Indications, management, and outcome of long-term positive-pressure ventilation in dogs and cats: 148 cases (1990–2001)

2007 ◽  
Vol 230 (1) ◽  
pp. 64-75 ◽  
Author(s):  
Kate Hopper ◽  
Steve C. Haskins ◽  
Philip H. Kass ◽  
Marlis L. Rezende ◽  
Janet Aldrich
Keyword(s):  
Positive Pressure Ventilation ◽  
Positive Pressure

Injuries to the Neonatal Larynx from Long-Term Endotracheal Tube Intubation and Suggested Tube Modification for Prevention

1975 ◽  
Vol 84 (6) ◽  
pp. 764-770 ◽  
Author(s):  
Arthur S. Hengerer ◽  
Marshall Strome ◽  
Burton F. Jaffe
Keyword(s):  
Endotracheal Tube ◽  
Positive Pressure Ventilation ◽  
Positive Pressure ◽  
Long Term Effects ◽  
Posterior Commissure ◽  
Long Term Follow Up ◽  
Initial Injury ◽  
Cartilage Erosion

Since the early 1960's nasotracheal tubes have been used for neonates with primary respiratory diseases which necessitated positive pressure ventilation. This therapy may be required for extended periods of weeks to months meaning prolonged trauma to the neonatal larynx. The initial injury and long-term effects of the endotracheal tube in this age group have not been adequately investigated. The acute findings can be arytenoid and posterior commissure ulcerations and, in some cases, cartilage erosion. Long-term follow-up in these children to age 3.5 years showed a persistent arytenoid defect with chronic hoarseness. The consideration of a change in the structure of the endotracheal tube is suggested as a possible means of avoiding these injuries.

Long-term Nasal Intermittent Positive Pressure Ventilation in Advanced Duchenne's Muscular Dystrophy

CHEST Journal ◽  
1994 ◽  
Vol 105 (2) ◽  
pp. 445-448 ◽  
Author(s):  
Andrea Vianello ◽  
Matteo Bevilacqua ◽  
Vittorino Salvador ◽  
Claudio Cardaioli ◽  
Ezio Vincenti
Keyword(s):  
Muscular Dystrophy ◽  
Positive Pressure Ventilation ◽  
Intermittent Positive Pressure Ventilation ◽  
Positive Pressure ◽  
Duchenne's Muscular Dystrophy

A protocol for initiation of nasal positive pressure ventilation

1993 ◽  
Vol 2 (1) ◽  
pp. 54-60 ◽  
Author(s):  
CK Spessert ◽  
PB Weilitz ◽  
DM Goodenberger
Keyword(s):  
Positive Pressure Ventilation ◽  
Energy Levels ◽  
Signs And Symptoms ◽  
Patient Acceptance ◽  
Positive Pressure ◽  
Standardized Protocol ◽  
Ventilatory Assistance ◽  
Long Term Ventilation ◽  
Improve Patient

BACKGROUND: Respiratory failure related to neuromuscular weakness has commonly been managed with long-term ventilation by tracheostomy. Currently, nasal positive pressure ventilation is being used with success in this patient population. It has been suggested that initiation of nasal positive pressure ventilation is best done in an intensive care setting. METHOD: Nine patients were placed on nasal ventilation during a brief admission to a medical floor staffed by nurses trained in respiratory care. This process was facilitated by use of a standardized protocol for nursing staff that identified treatment objectives. RESULTS: Following the initiation of nasal positive pressure ventilation, this group of patients experienced near normalization of daytime measurements of partial pressure of arterial carbon dioxide, reported increases in daytime energy levels, and relief of nighttime signs and symptoms. These objectives were accomplished with no significant complications. Use of this protocol may also decrease length and cost of hospitalization and improve patient acceptance of noninvasive ventilatory assistance.

Bronchopulmonary Dysplasia

PEDIATRICS ◽  
1982 ◽  
Vol 69 (3) ◽  
pp. 387-387
Author(s):  
William Tarnow-Mordi
Keyword(s):  
Pulmonary Function ◽  
Bronchopulmonary Dysplasia ◽  
Positive Pressure Ventilation ◽  
Intermittent Positive Pressure Ventilation ◽  
Positive Pressure ◽  
High Incidence ◽  
Peak Pressures ◽  
Long Term Survivors ◽  
Abnormal Pulmonary Function

In their detailed study of the long-term survivors of bronchopulmonary dysplasia (BPD) Smyth and colleagues1 contrast their findings of a high incidence of abnormal pulmonary function in early childhood with the commonly held view that pulmonary function becomes normal in most children surviving BPD.2 However, they do not give us detailed parameters of the mode of intermittent positive pressure ventilation (IPPV) used on their patients, in particular maximum peak pressures, inspiratory: expiratory ratios and rates, or type of pressure wave curves generated by the ventilators used.

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