Non-invasive ventilation for treatment of postoperative respiratory failure after oesophagectomy

Michelet, Pierre; D’Journo, Xavier Benoit; Seinaye, F.; Forel, Jean-Marie; Papazian, Laurent; Thomas, Philippe

doi:10.1002/bjs.6307

Cited by 82 publications

(65 citation statements)

References 43 publications

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“…7 Although recent esophageal surgery is considered as a contraindication for NIV by some of the authors 7 , there are studies reporting the successful and safety use of NIV in the immediate early postoperative periods of laparoscopic Nissen fundoplication, Roux-en-Y gastric bypass, and even oesophagectomy. [8][9][10] So we decided to perform NIV to our patient early after procedure.…”

Section: Resultsmentioning

confidence: 99%

Dislodgement of Laparoscopic Gastrostomy During Early Postoperative Period: an unusual complication of non-invasive ventilation

Ödek¹,

Kendirli²,

Yaman³

et al. 2015

Turk J Ped Em Int Care Med

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Section: Resultsmentioning

confidence: 99%

Dislodgement of Laparoscopic Gastrostomy During Early Postoperative Period: an unusual complication of non-invasive ventilation

Ödek¹,

Kendirli²,

Yaman³

et al. 2015

Turk J Ped Em Int Care Med

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“…Exclusions were as a result of: Four articles were included for analysis. 8,[32][33][34] A PRISMA flow diagram 35 for the above process is provided in Figure 1.…”

Section: Search Strategymentioning

confidence: 99%

Noninvasive positive pressure ventilation for acute respiratory failure following oesophagectomy: Is it safe? A systematic review of the literature

Charlesworth

Lawton

Fletcher

2015

Journal of the Intensive Care Society

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Objective: To find, critically appraise and synthesise all published studies so as to determine the safety and spectrum of use of noninvasive positive pressure ventilation for acute respiratory failure following oesophagectomy. Design: Systematic review. Methods: The MEDLINE and EMBASE databases were searched and the quality of the studies and any bias or confounding were rated according to established protocols. Outcomes extracted included re-intubation, anastomotic leakage, length of intensive care unit stay and mortality. The data were analysed quantitatively and qualitatively. Pooling of outcomes was considered if appropriate. Results: The search identified four papers, demonstrating the understudying/underreporting of the topic. Three were case-series and one was a conference abstract. The overall methodological quality was low. Design-specific biases and confounding were high. Despite this, the included studies conclude that noninvasive positive pressure ventilation is safe and effective and that re-intubation rates, intensive care unit length of stay, mortality and anastomotic dehiscence is lower when it is used. Meta-analysis was deemed to be inappropriate. Conclusions: Despite the conclusions and consensus of the included studies, there is no evidence to definitively conclude that noninvasive positive pressure ventilation is either safe or dangerous following oesophagectomy and the current literary evidence is inadequate. Current practice varies and is based on opinion and consensus. As such, randomised controlled studies are urgently required as current practice may cause undue harm to patients. The incidence of anastomotic leakage with noninvasive positive pressure ventilation use needs to be determined.

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“…Settings that require special attention during NIV include recent gastrointestinal or upper airway surgery, inability to protect the airways, hemodynamic instability, decreased consciousness, vomiting, intestinal occlusion, undrained pneumothorax, and confusion and agitation states. Recent studies have shown that NIV can be successfully used in patients with hypercapnic coma (16) and after upper gastrointestinal surgery (17). The clinical setting is also important; if NIV is the ceiling of treatment and therefore the only treatment option, a relative contraindication can be accepted, whereas it may not be if intubation is considered appropriate.…”

Section: Non-invasive Ventilation In Copd Exacerbations and Other Caumentioning

confidence: 99%

The art and science of non-invasive ventilation

Ferrer¹

2014

sob

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SummaryNon-invasive ventilation (NIV) is one of the most relevant recent advances in the management of patients with severe acute respiratory failure (ARF). NIV is considered a standard of care for the management of hypercapnic ARF in patients with acute exacerbation of chronic obstructive pulmonary disease. With an appropriate selection of patients, NIV can reduce the need for invasive mechanical ventilation, mortality and length of stay. Patients with severe hypoxemic ARF have in general a lower likelihood to need tracheal intubation when NIV as a support for ARF is added to the standard medical treatment. However, the effects of NIV on mortality are less evident, and the heterogeneity of the different published studies suggests that the efficacy may be different among different populations. The optimal time for intubation after NIV failure remains a challenging issue due to increasing evidences on the relationship between delayed intubation and excess mortality in these populations. In intubated patients with preexisting lung disease, the use of NIV in order to advance extubation during difficult and prolonged weaning can result in reduced periods of endotracheal intubation, complication rates and improved survival. Moreover, NIV immediately after extubation is effective in avoiding respiratory failure after extubation and improving survival in patients at risk for this complication, particularly those with chronic respiratory disorders, cardiac co-morbidity, and hypercapnic respiratory failure.KEY WORDS: non-invasive ventilation, acute respiratory failure, weaning, hypoxemic respiratory failure, hypercapnic respiratory failure. IntroductionNon-invasive ventilation (NIV) is one of the most relevant recent advances in the management of patients with severe acute respiratory failure (ARF). Non-invasive ventilation is ventilatory support through the upper airways of patients with an interface, usually a mask; therefore, tracheal intubation or a tracheostomy is not needed. The benefits of NIV appear to be the consequence of avoiding tracheal intubation and the associated morbidity and mortality (1, 2). There are several potential advantages for the use of NIV. Some patients can be managed out of an intensive care unit (ICU), a particularly stressful environment, with additional benefits in reducing the occupation of ICU beds and related costs. Ventilatory support can be intermittent and therefore withdrawal of NIV can be gradual. These patients can cooperate in respiratory therapy; they can receive nebulised therapy, expectorate and communicate with staff and their relatives. However, there are limitations for NIV. Unnecessary delay in intubation of those patients who fail with NIV treatment is associated with worse outcome (3). Some patients do not tolerate the mask due to claustrophobia or other causes, and nasal bridge skin breakdown can occur and difficult the use of NIV. Non-invasive ventilation is now considered as a firstline intervention in selected patients with severe exacerbation of chronic obstructive...

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Non-invasive ventilation for treatment of postoperative respiratory failure after oesophagectomy

Abstract: The use of NPPV for the treatment of postoperative ARF may decrease the incidence of endotracheal intubation and related complications, without increasing the risk of anastomotic leakage after oesophagectomy.

Cited by 82 publications

References 43 publications

Dislodgement of Laparoscopic Gastrostomy During Early Postoperative Period: an unusual complication of non-invasive ventilation

Dislodgement of Laparoscopic Gastrostomy During Early Postoperative Period: an unusual complication of non-invasive ventilation

Noninvasive positive pressure ventilation for acute respiratory failure following oesophagectomy: Is it safe? A systematic review of the literature

The art and science of non-invasive ventilation

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