Nasal Intermittent Positive Pressure Ventilation

Léger, P; M, Bedicam J; Cornette, A.; Reybet-Degat, O; Langevin, Brigitte; Polu, J. M.; Jeannin, L; Robert, Dominique

doi:10.1378/chest.105.1.100

Cited by 362 publications

(52 citation statements)

References 12 publications

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“…Nishino, S. Isono, T. Ide aa Noninvasive assisted ventilation has become increasingly popular recently and has been used successfully in a variety of clinical situations, including weaning from mechanical ventilation and ventilatory support in patients with chronic obstructive pulmonary disease (COPD) [1][2][3][4][5][6][7][8]. Several modalities are now available for noninvasive assisted ventilation including positive pressure assisted ventilation (PPAV) and negative pressure assisted ventilation (NPAV), although PPAV in the form of pressure support (PS) is more popular than NPAV.…”

Section: Effects Of Negative Pressure Assisted Ventilation On Dyspnoementioning

confidence: 99%

Effects of negative pressure assisted ventilation on dyspnoeic sensation and breathing pattern

Nishino

Isono²,

Ide³

1998

Eur Respir J

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Although negative pressure assisted ventilation with an assist-control mode may have a potential therapeutic role in the treatment of severe dyspnoea, the effects of negative pressure assisted ventilation with the assist-control mode on dyspnoea and breathing patterns have not been examined. We examined the effects of negative pressure assisted ventilation with the assist-control mode on dyspnoea and breathing patterns produced by a combination of resistive loading and hypercapnia in nine healthy subjects breathing spontaneously. Subjects were asked to rate their sensation of respiratory discomfort using a visual analogue scale. Negative pressure assisted ventilation caused a significant reduction in sensation of respiratory discomfort from a visual analogue scale score of 74 (55-91) (median (range)) before negative pressure assisted ventilation to 34 (15-53) during negative pressure assisted ventilation (p<0.01). During negative pressure assisted ventilation, there were significant changes in breathing patterns characterized by an increase in tidal volume and a decrease in respiratory frequency, while neither minute ventilation nor end-tidal carbon dioxide tension changed. Our results indicate that negative pressure assisted ventilation with the assist-control mode is effective in relief of dyspnoea and that negative pressure assisted ventilation influences the control of breathing to minimize respiratory discomfort.

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Section: Effects Of Negative Pressure Assisted Ventilation On Dyspnoementioning

confidence: 99%

Effects of negative pressure assisted ventilation on dyspnoeic sensation and breathing pattern

Nishino

Isono²,

Ide³

1998

Eur Respir J

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“…Initially, the application of HMV was limited because almost all patients were ventilated through tracheostomy [1]. However, the widespread use of noninvasive ventilation, in the 1980s, facilitated extension of this therapy [2][3][4][5]. The number of patients currently treated with HMV in Europe is expected to increase progressively, given the improvement in the survival of patients with chronic respiratory disease, the ageing of the population and the widespread use of noninvasive techniques.…”

mentioning

confidence: 99%

Quality control of equipment in home mechanical ventilation: a European survey

Farré¹

2005

European Respiratory Journal

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Quality control of the equipment used in home mechanical ventilation is necessary in order to ensure that patients safely and accurately receive the prescribed ventilatory support. The aim of this study was to carry out a survey on the quality-control procedures in different centres and countries.The survey was carried out in the context of a European Commission Concerted Action covering 16 European countries. The study was extensive and detailed, involving 326 centres, which provided home ventilation to .20,000 patients.The survey showed that: 1) ventilator servicing was mainly carried out by external companies (62% of centres), with a servicing frequency ranging 3-12 months; 2) interaction between servicing companies and prescribers was limited (only 61% of centres were always informed of major incidents); 3) participation of centres in equipment quality control was poor (only 56% of centres assessed that patients/caregivers correctly cleaned/maintained the ventilator); and 4) centres were insufficiently aware of vigilance systems (only 23% of centres). Moreover, the data showed considerable inter-and intra-country differences. The size of the centre was an important determinant of many of these quality-control aspects.This survey provides information that will enable the European Commission Concerted Action to formulate recommendations on procedures for home-ventilator quality control.

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“…This can lead to respiratory insufficiency, sleep‐disordered breathing, and eventual need for mechanical ventilation to prevent premature death from respiratory failure. We already know from large cohort series that long‐term NIV produces a significant improvement in survival and quality of life in adults and children with stable chest wall and neuromuscular disease [5]. It reverses nocturnal hypoventilation, alleviates micro‐atelectasis, improves sputum expectoration, and reduces the frequency of pulmonary infections.…”

Section: Discussionmentioning

confidence: 99%

Effect of enzyme replacement therapy (ERT) added to Home Mechanical Ventilation (HMV) in Adult Pompe disease

Sayeed

Sharma

Abdelhalim

et al. 2015

Respirology Case Reports

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Adult Pompe disease/acid maltase deficiency is an autosomal recessive disorder resulting in accumulation of glycogen in skeletal muscles, leading to myopathy frequently involving respiratory muscles. This involvement can cause respiratory insufficiency that may present as acute hypercapnic respiratory failure. Enzyme replacement therapy (ERT) with alpha – glucosidase alfa, the only disease‐specific treatment, has been available as treatment option since 2006. ERT has shown efficacy concerning muscle strength and pulmonary function in adult patients as well as positive association with survival. We present two cases where addition of ERT to Home Mechanical Ventilation (HMV) showed improvements in lung function and gas exchange that may not be entirely attributable to nocturnal HMV and therefore may further indicate the beneficial role of ERT in conjunction with HMV in Adult Pompe disease.

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Nasal Intermittent Positive Pressure Ventilation

Cited by 362 publications

References 12 publications

Effects of negative pressure assisted ventilation on dyspnoeic sensation and breathing pattern

Effects of negative pressure assisted ventilation on dyspnoeic sensation and breathing pattern

Quality control of equipment in home mechanical ventilation: a European survey

Effect of enzyme replacement therapy (ERT) added to Home Mechanical Ventilation (HMV) in Adult Pompe disease

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