Abstract
In the past three decades, the range of clinical applications of noninvasive ventilation (NIV) has tremendously expanded to treat a large spectrum of disorders causing both acute and chronic respiratory failure. This is due to the advantages of choosing NIV, when feasible, over conventional invasive ventilation in terms of avoidance of artificial airway-related complications.
The choice of a ventilator is a “crucial ingredient” to achieve the success of NIV. Technical properties of the ventilator (i.e., type of circuit, efficiency of trigger and cycling systems, speed of pressurization, air leak compensation, CO2 rebreathing, blender for O2, monitoring accuracy, and transportability) play a key role in reaching the goals of mechanical ventilation in acute (by unloading respiratory muscles, improving gas exchange) and chronic respiratory failure (by improving gas exchange, sleep quality, quality of life, and survival).
This chapter will examine the key points concerning the technologic evolution of ventilators for NIV and their main impact in clinical practice.
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References
Rochwerg B, Brochard L, Elliott MW, Hess D, Hill NS, et al. Official ERS/ATS clinical practice guidelines: noninvasive ventilation for acute respiratory failure. Eur Respir J. 2017;50(2):1602426.
Ozsancak A, D’Ambrosio C, Hill NS. Nocturnal noninvasive ventilation. Chest. 2008;133(5):1275–86.
Oczkowski S, Ergan B, Bos L, et al. ERS clinical practice guidelines: high-flow nasal cannula in acute respiratory failure. Eur Respir J. 2021:2101574. https://doi.org/10.1183/13993003.01574-2021. Online ahead of print.
Menga LS, Berardi C, Ruggiero E, Grieco DL, Antonelli A. Noninvasive respiratory support for acute respiratory failure due to COVID-19. Curr Opin Crit Care. 2022;28:25–50.
Scala R, Naldi M. Ventilators for noninvasive ventilation to treat acute respiratory failure. Respir Care. 2008;53(8):1054–80.
Scala R. Ventilators for noninvasive mechanical ventilation: theory and technology. In: Esquinas AM, editor. Noninvasive mechanical ventilation. theory, equipment, and clinical applications. 2nd ed. Switzerland: Springer International Publishing; 2016. p. 41–54.
Gregoretti C, Navalesi P, Ghannadian S, et al. Choosing a ventilator for home mechanical ventilation. Breathe. 2013;9:394–408.
Schwartz AR, Kacmarek RM, Hess DR. Factors affecting oxygen delivery with bilevel positive airway pressure. Respir Care. 2004;49(3):270–5.
Vignaux L, Vargas F, Roeseler J, Tassaux D, Thile AW, et al. Patient-ventilator asynchrony during noninvasive ventilation for acute respiratory failure: a multicenter study. Intensive Care Med. 2009;35(5):840–6.
Scala R. Chapter 6: Monitoring choices in acute NIV. In: Simonds AK, editor. ERS practical handbook noninvasive ventilation. 1st ed. Sheffield, UK: European Respiratory Society. ISBN 978-1849840767.
Di Marco F, Centanni S, Bellone A, Messinesi G, Pesci A, et al. Optimization of ventilator setting by flow and pressure waveforms analysis during noninvasive ventilation for acute exacerbations of COPD: a multicentric randomized controlled trial. Crit Care. 2011;15(6):R283.
Carlucci A, Scheiber A, Mattei A, Malovini A, Bellinati J, Ceriana P, Gregoretti C. The configuration of bi-level ventilator circuits may affect compensation for non-intentional leaks during volume-targeted ventilation. Intensive Care Med. 2013;39:59–65.
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Scala, R., Renda, T., Guidelli, L. (2023). Ventilators for Noninvasive Mechanical Ventilation: Theory and Technology. In: Esquinas, A.M. (eds) Noninvasive Mechanical Ventilation. Springer, Cham. https://doi.org/10.1007/978-3-031-28963-7_6
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DOI: https://doi.org/10.1007/978-3-031-28963-7_6
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