Predicting the Result of Noninvasive Ventilation in Severe Acute Exacerbations of Patients With Chronic Airflow Limitation

Antón, Antonio; Güell, Rosa; Gómez, Juan; Serrano, J.; Castellano, Abilio; Carrasco, Josep L.; Sanchís, J.

doi:10.1378/chest.117.3.828

Cited by 170 publications

(117 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Notably, in the pre-HFNC period, 19% (15/80) of subjects experienced NIV failure, a rate similar to previously reported rates (10 -40%). 13,14 One possible explanation for the different failure rates between the 2 periods is that in the pre-HFNC period, we continued to use NIV even when subjects needed sedatives. Another explanation is that subjects were older in the post-HFNC period than in the pre-HFNC period, which might lead to more NIV failure.…”

Section: Discussionmentioning

confidence: 99%

“…8,11,12 SEE THE RELATED EDITORIAL ON PAGE 1522 However, NIV failure has been reported to occur in 10 -40% of subjects treated for ARF. 13,14 The main reason for this outcome has been suggested to be interface intolerance due to mask discomfort, tightened straps, and/or excessive air leaks. 15 Furthermore, NIV failure is strongly associated with worse outcome.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Efficacy of High-Flow Nasal Cannula Therapy in Acute Hypoxemic Respiratory Failure: Decreased Use of Mechanical Ventilation

Nagata¹,

Morimoto

Fujimoto³

et al. 2015

Respir Care

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Efficacy of High-Flow Nasal Cannula Therapy in Acute Hypoxemic Respiratory Failure: Decreased Use of Mechanical Ventilation

Nagata¹,

Morimoto

Fujimoto³

et al. 2015

Respir Care

View full text Add to dashboard Cite

“…NIV is an increasingly frequent and safe procedure. (1)(2)(3)(4)(5)(6) NIV is defined as the ventilatory support of positive pressure without the use of a tracheal prosthesis through the upper airway using interfaces.…”

Section: Introductionmentioning

confidence: 99%

“…(1,2,8,10) The best predictors of NIV success relate to pH variation during the first hour of ventilation and the clinical improvement of the patient. (6,7,16,17) Another predictor is the analysis of disease severity, which is scored using the Acute Physiology and Chronic Health Evaluation II (APACHE II).…”

Section: Introductionmentioning

confidence: 99%

“…(2,3,6,10,16,(18)(19)(20)(21) Patients who do not respond to therapy and exhibit a decline in clinical and laboratory standards may require EI due to the failure of NIV technique or disease severity. EI is indicated in patients with a sudden drop in peripheral blood oxygen saturation (SpO 2 ) after mask removal and who do not improve after 2 h of NIV.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Utilização da ventilação não invasiva em edema agudo de pulmão e exacerbação da doença pulmonar obstrutiva crônica na emergência: preditores de insucesso

Passarini

Zambon

Morcillo³

et al. 2012

Rev. bras. ter. intensiva

View full text Add to dashboard Cite

Use of non-invasive ventilation in acute pulmonary ABSTRACTObjective: This study analyzed acute respiratory failure caused by acute pulmonary edema, as well as chronic obstructive pulmonary disease exacerbation, that was treated with non-invasive mechanical ventilation to identify the factors that are associated with the success or failure non-invasive mechanical ventilation in urgent and emergency service.Methods: This study was a prospective, descriptive and analytical study. We included patients of both genders aged ≥18 years who used noninvasive mechanical ventilation due to acute respiratory failure that was secondary to acute pulmonary edema or chronic obstructive pulmonary disease exacerbation. Patients with acute respiratory failure that was secondary to pathologies other than acute pulmonary edema and chronic obstructive pulmonary disease or who presented with contraindications for the technique were excluded. Expiratory pressures between 5 and 8 cmH 2 O and inspiratory pressures between 10 and 12 cmH 2 O were used. Supplemental oxygen maintained peripheral oxygen saturation at >90%. The primary outcome was endotracheal intubation.Results: A total of 152 patients were included. The median non-invasive mechanical ventilation time was 6 hours (range 1 -32 hours) for chronic obstructive

show abstract

Non-invasive positive pressure ventilation for treatment of respiratory failure due to exacerbations of chronic obstructive pulmonary disease

Ram

Picot

Lightowler³

et al. 2003

Cochrane Database of Systematic Reviews

View full text Add to dashboard Cite

Data from good quality randomised controlled trials show benefit of NPPV as first line intervention as an adjunct therapy to usual medical care in all suitable patients for the management of respiratory failure secondary to an acute exacerbation of COPD. NPPV should be considered early in the course of respiratory failure and before severe acidosis ensues, as a means of reducing the likelihood of endotracheal intubation, treatment failure and mortality.

show abstract

Predicting the Result of Noninvasive Ventilation in Severe Acute Exacerbations of Patients With Chronic Airflow Limitation

Cited by 170 publications

References 30 publications

Efficacy of High-Flow Nasal Cannula Therapy in Acute Hypoxemic Respiratory Failure: Decreased Use of Mechanical Ventilation

Efficacy of High-Flow Nasal Cannula Therapy in Acute Hypoxemic Respiratory Failure: Decreased Use of Mechanical Ventilation

Utilização da ventilação não invasiva em edema agudo de pulmão e exacerbação da doença pulmonar obstrutiva crônica na emergência: preditores de insucesso

Non-invasive positive pressure ventilation for treatment of respiratory failure due to exacerbations of chronic obstructive pulmonary disease

Contact Info

Product

Resources

About