Skip to main content

Noninvasive Ventilation in Acute Respiratory Distress Syndrome

  • Chapter
  • First Online:
Noninvasive Mechanical Ventilation
  • 529 Accesses

Abstract

Acute Respiratory Distress Syndrome (ARDS) is characterized by severe hypoxemia and is recognized by The Berlin Definition. Invasive mechanical ventilation (IMV) remains as the standard approach to manage acute respiratory failure in ARDS patients. Noninvasive ventilation (NIV) has a solid role in the management of acute respiratory failure due to acute pulmonary oedema and hypercapnic respiratory failure, as in COPD exacerbations. NIV has the capability to avoid several complications associated with IMV; however, the exact role of NIV in ARDS patients is yet to be determined. Increasing evidence supports NIV in those with mild ARDS. Permanent monitoring of NIV patients is fundamental, since those who fail the NIV trial have a higher mortality risk.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Grieco DL, Menga LS, Eleuteri D, Antonelli M. Patient self-inflicted lung injury: implications for acute hypoxemic respiratory failure and ARDS patients on non-invasive support. Minerva Anestesiol. 2019;85(9):1014–23. https://doi.org/10.23736/S0375-9393.19.13418-9.

    Article  PubMed  Google Scholar 

  2. Pierrakos C, Karanikolas M, Scolletta S, Karamouzos V, Velissaris D. Acute respiratory distress syndrome: pathophysiology and therapeutic options. J Clin Med Res. 2012;4(1):7–16. https://doi.org/10.4021/jocmr761w.

    Article  PubMed  PubMed Central  Google Scholar 

  3. The ARDS Definition Task Force*. Acute Respiratory Distress Syndrome: The Berlin Definition. JAMA. 2012;307(23):2526–33. https://doi.org/10.1001/jama.2012.5669.

  4. Grieco DL, Maggiore SM, Roca O, Spinelli E, Patel BK, Thille AW, Barbas CSV, de Acilu MG, Cutuli SL, Bongiovanni F, Amato M, Frat JP, Mauri T, Kress JP, Mancebo J, Antonelli M. Non-invasive ventilatory support and high-flow nasal oxygen as first-line treatment of acute hypoxemic respiratory failure and ARDS. Intensive Care Med. 2021;47(8):851–66. https://doi.org/10.1007/s00134-021-06459-2. Epub 2021 Jul 7. PMID: 34232336; PMCID: PMC8261815.

  5. Bellani G, Laffey JG, Pham T, Madotto F, Fan E, Brochard L, Esteban A, et al. Noninvasive ventilation of patients with acute respiratory distress syndrome: insights from the LUNG SAFE study. Am J Respir Crit Care Med. 2017;195(1):67–77. https://doi.org/10.1164/rccm.201606-1306OC.

    Article  PubMed  Google Scholar 

  6. Menzella F, Barbieri C, Fontana M, Scelfo C, Castagnetti C, Ghidoni G, Ruggiero P, et al. Effectiveness of noninvasive ventilation in COVID-19 related-acute respiratory distress syndrome. Clin Respir J. 2021;15(7):779–87. https://doi.org/10.1111/crj.13361.

    Article  CAS  PubMed  Google Scholar 

  7. Tucci MR, Costa ELV, Nakamura MAM, Morais CCA. Noninvasive ventilation for acute respiratory distress syndrome: the importance of ventilator settings. J Thorac Dis. 2016;8(9):E982–6. https://doi.org/10.21037/jtd.2016.09.29.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Hill NS, Garpestad E. Predictors of failure of noninvasive positive pressure ventilation in patients with acute hypoxemic respiratory failure: a multi-center study. Intensive Care Med. 2009;374:9–10.

    Google Scholar 

  9. Antonelli M, Conti G, Moro M, Esquinas A, Gonzalez-Diaz G, Confalonieri M, Pelaia P, et al. Predictors of failure of noninvasive positive pressure ventilation in patients with acute hypoxemic respiratory failure: a multi-center study. Intensive Care Med. 2001;27(11):1718–28. https://doi.org/10.1007/s00134-001-1114-4.

    Article  CAS  PubMed  Google Scholar 

  10. Antonelli M, Conti G, Rocco M, Bufi M, De Blasi RA, Vivino G, Gasparetto A, Meduri GU. A comparison of noninvasive positive-pressure ventilation and conventional mechanical ventilation in patients with acute respiratory failure: a BSTRACT background and methods the role of noninvasive ventilation. N Engl J Med. 1998;339:429–35.

    Article  CAS  PubMed  Google Scholar 

  11. Bai L, Ding F, Xiong W, Shu W, Jiang L, Liu Y, Duan J. Early assessment of the efficacy of noninvasive ventilation tested by HACOR score to avoid delayed intubation in patients with moderate to severe ARDS. Ther Adv Respir Dis. 2022;16:17534666221081042. https://doi.org/10.1177/17534666221081042.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to João Rodrigues .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2023 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Rodrigues, J., Pinto, M., Gerardo, R., Miguel, A. (2023). Noninvasive Ventilation in Acute Respiratory Distress Syndrome. In: Esquinas, A.M. (eds) Noninvasive Mechanical Ventilation. Springer, Cham. https://doi.org/10.1007/978-3-031-28963-7_50

Download citation

  • DOI: https://doi.org/10.1007/978-3-031-28963-7_50

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-28962-0

  • Online ISBN: 978-3-031-28963-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics