The role of negative pressure ventilation

Thomson, Anne

doi:10.1136/adc.77.5.454

Cited by 31 publications

(13 citation statements)

References 31 publications

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“…A noninvasive alternative to positive pressure ventilation is negative pressure ventilation using either a tank ventilator, jacket device or cuirass. These devices have been employed successfully in neuromuscular and chest wall disease for many years [24], but are less portable than mask ventilators and may need to be constructed individually, especially in patients with chest wall deformity. Negative pressure devices also tend to be less efficient than positive pressure ventilators, as they may provoke upper airway collapse; and experience in applying negative pressure ventilation is limited to a relatively small number of centres in Europe.…”

Section: Discussionmentioning

confidence: 99%

Outcome of paediatric domiciliary mask ventilation in neuromuscular and skeletal disease

Simonds¹,

Ward²,

Heather³

et al. 2000

Eur Respir J

120

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Noninvasive positive pressure ventilation delivered by nasal mask or facemask has been used widely in the last decade to manage chronic ventilatory failure in adults with neuromuscular and chest wall disease. However, it has been thought that paediatric patients would not be able to tolerate masks, and previous anecdotal reports on the paediatric application of mask ventilation have not assessed the effects on nocturnal and arterial blood gas control. Domiciliary mask ventilation has been used in 40 children with ventilatory insufficiency due to congenital neuromuscular and skeletal disease aged 9 months–16 yrs. Eighteen patients had symptomatic nocturnal hypoventilation, 17 had diurnal ventilatory failure, three were referred for weaning and two had frequent chest infections associated with sleep‐disordered breathing. Thirty eight of the 40 patients tolerated mask ventilatory support long‐term. Diurnal mean±sd oxygen tension in arterial blood (Pa,O2) increased from 8.5±1.8–10.9±1.7 kPa (p<0.001) and meansd carbon dioxide tension in arterial blood (Pa,CO2) fell from 7.0±1.6–5.9±0.8 kPa (p=0.01) following initiation of ventilatory support. Mean and minimum nocturnal Pa,O2 and peak transcutaneous carbon dioxide tension (Ptc,CO2) (n=21) improved significantly. Mask ventilation can be used successfully in young children and reverses ventilatory insufficiency due to congenital neuromuscular and skeletal disease.

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Section: Discussionmentioning

confidence: 99%

Outcome of paediatric domiciliary mask ventilation in neuromuscular and skeletal disease

Simonds¹,

Ward²,

Heather³

et al. 2000

Eur Respir J

120

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“…3 The re-invented or modified cuirass negative pressure ventilator by Hayek has multiple seals and a high-pressure oscillation pump to facilitate respiration. 4 The biphasic function of the cuirass device affords users control over the inspiration:expiration ratio (I:E ratio). 3 The cuirass is a domed plastic shell that encases the patient’s chest and upper abdomen and is connected to an external pump.…”

Section: Physiology and Designmentioning

confidence: 99%

“…Older cuirass devices were especially prone to falling off patients and damaging skin, making them less than ideal for long-term use. 4 However, contemporary BCV models come in 12 sizes from neonate to adult, allowing for a better fit and for easy adjustment when one treats growing children. 2…”

Section: Complications and Riskmentioning

confidence: 99%

Cuirass Ventilation: An Alternative Home-Based Modality for Chronic Respiratory Failure

Onweni

Rashid

Goswami

et al. 2019

Home Health Care Management & Practice

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The biphasic cuirass ventilation (BCV) device is an alternative respiratory support device for patients with chronic respiratory failure. Considered by some a “forgotten” mode of supportive ventilation, the device is portable, lightweight, and easy to operate. Biphasic cuirass ventilation can also be used to rapidly resuscitate patients in acute respiratory distress and requires minimal technical skill to operate. Biphasic cuirass ventilation can be employed by the patient’s caregiver in the home setting, making it a viable alternative to other forms of mechanical ventilation (e.g., BiPAP) for patients enrolled in home hospice or palliative care. The article reviews current knowledge and aims to enhance awareness and encourage further study about cuirass ventilation, particularly with regard to its use in treating patients in the palliative care setting and in the home.

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“…4,5 Noninvasive units advanced technologically over the decades to include the Pulmowrap (J. H. Emerson Co., Cambridge, MA) and Hayek Oscillator (Breasy Medical Equipment Ltd., London, United Kingdom) models. [6][7][8] Both models incorporate either an airtight jacket or a flexible chest cuirass system to maintain adequate negative pressure ventilation. Both are currently in service around the world to maintain ventilator support in patients with neuromuscular disorders, chest wall deformities, and central hypoventilation syndrome.…”

Section: History Of Mechanical Ventilationmentioning

confidence: 99%

Mechanical Ventilation: A Tutorial for Pharmacists

Cawley

2007

Pharmacotherapy

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Mechanical ventilation is an integral part of the critical care environment and requires orchestration by a multidisciplinary team of clinicians to optimize therapeutic outcomes. By tradition, pharmacists have not been included on this team since this therapeutic modality is not considered relevant to their scope of practice. However, pharmacists play a critical role in the management of patients receiving mechanical ventilation by assisting in the development of institutional guidelines and protocols, by maintaining accuracy of prescribed drug dosages, by monitoring for drug-drug and drug-disease interactions, by assisting with alternative drug selections, and by maintaining continued quality assessment of drug administration. Pharmacists able to understand and integrate mechanical ventilation with the pharmacotherapeutic needs of patients are better qualified practitioners. The goal of this article is to help clinical pharmacists better understand the complexities of mechanical ventilation and to apply this information in optimizing delivery of pharmaceutical agents to critical care patients.

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The role of negative pressure ventilation

Cited by 31 publications

References 31 publications

Outcome of paediatric domiciliary mask ventilation in neuromuscular and skeletal disease

Outcome of paediatric domiciliary mask ventilation in neuromuscular and skeletal disease

Cuirass Ventilation: An Alternative Home-Based Modality for Chronic Respiratory Failure

Mechanical Ventilation: A Tutorial for Pharmacists

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