Book Chapter10.1007/978-1-4899-7624-6_1
“Nocturnal” Noninvasive Ventilation: An Overview
Robert C. Basner
- 01 Jan 2015
- pp 1-26
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TL;DR: Noninvasive ventilation represents a ventilatory support strategy employed without the use of endotracheal intubation or tracheostomy, which should be considered in several clinical settings.
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Abstract: Noninvasive ventilation represents a ventilatory support strategy employed without the use of endotracheal intubation or tracheostomy, which should be considered in several clinical settings:
Patients with chronic awake hypoventilation and/or breathing control disorders or diatheses
Patients with acute, or acute on chronic, awake hypoventilation and/or breathing control disorders or diatheses
Patients with awake hyperventilation disorders; most importantly, heart failure and cerebrovascular disorders with associated Hunter–Cheyne–Stokes breathing
Patients with primary sleep apnea (e.g., obstructive sleep apnea, and certain types of central sleep apnea) not typically or clinically associated with awake ventilatory disorders
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Citations
Non-invasive positive pressure ventilation in the home setting
TL;DR: Why patients require long-term noninvasive positive pressure ventilation (NPPV), and some of the care considerations required for this patient group, in addition to challenges that nurses in the home care environment face when supporting these patients at home are described.
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References
Nasal pressure support ventilation plus oxygen compared with oxygen therapy alone in hypercapnic COPD.
TL;DR: Nasal positive-pressure ventilation may be a useful addition to LTOT in stable hypercapnic COPD as compared with run-in and oxygen alone, and quality of life with oxygen plus NPSV was significantly better than with oxygen alone.
Control of nocturnal hypoventilation by nasal intermittent positive pressure ventilation.
N Carroll,M A Branthwaite +1 more
TL;DR: Ten patients with respiratory failure and nocturnal hypoventilation were treated for three to nine months by nasal intermittent positive pressure ventilation and the technique may prove an acceptable alternative to long term domiciliary oxygen therapy in selected patients.
Sleep and neuromuscular disease Frequency of sleep-disordered breathing in a neuromuscular disease clinic population
TL;DR: Sleep studies using ambulatory equipment such as the EdenTrace II are an easy and effective means of identifyingSleep-disordered breathing in patients with neuromuscular disorders and, given the high frequency of sleep-disorder breathing in this sample, should be performed on most patients if sleep- Disordered breathing is to be identified early.
Obesity hypoventilation syndrome: mechanisms and management.
TL;DR: The review outlines the major mechanisms believed to underlie the development of hypoventilation in this subgroup of obese patients, their clinical presentation, and current therapy options.
Nocturnal positive-pressure ventilation via nasal mask in patients with severe chronic obstructive pulmonary disease.
David A. Strumpf,Richard P. Millman,Carol C. Carlisle,Lynn M. Grattan,Susan M. Ryan,Allan D. Erickson,Nicholas S. Hill +6 more
TL;DR: It is indicated that nocturnal nasal ventilation is not well tolerated by and brings about minimal improvements in stable outpatients with severe COPD.