Abstract
Guidelines recommend noninvasive ventilation (NIV) for severe exacerbations of chronic obstructive pulmonary disease (COPD) and cardiogenic pulmonary edema to prevent intubation and enhance survival [1, 2]. However, clinicians apply NIV to a broader array of clinical conditions to provide partial respiratory support and to limit intubation-related complications, including pneumonia and prolonged mechanical ventilation. Regardless of the indication, the clinician’s goal in using NIV is to reduce patient morbidity and mortality. In this chapter, we summarize current RCTs and meta-analyses pertaining to the application of NIV to wean patients from invasive ventilation, prevent extubation failure in at-risk patients, and to treat post-extubation respiratory failure.
Keywords
- Chronic Obstructive Pulmonary Disease
- Chronic Obstructive Pulmonary Disease Patient
- Intensive Care Unit Mortality
- Spontaneous Breathing Trial
- Noninvasive Positive Pressure Ventilation
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
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Abbreviations
- CI:
-
Confidence interval
- COPD:
-
Chronic obstructive pulmonary disease
- CPAP:
-
Continuous positive airway pressure
- FEV1 :
-
Forced expiratory volume in 1 s
- GRADE:
-
Grading of Recommendations Assessment Development and Evaluation
- I2 :
-
Measure of heterogeneity
- ICU:
-
Intensive care unit
- MD:
-
Mean difference
- NIV:
-
Noninvasive ventilation
- PS:
-
Pressure support
- RR:
-
Relative risk
References
Keenan SP, Sinuff T, Cook DJ, Hill NS. Which patients with acute exacerbation of chronic obstructive pulmonary disease benefit from noninvasive positive-pressure ventilation? A systematic review of the literature. Ann Intern Med. 2003;138(11):861–70.
Mariani J, Macchia A, Belziti C, Deabreu M, Gagliardi J, Doval H, Tognoni G, Tajer C. Noninvasive ventilation in acute cardiogenic pulmonary edema: a meta-analysis of randomized controlled trials. J Card Fail. 2011;17(10):850–9.
Ferreyra G, Fanelli V, Del Sorbo L, Ranieri VM. Are guidelines for non-invasive ventilation during weaning still valid? Minerva Anestesiol. 2011;77:921–6.
International Consensus Conferences in Intensive Care Medicine. Noninvasive positive pressure ventilation in acute respiratory failure. Am J Respir Crit Care Med. 2001;163:283–91.
British Thoracic Society Standards of Care Committee. Noninvasive ventilation in acute respiratory failure. Thorax. 2002;57:192–211.
Boles J-M, Bion J, Connors A, Herridge M, Marsh B, Melot C, Pearl R, Silverman H, Stanchina M, Vieillard-Baron A, Welte T. Weaning from mechanical ventilation. Eur Respir J. 2007;29:1033–56.
Keenan SP, Sinuff T, Burns KE, Muscedere J, Kutsogiannis J, Mehta S, Cook DJ, Ayas N, Adhikari NK, Hand L, Scales DC, Pagnotta R, Lazosky L, Rocker G, Dial S, Laupland K, Sanders K, Dodek P, Canadian Critical Care Trials Group/Canadian Critical Care Society Noninvasive Ventilation Guidelines Group. Clinical practice guidelines for the use of noninvasive positive-pressure ventilation and noninvasive continuous positive airway pressure in the acute care setting. CMAJ. 2011;183(3):E195–214.
Guyatt GH, Oxman A, Vist GE, Kunz R, Falck-Ytter Y, Alonso-Coello P, Schunneman H. GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ. 2008;336:924–6.
Jaeschke R, Guyatt GH, Dellinger P, Schunneman H, Levy MM, Kunz R, Norris S, Bion J. Use of GRADE grid to reach decisions on clinical practice guidelines when consensus is elusive. BMJ. 2008;337:327–30.
Agarwal R, Aggarwal AN, Gupta D, Jindal SK. Role of noninvasive positive-pressure ventilation in postextubation respiratory failure: a meta-analysis. Respir Care. 2007;52(11):1472–9.
Lin C, Yu H, Fan H, Li Z. The efficacy of noninvasive ventilation in managing postextubation respiratory failure: a meta-analysis. Heart Lung. 2014;43:99–104.
Olper L, Corbetta D, Cabrini L, Landoni G, Zangrillo A. Effects of non-invasive ventilation on reintubation rate: a systematic review and meta-analysis of randomized studies of patients undergoing cardiothoracic surgery. Crit Care Resusc. 2013;15:220–7.
Glossop AJ, Shepherd N, Bryden DC, Mills GH. Non-invasive ventilation for weaning, avoiding reintubation after extubation and in the postoperative period: a meta-analysis. Br J Anaesth. 2012;109:305–14.
Burns KEA, Premji A, Meade MO, Adhikari NKJ. Weaning critically ill adults with noninvasive positive pressure ventilation: a meta-analysis. Review. Cochrane Database Syst Rev. 2013;(12);CD004127.
Ioannidis JA, Cappelleri JC, Lau J. Issues in comparisons between meta-analyses and large trials. JAMA. 1998;279:1089–93.
Cornell JE, Mulrow CD, Localio R, et al. Random-effects meta-analysis of inconsistent effects: a time for change. Ann Intern Med. 2014;160.
Thorlund K, Imperger G, Walsh M, Chu R, Gluud C, Wettersley J, Guyatt G, Devereaux PJ, Thabane L. The number of patients and events required to limit the risk of overestimation of intervention effects in meta-analysis – a simulation study. PLoS One. 2011;6(10), e25491.
Higgins JPT, Green S, editors. Cochrane Handbook for Systematic Reviews of Interventions Version 5.0.1 [updated Sept 2008]. The Cochrane Collaboration. 2011. Available from www.cochrane-handbook.org
Esteban A, Frutos-Vivar F, Ferguson ND, Arabi Y, Apezteguia C, Gonzalez M, Epstein SK, Hill NS, Nava S, Soares MA, D’Empaire G, Alia I, Anzueto A. Noninvasive positive-pressure ventilation for respiratory failure after extubation. N Engl J Med. 2014:350(24):2452–60.
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Burns, K.E.A., Adhikari, N.K.J. (2016). Noninvasive Ventilation and Weaning Outcome. In: Esquinas, A. (eds) Noninvasive Mechanical Ventilation and Difficult Weaning in Critical Care. Springer, Cham. https://doi.org/10.1007/978-3-319-04259-6_55
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DOI: https://doi.org/10.1007/978-3-319-04259-6_55
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