Nocturnal noninvasive positive pressure ventilation in stable COPD: A systematic review and individual patient data meta-analysis

Struik, Fransien; Lacasse, Yves; Goldstein, Roger; Kerstjens, Huib A. M.; Wijkstra, Peter J.

doi:10.1016/j.rmed.2013.10.007

Cited by 130 publications

(117 citation statements)

References 37 publications

(64 reference statements)

Supporting

Mentioning

101

Contrasting

Unclassified

Order By: Relevance

“…In a recent meta-analysis based on individual data, it was also shown that patients who were more hypercapnic at baseline (PaCO2 >55 mm Hg) showed more reduction in their daytime PaCO2 compared with patients who were less hypercapnic 11 . Monitoring seems to be more important to confirm whether ventilation was effective or not than the type of ventilation.…”

Section: Adequacy Of Ventilatory Support During Sleepmentioning

confidence: 99%

“…This metaanalysis showed that 3 months of NIPPV in patients with stable COPD did not improve lung function, gas exchange, sleep efficiency, or 6-minute walking distance. [11,12] Casanova and colleagues studied the effects of longterm NIPPV (a duration of 12 months) to either NIPPV plus standard care or to standard care alone. The number of hospital admissions was lower after 3 months (5% vs 15%).…”

Section: Uncontrolled Trialsmentioning

confidence: 99%

“…This was also shown in the recent update of a metaanalysis showing that higher levels of IPAP (higher than 18 cm H2O) lead to a larger reduction in daytime PaCO2. [8,11] The optimal duration of ventilatory support is not clear. Two randomized controlled studies treating patients with COPD explored shorter duration of time daytime ventilatory support.…”

Section: Adequacy Of Ventilatory Support During Sleepmentioning

confidence: 99%

See 2 more Smart Citations

Nocturnal Ventilator Support in COPD

Vora¹

2017

rjms

View full text Add to dashboard Cite

Section: Adequacy Of Ventilatory Support During Sleepmentioning

confidence: 99%

Section: Uncontrolled Trialsmentioning

confidence: 99%

Section: Adequacy Of Ventilatory Support During Sleepmentioning

confidence: 99%

See 1 more Smart Citation

Nocturnal Ventilator Support in COPD

Vora¹

2017

rjms

View full text Add to dashboard Cite

“…Global Initiative for Chronic Obstructive Lung Disease -GOLD) ne daje preporuke vezane uz dugotrajnu primjenu NIV-a kod ove subpopulacije bolesnika. [13][14][15] Kombinacija NIV-a s dugotrajnim liječenjem kisikom mogla bi biti korisna samo u pojedinih bolesnika s KOPB-om i naglašenom dnevnom hiperkapnijom. 16 Za razliku od toga, jasno su dokazani pozitivni učinci primjene kontinuiranoga pozitivnog tlaka zraka u dišnim putovima (engl.…”

Section: Opstruktivne Plućne Bolestiunclassified

Guidelines for Noninvasive Mechanical Ventilation for Treatment of Chronic Respiratory Failure

Pavliša

Kardum

Puretić

et al. 2018

View full text Add to dashboard Cite

plućne bolesti i neuromuskularne bolesti. Primjena NIV-a poboljšava vrijednosti dišnih plinova, simptome, kvalitetu života i produžuje životni vijek bolesnika s kroničnom respiracijskom insufi cijencijom. Danas se NIV uglavnom provodi primjenom pozitivnog tlaka zraka na dišne putove bolesnika, a dvorazinska tlačna potpora najčešći je način ventilacije. Izbor adekvatnog sučelja osnova je uspješne primjene NIV-a. Kućni NIV može se indicirati i započeti u specijaliziranim centrima. Liječnik je odgovoran za postavljanje indikacija, izbor ventilatora, načina i parametara ventilacije. Ciljevi ovih smjernica jesu: pružanje informacija o tehničkim aspektima kućnog NIV-a kliničarima i određivanje indikacija, kontraindikacija te preporu čenih postavka ventilacije za svaku skupinu bolesti. Descriptors:Noninvasive ventilation -instrumentation, methods; Positive-presssure respiration; Respiratory insufficiency -etiology, therapy; Pulmonary disease, chronic obstructive -complications; Practice guidelines as topic; CroatiaSummary. The use of noninvasive ventilation (NIV) has been markedly increased over the past two decades, as an effective method of managing acute and chronic respiratory failure. Patients suffering from chronic respiratory failure can be introduced to home NIV. The most frequent diseases leading to chronic respiratory failure are chronic obstructive pulmonary disease (COPD), obesity hypoventilation syndrome (OHS), restrictive thoracic diseases and neuromuscular diseases (NMD). NIV application improves blood gases, symptoms, quality of life and prolongs survival of these patients. Nowadays, noninvasive ventilation is mostly performed by positive pressure ventilators and bilevel positive airway pressure (BiPAP) is the most common mode used. The choice of appropriate interface is the key to successful application of noninvasive ventilation. Home NIV must be introduced through specialized centers. The physicians are responsible for indicating home NIV, choosing the type of ventilator, the ventilation mode and ventilation parameters. The objective of this document is to provide clinicians with information on technical aspects of home NIV, to establish diagnostic and therapeutic strategies for initiating home NIV, indications, contraindications and recommended settings for each group of diseases.

show abstract

“…68 Interestingly, the most recent meta-analysis concluded that insufficient evidence is available to support the use of routine NIV in subjects with stable COPD, but that higher IPAPs, better adherence, and higher baseline P aCO 2 seem to impact improvements in physiology. 69 Obviously, ventilator settings play a predominant role when deciding whether NIV is beneficial in stable hypercapnic COPD.…”

Section: High-intensity Niv In Copdmentioning

confidence: 99%

Hot Topics in Noninvasive Ventilation: Report of a Working Group at the International Symposium on Sleep-Disordered Breathing in Leuven, Belgium

et al. 2015

View full text Add to dashboard Cite

During the last few decades, attention has increasingly focused on noninvasive ventilation (NIV) in the treatment of chronic respiratory failure. The University of Leuven and the University Hospitals Leuven therefore chose this topic for a 2-day working group session during their International Symposium on Sleep-Disordered Breathing. Numerous European experts took part in this session and discussed (1) NIV in amyotrophic lateral sclerosis (when to start NIV, NIV and sleep, secretion management, and what to do when NIV fails), (2) recent insights in NIV and COPD (high-intensity NIV, NIV in addition to exercise training, and NIV during exercise training), (3) monitoring of NIV (monitoring devices, built-in ventilator software, leaks, and asynchronies) and identifying events during NIV; and (4) recent and future developments in NIV (target-volume NIV, electromyography-triggered NIV, and autoregulating algorithms)

show abstract

Nocturnal noninvasive positive pressure ventilation in stable COPD: A systematic review and individual patient data meta-analysis

Abstract: At present, there is insufficient evidence to support the application of routine NIPPV in patients with stable COPD. However, higher IPAP levels, better compliance and higher baseline PaCO2 seem to improve PaCO2.

Cited by 130 publications

References 37 publications

Nocturnal Ventilator Support in COPD

Nocturnal Ventilator Support in COPD

Guidelines for Noninvasive Mechanical Ventilation for Treatment of Chronic Respiratory Failure

Hot Topics in Noninvasive Ventilation: Report of a Working Group at the International Symposium on Sleep-Disordered Breathing in Leuven, Belgium

Contact Info

Product

Resources

About