Noninvasive positive pressure ventilation for stable outpatients: CPAP and beyond

Theerakittikul, Theerakorn; Ricaurte, Basma; Aboussouan, Loutfi S.

doi:10.3949/ccjm.77a.10060

Cited by 41 publications

(39 citation statements)

References 88 publications

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“…These improvements are wide-ranging: reduction of traffic accidents, lower arterial blood pressure and reduction in the morbidity and mortality rates of myocardial infarction and stroke demonstrate the wide spectrum of CPAP's benefits. 4,5 …”

Section: Sleep-related Breathing Disorders and Non-invasive Ventilationmentioning

confidence: 99%

“…A particular benefit of this mode is that it may be modified as the disease progresses (as it occurs in neuromuscular disorders such as amyotrophic lateral sclerosis). 4 All the types of ventilation are summarized in the Table 2.…”

Section: Bilevel Positive Airway Pressurementioning

confidence: 99%

“…Auto-CPAP compensates for factors that modify the upper airway collapsibility, such as body posture during sleep, stage of sleep, use of alcohol, and drugs that affect upper airway muscle tone. 4 It is not recommended in the diagnosis of OSA and titrating continuous pressure during split-night. The auto-CPAP can be used during polysomnography or cardiorespiratory monitoring to titrate a single pressure value to be used later with fixed CPAP for treatment of OSA in patients without comorbid conditions.…”

Section: Clinical Criteria For Initiating Non-invasive Ventilationmentioning

confidence: 99%

“…Although the patient should be able to maintain spontaneous breathing, it is used to set a back-up rate option for those patients whose ventilation during sleep may be particularly impaired (neuromuscular disorders, complex sleep apnea, central apnea in chronic heart failure, obesity-hypoventilation syndrome). 4,17 Average volume-assured pressure support ventilation Average volume-assured pressure support ventilation is used in patients with chronic hypoventilation and in particular with obesity hypoventilation syndrome, neuromuscular diseases, and sometimes, in chronic obstructive pulmonary disease. In this mode a target tidal volume is set; the device adjusts the pressure support to reach the set tidal volume.…”

Section: Bilevel Positive Airway Pressurementioning

confidence: 99%

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Sleep-related breathing disorders and non-invasive ventilation

Lax

Banfi

et al. 2015

Ital J Med

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Non-invasive mechanical ventilation (NPPV) was originally used in patients with acute respiratory impairment or exacerbations of chronic respiratory diseases, as an alternative to the endotracheal tube. Over the last thirty years NPPV has been also used at night in patients with stable chronic lung disease such as obstructive sleep apnea, the overlap syndrome (chronic obstructive pulmonary disease and obstructive sleep apnea), neuromuscular disorders, obesity-hypoventilation syndrome, and in other conditions such as sleep disorders associated with congestive heart failure (Cheyne-Stokes respiration). In this no-systematic review we discuss the different types of NPPV, the specific conditions in which they can be used and the indications, recommendations and evidence supporting the efficacy of NPPV. Optimizing patient acceptance and adherence to non-invasive ventilation treatment is challenging. The treatment of sleep-related disorders is a life-threatening condition. The optimal level of treatment should be determined in a sleep laboratory. Side effects directly affecting the patient's adherence to treatment are known. The most common are nasopharyngeal symptoms including increased congestion and rhinorrhea; these effects are related to reduced humidity of inspired gas. Humidification of delivered gas may improve these symptoms.

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Section: Sleep-related Breathing Disorders and Non-invasive Ventilationmentioning

confidence: 99%

Section: Bilevel Positive Airway Pressurementioning

confidence: 99%

Section: Clinical Criteria For Initiating Non-invasive Ventilationmentioning

confidence: 99%

Section: Bilevel Positive Airway Pressurementioning

confidence: 99%

See 2 more Smart Citations

Sleep-related breathing disorders and non-invasive ventilation

Lax

Banfi

et al. 2015

Ital J Med

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show abstract

“…Continuous positive airway pressure (CPAP) was developed in the 1980's to treat patients with obstructive sleep apnea (OSA) or respiratory failure due to neuromuscular diseases (12,13). devices, which could provide different levels of positive pressure during inspiration and expiration, soon followed CPAP; these devices have been utilized to treat patients with OSA and neuromuscular diseases ever since (14)(15)(16).…”

Section: Introductionmentioning

confidence: 99%