Non-invasive ventilation in acute respiratory distress syndrome: helmet use saves lives?

Comparing Noninvasive Ventilation Delivered Using Neurally-Adjusted Ventilatory Assist or Pressure Support in Acute Respiratory Failure

“…NIV failure rates are higher in those with hypoxemic compared to hypercapnic respiratory failure, especially those with ARDS. 16,18,22,23 This was also demonstrated in the subgroup analysis of subjects with an exacerbation of COPD, in whom the use of NAVA significantly reduced the 28-d mortality (Table 3). However, NIV failure rates, duration of NIV, and length of hospital stay were not different compared to PSV.…”

“…Unfortunately, the failure rates with NIV still remain high (up to 50%), particularly in those with hypoxemic ARF. [16][17][18] One important reason for NIV failure is patientventilator asynchrony. In a recent systematic review of small physiological studies, 7,13,[19][20][21] we noted that use of NAVA during NIV resulted in significantly lower patientventilator asynchrony.…”

A systematic review and meta-analysis of different mask ventilation schemes on management of general anesthesia in patients with respiratory failure

“…The new hood can effectively solve the above-mentioned shortcomings, and compared with the face mask, the patient has better tolerance and low complication rate (7). Research has shown that hood can reduce the rate of intubation and extend the benefits of NIV to more patients with acute respiratory distress syndrome (8). At present, studies comparing the NIV types of hood and mask have all been single-center and small-sample randomized trials.…”

Titration of ideal positive end-expiratory pressure in acute respiratory distress syndrome: Comparison between lower inflection point and esophageal pressure method using volumetric capnography

“…[2] The management principles in ARDS include treatment of the basic inciting condition along with mechanical ventilation and supportive care. Mechanical ventilation not only corrects hypoxemia but also “buys time” for the basic condition to be reversed with specific therapy.…”

“…Acute respiratory distress syndrome (ARDS) is a syndrome resulting from damage to the alveolocapillary meshwork,[ 1 ] characterized by hypoxemic acute respiratory failure and high mortality ranging between 27% and 45%. [ 2 ] The management principles in ARDS include treatment of the basic inciting condition along with mechanical ventilation and supportive care. Mechanical ventilation not only corrects hypoxemia but also “buys time” for the basic condition to be reversed with specific therapy.…”