Skip to main content
  • 187 Accesses

Abstract

Patients who present an acute or chronic respiratory failure are frequently admitted to emergency wards and intensive care services. Although some of these patients will improve with conservative pharmacologic treatment and oxygen and physical therapy, others will need supportive treatment by means of mechanical ventilation [1–3]. We will briefly review the physiological effects and the rationale of noninvasive positive pressure ventilation (NPPV) in the decompensated chronic obstructive pulmonary disease (COPD) patients and the usefulness of the technique in this clinical setting.

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

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight 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. Brochard L (1996) Noninvasive ventilation. In: Acute respiratory failure in chronic obstructive pulmonary disease. Devenne JPh, Whitelaw WA, Similowski T, eds Marcel Dekker, Inc, New York 663–683

    Google Scholar 

  2. Ambrosino N (1996) Noninvasive mechanical ventilation in acute respiratory failure. Eur Respir J 9:795–807

    Article  PubMed  CAS  Google Scholar 

  3. Abou-Shala N, Meduri U (1996) Noninvasive mechanical ventilation in patients with acute respiratory failure. Crit Care Med 24:705–715

    Article  PubMed  CAS  Google Scholar 

  4. Derenne J, Fleury B, Pariente R (1988) Acute respiratory failure of chronic obstructive pulmonary disease. Am Rev Respir Dis 138:1006–1033

    Article  PubMed  CAS  Google Scholar 

  5. Aubier M, Murciano D, Fournier M et al (1980) Central respiratory drive in acute respiratory failure patients with chronic obstructive pulmonary disease. Am Rev Resp Dis 122:191–199

    PubMed  CAS  Google Scholar 

  6. Dunn W, Nelson S, Hubmayr R (1991) Oxygen-induced hypercarbia in obstructive pulmonary disease. Am Rev Respir Dis 144:526–530

    Article  PubMed  CAS  Google Scholar 

  7. Pingleton SK (1988) Complications of acute respiratory failure. Am Rev Respir Dis 137: 1463–1493

    Article  PubMed  CAS  Google Scholar 

  8. Fagon JY, Chastre J, Hance AJ et al (1993) Nosocomial pneumonia in ventilated patients: a cohort study evaluating attributable mortality and hospital stay. Am J Med 94:281–288

    Article  PubMed  CAS  Google Scholar 

  9. Brochard L, Rauss A, Benito S et al (1994) Comparison of three methods of gradual withdrawal from ventilatory support during weaning from mechanical ventilation. Am J Respir Crit Care Med 150:896–903

    Article  PubMed  CAS  Google Scholar 

  10. Gottfried S (1991) The role of PEEP in the mechanically ventilated COPD patient. In: Marini JJ, Roussos C (eds) Ventilatory failure. Berlin, Springer-Verlag 392–418

    Chapter  Google Scholar 

  11. Petrof B, Legare M, Goldberg P et al (1990) Continuous positive airway pressure reduces work of breathing and dyspnea during weaning from mechanical ventilation in severe chronic obstructive pulmonary disease (COPD). Am Rev Resp Dis 141:281–289

    Article  PubMed  CAS  Google Scholar 

  12. Smith TC, Marini J-J (1988) Impact of PEEP on lung mechanics and work of breathing in severe airflow obstruction. J Appl Physiol 65:1488–1499

    PubMed  CAS  Google Scholar 

  13. Meduri GU, Conoscenti CC, Menashe P et al (1989) Non invasive face mask ventilation in patients with acute respiratory failure. Chest 95:865–870

    Article  PubMed  CAS  Google Scholar 

  14. Meduri GU, Abou-Shala N, Fox RC et al (1991) Noninvasive face mask mechanical ventilation in patients with acute hypercapnic respiratory failure. Chest 100:445–454

    Article  PubMed  CAS  Google Scholar 

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

    Article  PubMed  CAS  Google Scholar 

  16. 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: 1523–1530

    Article  PubMed  CAS  Google Scholar 

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

    Article  PubMed  CAS  Google Scholar 

  18. Nava S, Ambrosino N, Rubini F et al (1993) Effect of nasal pressure support ventilation and external PEEP on diaphragmatic activity in patients with severe stable COPD. Chest 103: 143–150

    Article  PubMed  CAS  Google Scholar 

  19. Mancebo J, Isabey D, Lorino H et al (1995) Comparative effects of pressure support ventilation and intermittent positive pressure breathing (IPPB) in non-intubated healthy subjects. Eur Respir J 8:1901–1909

    Article  PubMed  CAS  Google Scholar 

  20. Lofaso F, Brochard L, Hang T et al (1995) Evaluation of carbon dioxide rebreathing during pressure support with BiPAP devices. Chest 108:772–778

    Article  PubMed  CAS  Google Scholar 

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

    PubMed  CAS  Google Scholar 

  22. Lofaso F, Brochard L, Hang T et al (1996) Home vs intensive-care pressure support devices: experimental and clinical comparison. Am J Respir Crit Care Med accepted for publication

    Google Scholar 

  23. Foglio C, Vittaca M, Quadri A et al (1992) Acute exacerbations in severe COLD patients. Treatment using positive pressure ventilation by nasal mask. Chest 101:533–538

    Article  Google Scholar 

  24. Vitacca M, Rubini F, Foglio K et al (1993) Non invasive modalities of positive pressure ventilation improve the outcome of acute exacerbations in COLD patients. Intens Care Med 19:450–455

    Article  CAS  Google Scholar 

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

    Article  CAS  Google Scholar 

  26. Wysocki M, Tric L, Wolff M et al (1993) Non invasive pressure support ventilation in patients with acute respiratory failure. Chest 103:907–913

    Article  PubMed  CAS  Google Scholar 

  27. Fernandez R, Blanch LP, Valles J et al (1993) Pressure support ventilation via face mask in acute respiratory failure in hypercapnic COPD patients. Intens Care Med 19:456–461

    Article  CAS  Google Scholar 

  28. Meduri U, Turner R, Abou-Shala N et al (1996) Noninvasive positive pressure ventilation via face mask. Chest 109:179–193

    Article  PubMed  CAS  Google Scholar 

  29. Kramer N, Meyer TJ, Meharg J et al (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 

  30. 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 

  31. Benhamou D, Girault C, Faure C et al (1992) Nasal mask ventilation in acute respiratory failure. Experience in elderly patients. Chest 102:912–917

    Article  PubMed  CAS  Google Scholar 

  32. Udwadia Z, Santis G, Steven M et al (1992) Nasal ventilation to facilitate weaning in patients with chronic respiratory insufficiency. Thorax 47:715–718

    Article  PubMed  CAS  Google Scholar 

  33. Restrick L, Scott A, Ward E et al (1993) Nasal intermittent positive-pressure ventilation in weaning intubated patients with chronic respiratory disease from assisted intermittent positive-pressure ventilation. Respir Med 87:199–204

    Article  PubMed  CAS  Google Scholar 

  34. Nava S, Bruschi C, Orlando A et al(1996) Non-invasive mechanical ventilation (NINMV) facilitates the weaning from traditional mechanical ventilation (MV) in severe COPD patients. Am J Respir Crit Care Med 153:A763

    Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1997 Springer-Verlag Italia

About this paper

Cite this paper

Mancebo, J., Brochard, L. (1997). Face Mask Ventilation in Decompensated COPD Patients. In: Gullo, A. (eds) Anaesthesia, Pain, Intensive Care and Emergency Medicine — A.P.I.C.E.. Springer, Milano. https://doi.org/10.1007/978-88-470-2296-6_30

Download citation

  • DOI: https://doi.org/10.1007/978-88-470-2296-6_30

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-3-540-75032-1

  • Online ISBN: 978-88-470-2296-6

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics