Ventilation non invasive. Les conseils 2015 du Groupe assistance ventilatoire (GAV) de la Société de pneumologie de langue française (SPLF)

Rabec, Claudio; Cuvelier, A.; Cheval, Christine; Jaffré, S.; Janssens, Jean–Paul; Mercy, Magalie; Prigent, Arnaud; Rouault, S.; Talbi, S; Vandenbroeck, Sofie; Gonzalez-Bermejo, Jésus

doi:10.1016/j.rmr.2016.07.003

Cited by 10 publications

(8 citation statements)

References 18 publications

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“…In obstructive lung diseases, short rise times (≤150 ms) favor a shorter inspiratory time (TI) and a favorable I:E ratio (e.g., ≈ 1:3). Conversely, rise times of 150–250 ms are commonly used in restrictive lung diseases [4, 14, 24]. Longer rise times may impinge on pressurization time and affect efficacy of ventilation.…”

Section: Introductionmentioning

confidence: 99%

Long-Term Mechanical Ventilation: Recommendations of the Swiss Society of Pulmonology

et al. 2020

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Long-term mechanical ventilation is a well-established treatment for chronic hypercapnic respiratory failure (CHRF). It is aimed at improving CHRF-related symptoms, health-related quality of life, survival, and decreasing hospital admissions. In Switzerland, long-term mechanical ventilation has been increasingly used since the 1980s in hospital and home care settings. Over the years, its application has considerably expanded with accumulating evidence of beneficial effects in a broad range of conditions associated with CHRF. Most frequent indications for long-term mechanical ventilation are chronic obstructive pulmonary disease, obesity hypoventilation syndrome, neuromuscular and chest wall diseases. In the current consensus document, the Special Interest Group of the Swiss Society of Pulmonology reviews the most recent scientific literature on long-term mechanical ventilation and provides recommendations adapted to the particular setting of the Swiss healthcare system with a focus on the practice of non-invasive and invasive home ventilation in adults.

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Section: Introductionmentioning

confidence: 99%

Long-Term Mechanical Ventilation: Recommendations of the Swiss Society of Pulmonology

et al. 2020

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“…Además, se debe tener en cuenta que todos los tipos de ventiladores son diferentes y, en consecuencia, es muy difícil, si no imposible, conocer todos los algoritmos que operan, lo que puede generar dificultades o incluso errores. También hay que saber que cada fabricante determina en sus ventiladores diferentes parámetros o settings y de ahí la necesidad de conocer y entender los equipos para mejorar su aplicación clínica [65][66][67][68] .…”

Section: Ventilación Mecánicaunclassified

Posicionamiento de la Sociedad Española de Neumología y Cirugía Torácica en el uso de la telemedicina en los trastornos respiratorios del sueño y ventilación mecánica

Canal

Suárez-Girón

Egea

et al. 2021

Archivos de Bronconeumología

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Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre-including this research content-immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

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“…Thus, the best compromise between patient comfort and efficacy must be sought for. Pattern of use (fragmentation vs. continuous use) can be an indicator of discomfort and side-effects (leaks, pain or discomfort related to interface), co-morbidities (nycturia, use of diuretics) or symptomatic patient-ventilator asynchrony ( Figure 1 ) ( 7 , 45 , 46 ). Evolution of total time spent under NIV and changes in pattern of use may be indicative of an exacerbation with a risk of hospital admission ( 47 ).…”

Section: Introductionmentioning

confidence: 99%

“…Arbitrary threshold values for acceptable leaks are commonly reported by several manufacturers: the threshold of 24 L/min often referred to was first mentioned in a study by Teschler et al ( 53 ): the relevance of this value is questionable today since the efficacy of ventilator turbines and their capacity to compensate for leaks has improved substantially. A statement by the French GAV-O 2 group suggested that leaks are considered troublesome essentially 1/ if they impact on patient comfort and compliance and 2/ if they cause recurrent nocturnal desaturations and episodes of hypercapnia ( 46 ).…”

Section: Introductionmentioning

confidence: 99%

Monitoring Long Term Noninvasive Ventilation: Benefits, Caveats and Perspectives

Janssens

Cantero

Pasquina³

et al. 2022

Front. Med.

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Long term noninvasive ventilation (LTNIV) is a recognized treatment for chronic hypercapnic respiratory failure (CHRF). COPD, obesity-hypoventilation syndrome, neuromuscular disorders, various restrictive disorders, and patients with sleep-disordered breathing are the major groups concerned. The purpose of this narrative review is to summarize current knowledge in the field of monitoring during home ventilation. LTNIV improves symptoms related to CHRF, diurnal and nocturnal blood gases, survival, and health-related quality of life. Initially, patients with LTNIV were most often followed through elective short in-hospital stays to ensure patient comfort, correction of daytime blood gases and nocturnal oxygenation, and control of nocturnal respiratory events. Because of the widespread use of LTNIV, elective in-hospital monitoring has become logistically problematic, time consuming, and costly. LTNIV devices presently have a built-in software which records compliance, leaks, tidal volume, minute ventilation, cycles triggered and cycled by the patient and provides detailed pressure and flow curves. Although the engineering behind this information is remarkable, the quality and reliability of certain signals may vary. Interpretation of the curves provided requires a certain level of training. Coupling ventilator software with nocturnal pulse oximetry or transcutaneous capnography performed at the patient's home can however provide important information and allow adjustments of ventilator settings thus potentially avoiding hospital admissions. Strategies have been described to combine different tools for optimal detection of an inefficient ventilation. Recent devices also allow adapting certain parameters at a distance (pressure support, expiratory positive airway pressure, back-up respiratory rate), thus allowing progressive changes in these settings for increased patient comfort and tolerance, and reducing the requirement for in-hospital titration. Because we live in a connected world, analyzing large groups of patients through treatment of “big data” will probably improve our knowledge of clinical pathways of our patients, and factors associated with treatment success or failure, adherence and efficacy. This approach provides a useful add-on to randomized controlled studies and allows generating hypotheses for better management of HMV.

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Ventilation non invasive. Les conseils 2015 du Groupe assistance ventilatoire (GAV) de la Société de pneumologie de langue française (SPLF)

Cited by 10 publications

References 18 publications

Long-Term Mechanical Ventilation: Recommendations of the Swiss Society of Pulmonology

Long-Term Mechanical Ventilation: Recommendations of the Swiss Society of Pulmonology

Posicionamiento de la Sociedad Española de Neumología y Cirugía Torácica en el uso de la telemedicina en los trastornos respiratorios del sueño y ventilación mecánica

Monitoring Long Term Noninvasive Ventilation: Benefits, Caveats and Perspectives

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