarchand G, Richard JC, et al (1995) Physiologic assessment of ventilatory mode during non invasive ventilation in acute hypercapnic respiratory failure (AHRF): assist-control (ACV). Am J Respir Crit Care Med 151: A426 (Abst)

    Google Scholar 

  52. Richard JC, Molano C, Tengang B, Benhamou D, Cuvellier A, Muir JF (1996) Nasal intermittent positive pressure ventilation vs bilevel pressure ventilation during acute respiratory failure in patients with COPD. Am J Respir Crit Care Med 153: A609 (Abst)

    Google Scholar 

  53. Nava S, Bruschi C, Ambrosino N, Paturno V, Confalonieri M (1995) Inspiratory effort during non-invasive mechanical ventilation with flow and pressure triggers in COPD patients. Intensive Care Med 21: S120 (Abst)

    Google Scholar 

  54. Chevrolet JC, Jolliet P, Abajo B, Toussi A, Louis M (1991) Nasal positive pressure ventilation in patients with acute respiratory failure. Difficult and time-consuming procedure for nurses. Chest 100: 775–782

    Google Scholar 

  55. Fernandez R, Blanch L, Valles J, Baigorri F, Artigas A (1993) Pressure support ventilation via face mask in acute respiratory failure in hypercapnic COPD patients. Intensive Care Med 19: 456–461

    Article  PubMed  CAS  Google Scholar 

  56. Bunburaphong T, Imanaka H, Nishimura M, Hess D, Kacmarek RM (1997) Performance characteristics of bilevel pressure ventilators: a lung model study. Chest 111: 1050–1060

    Article  PubMed  CAS  Google Scholar 

  57. Jounieaux V, Aubert G, Dury M, Delguste P, Rodenstein DO (1995) Effects of nasal positive-pressure hyperventilation on the glottis in normal awake subjects. J Appl Physiol 79: 176–185

    PubMed  CAS  Google Scholar 

  58. Parreira VF, Jounieaux V, Aubert G, Dury M, Delguste PE, Rodenstein DO (1996) Nasal two-level positive-pressure ventilation in normal subjects. Effects of the glottis and ventilation. Am J Respir Crit Care Med 153: 1616–1623

    Google Scholar 

  59. Parreira YV, Jounieaux V, Delguste P, Dury M, Aubert G (1996) Effects of systematic changes in delivered tidal volume, inspiratory flow and respirator frequency on effective ventilation ( VI) during intermittent positive pressure ventilation applied through a nasal mask (nIPPV), in healthy subjects awake and asleep. Am J Respir Grit Care Med 153: A762

    Google Scholar 

  60. Jubran A, Van de Graaff WB, Tobin Mj (1995) Variability of patient-ventilator interaction with pressure support ventilation in patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med 152: 129–136

    Article  PubMed  CAS  Google Scholar 

  61. Shivaram U, Donath J, Khan FA, Juliano J (1987) Effects of continuous positive airway pressure in acute asthma. Respiration 52: 157–162

    Article  PubMed  CAS  Google Scholar 

  62. Marantz S, Webster K, Patrick W, Roberts D, Oppenheimer L, Younes M (1992) Respiratory responses to different levels of proportional assist ( PAV) in ventilator dependent patients. Am Rev Respir Dis 145: A525

    Google Scholar 

  63. Rocker GM, Mackenzie MG, Williams B, Logan PM (1999) Noninvasive positive pressure ventilation: successful outcome in patients with acute lung injury/ARDS. Chest 115: 173–177

    Article  PubMed  CAS  Google Scholar 

  64. Ferguson GT, Gilmartin M (1995) CO2 rebreathing during BiPAP ventilatory assistance. Am J Respir Crit Care Med 151: 1126–1135

    PubMed  CAS  Google Scholar 

  65. Porta R, Vitacca M, Clini E, Ambrosino N (1999) Physiological effects of posture on mask ventilation in awake stable chronic hypercapnic COPD patients. Eur Respir J 14: 517–522

    Article  PubMed  CAS  Google Scholar 

  66. Druz WS, Sharp JT (1981) Activity of respiratory muscles in upright and recumbent humans. J Appl Physiol 51: 1552–1561

    PubMed  CAS  Google Scholar 

  67. Leger P, Jennequin J, Gaussorgues P, Robert D (1988) Acute respiratory failure in COPD patient treated with noninvasive intermittent mechanical ventilation (control mode) with nasal mask. Am Rev Respir Dis 137: A63

    Google Scholar 

  68. Marino W (1991) Intermittent volume cycled mechanical ventilation via nasal mask in patients with respiratory failure due to COPD. Chest 99: 681–684

    Article  PubMed  CAS  Google Scholar 

  69. Ninane V, Rypens F, Yernault JC, De Troyer A (1992) Abdominal muscle use during breathing in patients with chronic airflow obstruction. Am Rev Respir Dis 146: 16–21

    Article  PubMed  CAS  Google Scholar 

  70. Nava S, Bruni M, Evangelisti I, et al (1996) Is non-invasive mechanical ventilation (NIMV) really time-consuming procedure compared to invasive mechanical ventilation (IMV)? Am J Respir Crit Care Med 153: A607

    Google Scholar 

  71. Richard JC, Muir JF, Girault C, Benhamou D, Merignac G (1995) Determinants of success of non-invasive positive pressure ventilation for hypercapnic respiratory failure in chronic obstructive pulmonary disease. Am J Respir Crit Care Med 151: A236

    Google Scholar 

  72. Meduri GU, Turner RE, Abou-Shala N, Wunderink R, Tolley E (1996) Noninvasive positive pressure ventilation via face mask. First-line intervention in patients with acute hypercapnic and hypoxemic respiratory failure. Chest 109: 179–193

    Google Scholar 

  73. Soto L, Chernilo S, Gavilân J, Isamit D, Arancibia F, Vargas M (1996) Non invasive mechanical ventilation in COPD patients with acute hypercapnic respiratory failure. Am J Respir Crit Care Med 153: A610

    Article  Google Scholar 

  74. Ambrosino N, Foglio K, Rubini F, Clini E, Nava S, Vitacca M (1995) Non-invasive mechanical ventilation in acute respiratory failure due to chronic obstructive pulmonary disease: correlates for success. Thorax 50: 755–757

    Article  PubMed  CAS  Google Scholar 

  75. Meecham Jones DJ, Paul EA, Grahame-Clarke C, Wedzicha JA (1994) Nasal ventilation in acute exacerbations of chronic obstructive pulmonary disease: effect of ventilator mode on arterial blood gas tensions. Thorax 49: 1222–1224

    Article  PubMed  CAS  Google Scholar 

  76. Greenbaum DM, Miller JE, Eross B, Snyder JV, Grenvik A, Safar P (1976) Continuous positive airway pressure without tracheal intubation in spontaneously breathing patients. Chest 69: 615–620

    Article  PubMed  CAS  Google Scholar 

  77. Suter PM, Kobel N (1981) Treatment of acute pulmonary failure by CPAP via face mask: when can intubation be avoided? Klin Wochenschr 59: 613–616

    Article  PubMed  CAS  Google Scholar 

  78. Alsous F, Amoateng-Adjepong Y, Manthous CA (1999) Noninvasive ventilation: experience at a community teaching hospital. Intensive Care Med 25: 458–463

    Article  PubMed  CAS  Google Scholar 

  79. Rusterholtz T, Kempf J, Berton C, et al (1995) Efficacy of facial mask pressure support ventilation (FMPSV) during acute cardiogenic pulmonary edema: a descriptive study. Am J Respir Crit Care Med 151: A422

    Google Scholar 

Download references

Authors
  1. G. U. Meduri
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Department of Intensive Care, Erasme Hospital, Free University of Brussels, Route de Lennik 808, B-1070, Brussels, Belgium

    Jean-Louis Vincent MD, PhD, FCCM, FCCP (Head) (Head)

Rights and permissions

Reprints and permissions

Copyright information

© 2002 Springer Science+Business Media New York

About this chapter

Cite this chapter

Meduri, G.U. (2002). Methodology of Non-invasive Mechanical Ventilation in Acute Respiratory Failure. In: Vincent, JL. (eds) Intensive Care Medicine. Springer, New York, NY. https://doi.org/10.1007/978-1-4757-5551-0_31

Download citation

  • DOI: https://doi.org/10.1007/978-1-4757-5551-0_31

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4757-5553-4

  • Online ISBN: 978-1-4757-5551-0

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation