Abstract
Noninvasive pressure support ventilation (NPSV) has become a standard of care in patients with acute exacerbations of chronic obstructive pulmonary disease (COPD). In stable COPD, hypercapnia is correlated with less respiratory muscle strength and greater muscle load. In selected patients, mechanical ventilation with NPSV may be indicated in addition to oxygen therapy to prevent worsening of hypercapnia and to improve sleep quality and quality of life. Epidemiologic studies on NPSV have shown that patient tolerance is a key factor predicting success or failure.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Pankow W, Becker H, Köhler U, Schneider H, Penzel T, Peter JH (2001) Patient–ventilator interaction with noninvasive pressure support ventilation in patients with hypercapnic COPD. Pneumologie 55:7–12
Vitacca M, Nava S, Confalonieri M et al (2000) The appropriate setting of noninvasive pressure support ventilation in stable COPD patients. Chest 118:1286–1293
Fanfulla F, Taurino AE, Lupo ND, Trentin R, D’Ambrosino C, Nava S (2007) Effect of sleep on patient/ventilator asynchrony in patients undergoing chronic non-invasive mechanical ventilation. Respir Med 101:1702–1707
Nava S, Ambrosino N, Bruschi C, Confalonieri M, Rampulla C (1997) Physiological effects of flow and pressure triggering during non-invasive mechanical ventilation in patients with chronic obstructive pulmonary disease. Thorax 52:249–254
Vignaux L, Vargas F, Roeseler J et al (2009) Patient–ventilator asynchrony during non-invasive ventilation for acute respiratory failure: a multicenter study. Intensive Care Med 35:840–846
Mulqueeny Q, Ceriana P, Carlucci A, Fanfulla F, Delmastro M, Nava S (2007) Automatic detection of ineffective triggering and double triggering during mechanical ventilation. Intensive Care Med 33:2014–2018
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2010 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Pankow, W., Lies, A., Becker, H. (2010). Patient–Ventilator Interaction During Noninvasive Pressure-Supported Spontaneous Respiration in Patients with Hypercapnic Chronic Obstructive Pulmonary Disease. In: Esquinas, A. (eds) Noninvasive Mechanical Ventilation. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-11365-9_10
Download citation
DOI: https://doi.org/10.1007/978-3-642-11365-9_10
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-11364-2
Online ISBN: 978-3-642-11365-9
eBook Packages: MedicineMedicine (R0)