Abstract
The term noninvasive pressure support ventilation (NPSV) refers to any form of ventilatory support applied without the use of an invasive conduit [1]. Goals of NPSV include the improvement of dyspnoea and of blood gas abnormalities from acute respiratory failure (ARF), the reduction of work of breathing and the avoidance of tracheal intubation. Long-term advantages of NPSV are the decrease of need for tracheal intubation, of nosocomial pneumonia, of stay in the intensive care unit (ICU) and in the hospital, and, most importantly, of the overall mortality rate [1, 2]. The patient interfaces most commonly employed for NPSV are a nasal or a face mask (mask NPSV) and a helmet (helmet NPSV). NPSV may have complications, some of which are frequent and predictable and some rare and unpredictable. The staff responsible for NPSV should be aware and be prepared to prevent, detect early, and cure these complications. NPSV is safe and well tolerated when applied optimally in appropriately selected patients [1].
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
International Consensus Conferences in Intensive Care Medicine: noninvasive positive pressure ventilation in acute Respiratory failure (2001) Organized jointly by the American Thoracic Society, the European Respiratory Society, the European Society of Intensive Care Medicine, and the Société de Réanimation de Langue Française, and approved by ATS Board of Directors, December 2000. Am J Respir Crit Care Med 163:283–291
Mehta S, Hill NS (2001) Noninvasive ventilation. Am J Respir Crit Care Med 163:540–577
Antonelli M, Pennisi MA, Pelosi P, Gregoretti C, Squadrone V, Rocco M, Cecchini L, Chiumello D, Severgnini P, Proietti R, Navalesi P, Conti G (2004) Noninvasive positive pressure ventilation using a helmet in patients with acute exacerbation of chronic obstructive pulmonary disease: a feasibility study. Anesthesiology 100:16–24
Racca F, Appendini L, Gregoretti C, Stra E, Patessio A, Donner CF, Ranieri VM (2005) Effectiveness of mask and helmet interfaces to deliver noninvasive ventilation in a human model of resistive breathing. J Appl Physiol 99:1262–1271
Schönhofer B, Sortor-Leger S (2002) Equipment needs for noninvasive mechanical ventilation. Eur Respir J 20:1029–1036
Gonzalez J, Sharshar T, Hart N, Chadda K, Raphaël JC, Lofaso F (2003) Air leaks during mechanical ventilation as a cause of persistent hypercapnia in neuromuscular disorders. Intensive Care Med 29:596–602
Fraticelli AT, Lellouche F, L’her E, Taillé S, Mancebo J, Brochard L (2009) Physiological effects of different interfaces during noninvasive ventilation for acute respiratory failure. Crit Care Med 37:939–945
Antonelli M, Conti G, Pelosi P, Gregoretti C, Pennisi MA, Costa R, Severgnini P, Chiaranda M, Proietti R (2002) New treatment of acute hypoxemic respiratory failure: noninvasive pressure support ventilation delivered by helmet–a pilot controlled trial. Crit Care Med 30:602–608
Patroniti N, Saini M, Zanella A, Isgrò S, Pesenti A (2007) Danger of helmet continuous positive airway pressure during failure of fresh gas source supply. Intensive Care Med 33:153–157
Munckton K, Ho KM, Dobb GJ, Das-Gupta M, Webb SA (2007) The pressure effects of facemasks during noninvasive ventilation: a volunteer study. Anaesthesia 62:1126–1131
Cavaliere F, Conti G, Costa R, Proietti R, Sciuto A, Masieri S (2004) Noise exposure during noninvasive ventilation with a helmet, a nasal mask, and a facial mask. Intensive Care Med 30:1755–1760
Fernández-Vivas M, Caturla-Such J, González de la Rosa J, Acosta-Escribano J, Alvarez-Sánchez B, Cánovas-Robles J (2003) Noninvasive pressure support versus proportional assist ventilation in acute respiratory failure. Intensive Care Med 29:1126–1133
Miyoshi E, Fujino Y, Uchiyama A, Mashimo T, Nishimura M (2005) Effects of gas leak on triggering function, humidification, and inspiratory oxygen fraction during noninvasive positive airway pressure ventilation. Chest 128:3691–3698
Scala R, Naldi M (2008) Ventilators for noninvasive ventilation to treat acute respiratory failure. Respir Care 53:1054–1080
Jaber S, Chanques G, Matecki S, Ramonatxo M, Souche B, Perrigault PF, Eledjam JJ (2002) Comparison of the effects of heat and moisture exchangers and heated humidifiers on ventilation and gas exchange during non-invasive ventilation. Intensive Care Med 28:1590–1594
Yamada S, Nishimiya J, Kurokawa K, Yuasa T, Masaka A (2001) Bilevel nasal positive airway pressure and ballooning of the stomach. Chest 119:1965–1966
Carron M, Gagliardi G, Michielan F, Freo U, Ori C (2007) Occurrence of pneumothorax during noninvasive positive pressure ventilation through a helmet. J Clin Anesth 19:632–635
Acosta B, DiBenedetto R, Rahimi A, Acosta MF, Cuadra O, Van Nguyen A, Morrow L (2000) Hemodynamic effects of noninvasive bilevel positive airway pressure on patients with chronic congestive heart failure with systolic dysfunction. Chest 118:1004–1009
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
Carron, M., Freo, U., Ori, C. (2010). Complications During Noninvasive Pressure Support Ventilation. In: Esquinas, A. (eds) Noninvasive Mechanical Ventilation. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-11365-9_17
Download citation
DOI: https://doi.org/10.1007/978-3-642-11365-9_17
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-11364-2
Online ISBN: 978-3-642-11365-9
eBook Packages: MedicineMedicine (R0)