Noninvasive volume-assured pressure support for chronic respiratory failure

2019 ◽  
Vol 25 (6) ◽  
pp. 570-577
Author(s):  
Gaja F. Shaughnessy ◽  
Peter C. Gay ◽  
Eric J. Olson ◽  
Timothy I. Morgenthaler
Keyword(s):  
Respiratory Failure ◽  
Pressure Support ◽  
Chronic Respiratory Failure

Efficient treatment of chronic respiratory failure associated with morbid obesity

2016 ◽  
Vol 94 (10) ◽  
pp. 784-788
Author(s):  
Aleksandr D. Pal’man ◽  
M. G. Polatvskaya ◽  
N. A. Plaksina
Keyword(s):  
Morbid Obesity ◽  
Respiratory Failure ◽  
Pressure Support ◽  
Clinical Observation ◽  
Severe Obesity ◽  
Treatment Strategies ◽  
Chronic Respiratory Failure ◽  
Efficient Treatment ◽  
Pickwickian Syndrome ◽  
Obesity Hypoventilation

Severe obesity sometimes leads to chronic respiratory failure. This condition is termed obesity-hypoventilation or Pickwickian syndrome. This article reports clinical observation illustrating effectiveness of noninvasive pressure support ventilation for the treatment of hypercapnic respiratory failure in a patient with morbid obesity. The treatment strategies for such patients are discussed.

scholarly journals Setting up home noninvasive ventilation

2019 ◽  
Vol 16 ◽  
pp. 147997311984409
Author(s):  
Jean-Michel Arnal ◽  
Charles-Philippe Thevenin ◽  
Benoit Couzinou ◽  
Joelle Texereau ◽  
Aude Garnero
Keyword(s):  
Respiratory Failure ◽  
Respiratory Rate ◽  
Noninvasive Ventilation ◽  
Pressure Support ◽  
Chronic Respiratory Failure ◽  
Ventilation Mode ◽  
Real Patient ◽  
Alveolar Hypoventilation ◽  
The Individual

Home noninvasive ventilation (NIV) is widely used to correct nocturnal alveolar hypoventilation in patients with chronic respiratory failure of various etiologies. The most commonly used ventilation mode is pressure support with a backup respiratory rate. This mode requires six main settings, as well as some additional settings that should be adjusted according to the individual patient. This review details the effect of each setting, how the settings should be adjusted according to each patient, and the risks if they are not adjusted correctly. The examples described here are based on real patient cases and bench simulations. Optimizing the settings for home NIV may improve the quality and tolerance of the treatment.

Sign in / Sign up

Export Citation Format

Share Document