IMPACT OF PULMONOLOGY CONSULT ON NONINVASIVE VENTILATION WITH BILEVEL POSITIVE PRESSURE VENTILATION OUTCOMES AND ASSOCIATED HEALTH CARE COST BURDEN

CHEST Journal ◽  
2018 ◽  
Vol 154 (4) ◽  
pp. 569A
Author(s):  
OBAID ASHRAF ◽  
MOUHIB NADDOUR ◽  
TARIQ CHEEMA
Keyword(s):  
Health Care ◽  
Noninvasive Ventilation ◽  
Positive Pressure Ventilation ◽  
Health Care Cost ◽  
Positive Pressure ◽  
Cost Burden

scholarly journals A Rare Case of ARDS Caused by Bupropion Inhalation and Treated with Noninvasive Ventilation

2020 ◽  
Vol 2020 ◽  
pp. 1-3
Author(s):  
Yousif Al-Saiegh ◽  
Jenna Spears ◽  
Pieter S. De Klerk ◽  
Joshua Hitchings ◽  
Christopher Lee ◽  
...  
Keyword(s):  
Acute Respiratory Distress Syndrome ◽  
Mortality Rate ◽  
Noninvasive Ventilation ◽  
Complete Resolution ◽  
Rare Case ◽  
Positive Pressure Ventilation ◽  
Distress Syndrome ◽  
Noninvasive Positive Pressure Ventilation ◽  
Positive Pressure ◽  
Invasive Ventilation

Acute respiratory distress syndrome, characterized by the Berlin criteria, is associated with a high mortality rate. Its treatment includes addressing the underlying etiology, general supportive measures, and achievement of effective oxygenation. New key data indicates that in a subset of patients, noninvasive ventilation techniques can be a therapeutic and equivalent alternative to traditional invasive ventilation. We present a rare case of ARDS triggered by nasal bupropion inhalation and effectively treated with noninvasive positive pressure ventilation resulting in complete resolution.

Noninvasive Positive Pressure Ventilation

2019 ◽  
pp. 846-849
Author(s):  
Karen W. Hampton
Keyword(s):  
Noninvasive Ventilation ◽  
Closed System ◽  
Tracheostomy Tube ◽  
Positive Pressure Ventilation ◽  
Noninvasive Positive Pressure Ventilation ◽  
Face Mask ◽  
Positive Pressure ◽  
Invasive Ventilation ◽  
Peak Inspiratory Flow ◽  
Full Face

Noninvasive positive pressure ventilation, also called noninvasive ventilation (NIV), is delivered through a noninvasive device, such as a full-face mask. Unlike the systems for invasive ventilation, which is delivered through an endotracheal or tracheostomy tube, the NIV delivery system is not a closed system, and so it leaks. The size of the leak affects the tidal volume delivered and the ability of the patient to trigger the machine into inspiration or cycle the machine into expiration. The acceptable leak for most systems is less than 35% of the peak inspiratory flow (leakage may be expressed as a percentage or as liters per minute).

scholarly journals A Controlled Trial of Noninvasive Positive Pressure Ventilation (NIPPV) in Patients of COPD with Respiratory Failure

2013 ◽  
Vol 1 (2) ◽  
pp. 86-92
Author(s):  
Rawshan Arra Khanam ◽  
Md Ashraful Haque ◽  
Shah Md Saifur Rahman ◽  
Md Ali Hossain ◽  
Md Rashidul Hassan
Keyword(s):  
Respiratory Failure ◽  
Endotracheal Intubation ◽  
Noninvasive Ventilation ◽  
Positive Pressure Ventilation ◽  
Controlled Trial ◽  
Noninvasive Positive Pressure Ventilation ◽  
Positive Pressure ◽  
Exacerbation Of Copd ◽  
Standard Medical Treatment ◽  
Standard Treatment Group

Objective : To assess the role of noninvasive positive pressure ventilation (NIPPV) in patients of acute exacerbation of COPD with respiratory failure, also to reduce endotracheal intubation (ETI) and the frequency of complications associated with ETI. Materials and Methods : Prospective, single blind, randomized controlled trial study (RCT) comparing the effect of combined standard medical treatment and noninvasive positive pressure ventilation with standard medical treatment alone in patients admitted to National Institute of Diseases of the Chest and Hospital (NIDCH), Mohakhali, Bangladesh over a 12-month period. Results : A total number of 60 patients of acute exacerbation of COPD with type II respiratory failure were enrolled from inpatient department of Institute of Diseases of the Chest and Hospital (NIDCH), Mohakhali, Bangladesh. A total of 30 (thirty) were randomly assigned to standard therapy and 30 (thirty) to noninvasive ventilation. The two groups had similar clinical characteristics on admission to the hospital. The use of noninvasive ventilation significantly reduced the need for endotracheal intubation (which was dictated by objective criteria): 12 of 30 patients (40.0%) in the noninvasive- ventilation group were intubated, as compared with 22 of 30 patients (73.3%) in the standard-treatment group (P=0.01). In addition, the frequency of complications was significantly lower in the noninvasive-ventilation group. The mean ( ± SD) hospital stay was significantly shorter for patients receiving noninvasive ventilation. 19.2±5.7days vs. 23.5±8.3 days, (P 0.02). The in-hospital mortality rate was also significantly reduced with noninvasive ventilation, 5 of 30 patients (16.7%) in the noninvasive- ventilation group died in the hospital, as compared with13 of 30 (43.3%) in the standard-treatment group( P 0.04) Conclusions : In selected patients with acute exacerbations of chronic obstructive pulmonary disease, noninvasive ventilation can reduce the need for endotracheal intubation, complications, the length of the hospital stay, and the in-hospital mortality rate. DOI: http://dx.doi.org/10.3329/bccj.v1i2.17201 Bangladesh Crit Care J September 2013; 1 (2): 86-92

Noninvasive Ventilation to Facilitate Extubation in a Pediatric Intensive Care Unit

2000 ◽  
Vol 15 (2) ◽  
pp. 99-103 ◽  
Author(s):  
John F. Pope ◽  
David J. Birnkrant
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Respiratory Failure ◽  
Noninvasive Ventilation ◽  
Pediatric Patients ◽  
Positive Pressure Ventilation ◽  
Noninvasive Positive Pressure Ventilation ◽  
Pediatric Intensive Care ◽  
Positive Pressure ◽  
Chronic Respiratory Insufficiency

Noninvasive ventilation has been used extensively to treat chronic respiratory failure associated with neuromuscular and other restrictive thoracic diseases, and is also effective in the treatment of acute respiratory failure, allowing some patients to avoid intubation. Noninvasive positive pressure ventilation is a potentially effective way to transition selected patients off endotracheal mechanical ventilation. The authors present a retrospective chart review of pediatric patients extubated with the use of noninvasive ventilation. Extubation with noninvasive positive pressure ventilation was attempted in 25 patients. The patients had a variety of diagnoses, including neuromuscular diseases, cerebral palsy with chronic respiratory insufficiency, asthma, and acute respiratory distress syndrome (ARDS), reflecting the diversity of patients with respiratory failure seen in our pediatric intensive care unit (ICU). Indications for noninvasive ventilation-assisted extubation were chronic respiratory insufficiency, clinical evidence the patient was falling extubation, or failure of a previous attempt to extubate. Extubation was successfully facilitated in 20 of 25 patients. Of the five patients failing an initial attempt at noninvasive ventilation-assisted extubation, two required tracheostomy, two were subsequently extubated with the aid of noninvasive ventilation, and one was subsequently extubated without the use of noninvasive ventilation. Risk factors for failure to successfully extubate with the assistance of noninvasive positive pressure ventilation included the patient's inability to manage respiratory tract secretions, severe upper airway obstruction, impaired mental status, and ineffective cough with mucus plugging of the large airways. AU patients had mild to moderate skin irritation due to the mask interface. No patient had any serious or long-term adverse effect of noninvasive positive pressure ventilation. All patients left the hospital alive. Noninvasive positive pressure ventilation can facilitate endotracheal extubation in pediatric patients with diverse diagnoses who have failed or who are at risk of failing extubation, including those with neuromuscular weakness.

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