The Effect of Intermittent. Negative Pressure Ventilation and Long-term Oxygen Therapy for Patients With COPD

Corrado, Antonio; Paola, E De; Messori, Andrea; G, Bruscoli; Nutini, S.

doi:10.1378/chest.105.1.95

Cited by 14 publications

(5 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although all comparisons with previous studies can be subjected to a number of biases (differences in the selection of patients, medical therapy and degree of monitoring applied), these data suggest that the treatment of acute respiratory failure in COPD patients by NPV could improve survival. In a subsequent study, aimed at investigating the effects of NPV, in overcoming acute episodes and relapses of ARF, combined with long-term oxygen therapy, we confirmed a good long-term survival in COPD patients treated with NPV [91].…”

Section: Arf In Copd With Chronic Respiratory Insufficiencysupporting

confidence: 53%

Negative pressure ventilation in the treatment of acute respiratory failure: an old noninvasive technique reconsidered

Corrado¹,

Gorini²,

Villella³

et al. 1996

European Respiratory Journal

View full text Add to dashboard Cite

Negative pressure ventilation in the treatment of acute respiratory failure: an old noninvasive technique reconsidered. A. Corrado, M. Gorini, G. Villella, E. De Paola. ©ERS Journals Ltd 1996. ABSTRACT: Noninvasive mechanical ventilatory techniques include the use of negative and positive pressure ventilators. Negative pressure ventilators, such as the "iron lung", support ventilation by exposing the surface of the chest wall to subatmospheric pressure during inspiration; whereas, expiration occurs when the pressure around the chest wall increases and becomes atmospheric or greater than atmospheric.In this review, after a description of the more advanced models of tank ventilators and the physiological effects of negative pressure ventilation (NPV), we summarize the recent application of this old technique in the treatment of acute respiratory failure (ARF). Several uncontrolled studies suggest that NPV may have a potential therapeutic role in the treatment of acute on chronic respiratory failure in patients with chronic obstructive pulmonary disease and restrictive thoracic disorders, reducing the need for endotracheal intubation. In the paediatric field, after substantial technical improvement, NPV has been successfully reintroduced for the treatment of ARF due to neonatal distress syndrome and bronchopulmonary dysplasia, and for the weaning from positive pressure ventilation in intubated patients.The positive results of these reports need to be formally confirmed by further prospective and controlled studies before recommending the generalized use of negative pressure ventilation in acute respiratory failure as a standard of care.

show abstract

Section: Arf In Copd With Chronic Respiratory Insufficiencysupporting

confidence: 53%

Negative pressure ventilation in the treatment of acute respiratory failure: an old noninvasive technique reconsidered

Corrado¹,

Gorini²,

Villella³

et al. 1996

European Respiratory Journal

View full text Add to dashboard Cite

show abstract

“…The only long-term study on noninvasively ventilated patients [21] showed a survival rate at 1 yr very much higher than in other studies on patients treated conventionally either with medical therapy alone or by endotracheal mechanical ventilation. CORRADO and coworkers [22] used a negative pressure ventilation mode, the iron lung, to administer early treatment to COPD patients with acute respiratory failure (ARF) and at any relapse of ARF. Our results confirm the survival data of CORRADO and co-workers [22], although our patients treated with NPPV had a slightly lower survival rate at 1 yr.…”

Section: Discussionmentioning

confidence: 99%

“…CORRADO and coworkers [22] used a negative pressure ventilation mode, the iron lung, to administer early treatment to COPD patients with acute respiratory failure (ARF) and at any relapse of ARF. Our results confirm the survival data of CORRADO and co-workers [22], although our patients treated with NPPV had a slightly lower survival rate at 1 yr. The difference may be explained by different ventilation modes, by difference in the size of the two study populations and by the fact that not all the relapses of ACRF in our study were treated with NPPV but only the severe ones.…”

Section: Discussionmentioning

confidence: 99%

Noninvasive mechanical ventilation improves the immediate and long-term outcome of COPD patients with acute respiratory failure

Confalonieri¹,

Parigi²,

Scartabellati³

et al. 1996

Eur Respir J

107

View full text Add to dashboard Cite

N No on ni in nv va as si iv ve e m me ec ch ha an ni ic ca al l v ve en nt ti il la at ti io on n i im mp pr ro ov ve es s t th he e i im mm me ed di ia at te e a an nd dl lo on ng g--t te er rm m o ou ut tc co om me e o of f C CO OP PD D p pa at ti ie en nt ts s w wi it th h a ac cu ut te e r re es sp pi ir ra at to or ry y f fa ai il lu ur re e M. Confalonieri*, P. Parigi*, A. Scartabellati*, S. Aiolfi*, S. Scorsetti*, S Nava**, L. Gandola* In-hospital survival rate was not significantly different in Group A vs Group B, but the patients treated with NPPV showed an earlier improvement in blood gases and a better pH and respiratory rate at discharge. Only 2 patients of Group A needed endotracheal intubation as compared with 9 of Group B. Hospital stay was significantly reduced in survivors of Group A vs Group B. Further severe relapses of ACRF in Group A were treated using NPPV. The number and length of further hospitalizations for pulmonary exacerbations were significantly higher in Group B compared with Group A. The survival rate at 12 months was significantly lower in Group B than in Group A (50% vs 71%).In conclusion, NPPV administration in patients with ACRF due to exacerbated COPD improves not only immediate but also long-term outcome.

show abstract

“…In 1996, a comprehensive review examining the literature on this topic was published [1]. NPV does not have the same body of randomised controlled trial data to support its use in acute-on-chronic respiratory failure, but there have been seven uncontrolled studies [2][3][4][5][6][7][8] and two case controlled studies [9,10]. The studies have often been of large numbers of patients, and recently, the preliminary results of two randomised controlled trials comparing NPV with both invasive mechanical ventilation and mask ventilation have been reported in abstract form [11,12].…”

mentioning

confidence: 99%

Negative-pressure ventilation: is there still a role?

Corrado¹,

Gorini²

2002

European Respiratory Journal

View full text Add to dashboard Cite

The Effect of Intermittent. Negative Pressure Ventilation and Long-term Oxygen Therapy for Patients With COPD

Cited by 14 publications

References 15 publications

Negative pressure ventilation in the treatment of acute respiratory failure: an old noninvasive technique reconsidered

Negative pressure ventilation in the treatment of acute respiratory failure: an old noninvasive technique reconsidered

Noninvasive mechanical ventilation improves the immediate and long-term outcome of COPD patients with acute respiratory failure

Negative-pressure ventilation: is there still a role?

Contact Info

Product

Resources

About