Noninvasive ventilation in acute respiratory failure

After the institution of positive-pressure ventilation, the use of noninvasive ventilation (NIV) through an interface substantially increased. The first technique was continuous positive airway pressure; but, after the introduction of pressure support ventilation at the end of the 20th century, this...

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Detalles Bibliográficos
Autores: Mas, Arantxa, Masip, Josep (Masip i Utset)
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2014
País:España
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/106553
Acceso en línea:https://hdl.handle.net/2445/106553
Access Level:acceso abierto
Palabra clave:Malalties pulmonars obstructives cròniques
Insuficiència respiratòria
Respiració artificial
Chronic obstructive pulmonary diseases
Respiratory insufficiency
Artificial respiration
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spelling Noninvasive ventilation in acute respiratory failureMas, ArantxaMasip, Josep (Masip i Utset)Malalties pulmonars obstructives cròniquesInsuficiència respiratòriaRespiració artificialChronic obstructive pulmonary diseasesRespiratory insufficiencyArtificial respirationAfter the institution of positive-pressure ventilation, the use of noninvasive ventilation (NIV) through an interface substantially increased. The first technique was continuous positive airway pressure; but, after the introduction of pressure support ventilation at the end of the 20th century, this became the main modality. Both techniques, and some others that have been recently introduced and which integrate some technological innovations, have extensively demonstrated a faster improvement of acute respiratory failure in different patient populations, avoiding endotracheal intubation and facilitating the release of conventional invasive mechanical ventilation. In acute settings, NIV is currently the first-line treatment for moderate-to-severe chronic obstructive pulmonary disease exacerbation as well as for acute cardiogenic pulmonary edema and should be considered in immunocompromised patients with acute respiratory insufficiency, in difficult weaning, and in the prevention of postextubation failure. Alternatively, it can also be used in the postoperative period and in cases of pneumonia and asthma or as a palliative treatment. NIV is currently used in a wide range of acute settings, such as critical care and emergency departments, hospital wards, palliative or pediatric units, and in pre-hospital care. It is also used as a home care therapy in patients with chronic pulmonary or sleep disorders. The appropriate selection of patients and the adaptation to the technique are the keys to success. This review essentially analyzes the evidence of benefits of NIV in different populations with acute respiratory failure and describes the main modalities, new devices, and some practical aspects of the use of this technique.Dove Medical Press2014info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/2445/106553Articles publicats en revistes (Medicina)reponame:Dipòsit Digital de la UBinstname:InglésReproducció del document publicat a: http://doi.org/10.2147/COPD.S42664International Journal of Chronic Obstructive Pulmonary Disease, 2014, vol. 9, p. 837-852http://doi.org/10.2147/COPD.S42664cc-by-nc (c) Mas, Arantxa et al., 2014http://creativecommons.org/licenses/by-nc/3.0/esinfo:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/1065532025-07-25T16:43:42Z
dc.title.none.fl_str_mv Noninvasive ventilation in acute respiratory failure
title Noninvasive ventilation in acute respiratory failure
spellingShingle Noninvasive ventilation in acute respiratory failure
Mas, Arantxa
Malalties pulmonars obstructives cròniques
Insuficiència respiratòria
Respiració artificial
Chronic obstructive pulmonary diseases
Respiratory insufficiency
Artificial respiration
title_short Noninvasive ventilation in acute respiratory failure
title_full Noninvasive ventilation in acute respiratory failure
title_fullStr Noninvasive ventilation in acute respiratory failure
title_full_unstemmed Noninvasive ventilation in acute respiratory failure
title_sort Noninvasive ventilation in acute respiratory failure
dc.creator.none.fl_str_mv Mas, Arantxa
Masip, Josep (Masip i Utset)
author Mas, Arantxa
author_facet Mas, Arantxa
Masip, Josep (Masip i Utset)
author_role author
author2 Masip, Josep (Masip i Utset)
author2_role author
dc.subject.none.fl_str_mv Malalties pulmonars obstructives cròniques
Insuficiència respiratòria
Respiració artificial
Chronic obstructive pulmonary diseases
Respiratory insufficiency
Artificial respiration
topic Malalties pulmonars obstructives cròniques
Insuficiència respiratòria
Respiració artificial
Chronic obstructive pulmonary diseases
Respiratory insufficiency
Artificial respiration
description After the institution of positive-pressure ventilation, the use of noninvasive ventilation (NIV) through an interface substantially increased. The first technique was continuous positive airway pressure; but, after the introduction of pressure support ventilation at the end of the 20th century, this became the main modality. Both techniques, and some others that have been recently introduced and which integrate some technological innovations, have extensively demonstrated a faster improvement of acute respiratory failure in different patient populations, avoiding endotracheal intubation and facilitating the release of conventional invasive mechanical ventilation. In acute settings, NIV is currently the first-line treatment for moderate-to-severe chronic obstructive pulmonary disease exacerbation as well as for acute cardiogenic pulmonary edema and should be considered in immunocompromised patients with acute respiratory insufficiency, in difficult weaning, and in the prevention of postextubation failure. Alternatively, it can also be used in the postoperative period and in cases of pneumonia and asthma or as a palliative treatment. NIV is currently used in a wide range of acute settings, such as critical care and emergency departments, hospital wards, palliative or pediatric units, and in pre-hospital care. It is also used as a home care therapy in patients with chronic pulmonary or sleep disorders. The appropriate selection of patients and the adaptation to the technique are the keys to success. This review essentially analyzes the evidence of benefits of NIV in different populations with acute respiratory failure and describes the main modalities, new devices, and some practical aspects of the use of this technique.
publishDate 2014
dc.date.none.fl_str_mv 2014
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/106553
url https://hdl.handle.net/2445/106553
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: http://doi.org/10.2147/COPD.S42664
International Journal of Chronic Obstructive Pulmonary Disease, 2014, vol. 9, p. 837-852
http://doi.org/10.2147/COPD.S42664
dc.rights.none.fl_str_mv cc-by-nc (c) Mas, Arantxa et al., 2014
http://creativecommons.org/licenses/by-nc/3.0/es
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc-by-nc (c) Mas, Arantxa et al., 2014
http://creativecommons.org/licenses/by-nc/3.0/es
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Dove Medical Press
publisher.none.fl_str_mv Dove Medical Press
dc.source.none.fl_str_mv Articles publicats en revistes (Medicina)
reponame:Dipòsit Digital de la UB
instname:
instname_str
reponame_str Dipòsit Digital de la UB
collection Dipòsit Digital de la UB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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