Intermittent Abdominal Pressure Ventilation: An Alternative for Respiratory Support

Intermittent abdominal pressure ventilation is a positive pressure ventilation technique that works with abdominal compressions. It has been known since 1938; however, for many years, it was out of production. In recent years, a new device has been produced that has captured the attention to this old respiratory support technique. We considered eight patients with respiratory failure secondary to a neuromuscular disease (congenital myopathy, Duchenne dystrophy, and amyotrophic lateral sclerosis) intolerant to daytime noninvasive ventilation (NIV). IAPV was proposed as an alternative to NIV. We performed baseline and post-IAPV respiratory function assessment. All patients, two years later, are still using intermittent abdominal ventilation. Intermittent positive abdominal mechanical ventilation can be a valid alternative to noninvasive mechanical ventilation with a nasal or face mask. It improves gas exchange, symptoms, and quality of life, decreases the incidence of pneumonia, and can avert the need for intubation and tracheotomy.

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Efficacy of a new device to optimize positive pressure ventilation via face mask in edentulous patients: a randomized trial

Expert Review of Medical Devices ◽

10.1080/17434440.2017.1313702 ◽

2017 ◽

Vol 14 (4) ◽

pp. 315-320

Author(s):

Maria C. Niño ◽

Andres Pauwels ◽

Fernando Raffan ◽

Enrique Arango ◽

David J. Romero ◽

...

Keyword(s):

Randomized Trial ◽

Positive Pressure Ventilation ◽

Face Mask ◽

Positive Pressure ◽

New Device ◽

Edentulous Patients

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Home mechanical ventilation for amyotrophic lateral sclerosis: nasal compared to tracheostomy-intermittent positive pressure ventilation

Journal of the Neurological Sciences ◽

10.1016/0022-510x(96)00099-8 ◽

1996 ◽

Vol 139 ◽

pp. 123-128 ◽

Cited By ~ 96

Author(s):

Pamela A. Cazzolli ◽

Edward A. Oppenheimer

Keyword(s):

Mechanical Ventilation ◽

Amyotrophic Lateral Sclerosis ◽

Positive Pressure Ventilation ◽

Intermittent Positive Pressure Ventilation ◽

Positive Pressure ◽

Home Mechanical Ventilation ◽

Lateral Sclerosis

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Ultrasonographic diagnosis of diaphragm paralysis in a neonate during mechanical ventilation after cardiac surgery

Cardiology in the Young ◽

10.1017/s1047951118000197 ◽

2018 ◽

Vol 28 (5) ◽

pp. 776-778

Author(s):

Yoshihiro Nozaki ◽

Lisheng Lin ◽

Yoshiaki Kato

Keyword(s):

Mechanical Ventilation ◽

Cardiac Surgery ◽

Positive Pressure Ventilation ◽

Respiratory Support ◽

Positive Pressure ◽

Diaphragm Thickness ◽

Diaphragm Dysfunction ◽

Ultrasonographic Diagnosis ◽

Diaphragm Paralysis ◽

Fraction Method

AbstractDiaphragm excursion method is unsuitable for diagnosis of diaphragm paralysis during positive pressure ventilation. We diagnosed diaphragm paralysis in a neonate, without interrupting positive pressure respiratory support after cardiac surgery, using the diaphragm thickness fraction, which could be evaluated during mechanical ventilation and was unaffected by bowel gases. The diaphragm thickness fraction method can help diagnose diaphragm dysfunction using only echography.

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Noninvasive Mechanical Ventilation

10.1093/med/9780190670085.003.0016 ◽

2017 ◽

Author(s):

John W. Kreit

Keyword(s):

Mechanical Ventilation ◽

Noninvasive Ventilation ◽

Positive Pressure Ventilation ◽

Face Mask ◽

Positive Pressure ◽

Invasive Ventilation ◽

Noninvasive Mechanical Ventilation ◽

Detailed Explanation ◽

Life Saving ◽

Different Types

Although so-called invasive ventilation can be life-saving, it can also cause significant morbidity. It has long been recognized that positive pressure ventilation can also be delivered “non-invasively” to critically ill patients through several different types of “interfaces” (usually a tight-fitting face mask). Noninvasive Mechanical Ventilation explains when and how to use noninvasive ventilation to treat patients with respiratory failure. It provides a detailed explanation of how noninvasive (bi-level) ventilators differ from the standard ICU ventilators, describes the available modes and breath types as well as the indications and contraindications for noninvasive ventilation, and explains how to initiate, monitor, and adjust noninvasive ventilation.

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Use of Controlled Ventilation in a Clinical Setting

Journal of the American Animal Hospital Association ◽

10.5326/0420477 ◽

2006 ◽

Vol 42 (6) ◽

pp. 477-480

Author(s):

Robin L. Sereno

Keyword(s):

Mechanical Ventilation ◽

Positive Pressure Ventilation ◽

Intermittent Positive Pressure Ventilation ◽

Positive Pressure ◽

Manual Ventilation ◽

Controlled Ventilation ◽

Central Nervous System Depression ◽

Proper Training ◽

Respiratory Assistance

Mechanical ventilation has long been used to maintain ventilation in humans when the lungs are rendered incapable of oxygenation or when respiration is affected by central nervous system depression, but it has only recently been applied to similar cases in dogs and cats. Although manual ventilation is still the more common form of ventilation in dogs and cats, mechanical intermittent positive-pressure ventilation (IPPV) is a much more efficient and reliable means of maintaining the highest quality of respiratory assistance. With proper training, technicians can use IPPV to support compromised animals until they are capable of maintaining normal oxygen concentrations.

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Respiratory Modalities in Preventing Reintubation in a Pediatric Intensive Care Unit

Global Pediatric Health ◽

10.1177/2333794x21991531 ◽

2021 ◽

Vol 8 ◽

pp. 2333794X2199153

Author(s):

Ameer Al-Hadidi ◽

Morta Lapkus ◽

Patrick Karabon ◽

Begum Akay ◽

Paras Khandhar

Keyword(s):

Intensive Care Unit ◽

Mechanical Ventilation ◽

Intensive Care ◽

Pediatric Intensive Care Unit ◽

Noninvasive Positive Pressure Ventilation ◽

Pediatric Intensive Care ◽

Nasal Cannula ◽

Respiratory Support ◽

Positive Pressure ◽

P Value

Post-extubation respiratory failure requiring reintubation in a Pediatric Intensive Care Unit (PICU) results in significant morbidity. Data in the pediatric population comparing various therapeutic respiratory modalities for avoiding reintubation is lacking. Our objective was to compare therapeutic respiratory modalities following extubation from mechanical ventilation. About 491 children admitted to a single-center PICU requiring mechanical ventilation from January 2010 through December 2017 were retrospectively reviewed. Therapeutic respiratory support assisted in avoiding reintubation in the majority of patients initially extubated to room air or nasal cannula with high-flow nasal cannula (80%) or noninvasive positive pressure ventilation (100%). Patients requiring therapeutic respiratory support had longer PICU LOS (10.92 vs 6.91 days, P-value = .0357) and hospital LOS (16.43 vs 10.20 days, P-value = .0250). Therapeutic respiratory support following extubation can assist in avoiding reintubation. Those who required therapeutic respiratory support experienced a significantly longer PICU and hospital LOS. Further prospective clinical trials are warranted.

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Comparative study between noninvasive positive pressure ventilation and invasive mechanical ventilation in patients with respiratory failure

QJM ◽

10.1093/qjmed/hcab086.039 ◽

2021 ◽

Vol 114 (Supplement_1) ◽

Author(s):

Mohammed N Al Shafi'i ◽

Doaa M. Kamal El-din ◽

Mohammed A. Abdulnaiem Ismaiel ◽

Hesham M Abotiba

Keyword(s):

Intensive Care Unit ◽

Mechanical Ventilation ◽

Intensive Care ◽

Respiratory Failure ◽

Acute Respiratory Failure ◽

Positive Pressure Ventilation ◽

Invasive Mechanical Ventilation ◽

Noninvasive Positive Pressure Ventilation ◽

Positive Pressure ◽

Significant Difference

Abstract Background Noninvasive positive pressure ventilation (NIPPV) has been increasingly used in the management of respiratory failure in intensive care unit (ICU). Aim of the Work is to compare the efficacy and resource consumption of NIPPMV delivered through face mask against invasive mechanical ventilation (IMV) delivered by endotracheal tube in the management of patients with acute respiratory failure (ARF). Patients and Methods This prospective randomized controlled study included 78 adults with acute respiratory failure who were admitted to the intensive care unit. The enrolled patients were randomly allocated to receive either noninvasive ventilation or conventional mechanical ventilation (CMV). Results Severity of illness, measured by the simplified acute physiologic score 3 (SAPS 3), were comparable between the two patient groups with no significant difference between them. Both study groups showed a comparable steady improvement in PaO2:FiO2 values, indicating that NIPPV is as effective as CMV in improving the oxygenation of patients with ARF. The PaCO2 and pH values gradually improved in both groups during the 48 hours of ventilation. 12 hours after ventilation, NIPPMV group showed significantly more improvement in PaCO2 and pH than the CMV group. The respiratory acidosis was corrected in the NIPPV group after 24 hours of ventilation compared with 36 hours in the CMV group. NIPPV in this study was associated with a lower frequency of complications than CMV, including ventilator acquired pneumonia (VAP), sepsis, renal failure, pulmonary embolism, and pancreatitis. However, only VAP showed a statistically significant difference. Patients who underwent NIPPV in this study had lower mortality, and lower ventilation time and length of ICU stay, compared with patients on CMV. Intubation was required for less than a third of patients who initially underwent NIV. Conclusion Based on our study findings, NIPPV appears to be a potentially effective and safe therapeutic modality for managing patients with ARF.

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