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Internal and Emergency Medicine

, Volume 13, Issue 6, pp 977–978 | Cite as

Noninvasive auto-titrating ventilation (AVAPS-AE) versus average volume-assured pressure support (AVAPS) ventilation in hypercapnic respiratory failure patients: reply

  • Avsar Zerman
  • Muge Aydogdu
  • Gul Gursel
CE - LETTER TO THE EDITOR
  • 64 Downloads

Dear Editor,

We would like to thank Dr. Briones Claudett KH and Dr. Grunauer M for their interest in our study and encouraging discussion of the use of this relatively new noninvasive auto-titrating ventilation (AVAPS-AE) mode, in critically ill hypercapnic patients [1].

In their letter, they state that the heterogeneity of our selected group of hypercapnic patients leads to difficult interpretation of the results, since the prognostication differs with entities. We also accept this point, and refer to our limitations [2]. This is a preliminary study and before performing our future prospective study that will evaluate the AVAPS-AE efficiency in patients with obesity hypoventilation (OHS) and obstructive sleep apnea syndrome (OSAS) with the support of polysomnography (PSG), we just wanted to examine the effect of this new mode in all the hypercapnic patient-cohort of our intensive care unit (ICU) [2].

The authors mention that studies suggesting auto-titrating noninvasive ventilation...

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest. All authors disclose any financial support or relationships that may pose conflict of interest. This includes any financial arrangements authors have with a company whose product figures prominently in the submitted manuscript or with a company making a competing product. All authors state explicitly that they have no any potential conflicts.

Statement of human and animal rights

Human rights are followed in this study.

Informed consent

The Local Ethics Committee approved this study (No: 894-2015) and exempted it from the informed consent requirement because researchers accessed an anonymized database retrospectively for this analysis.

References

  1. 1.
    Briones Claudett KH, Grunauer M (2018) Noninvasive auto-titrating ventilation (AVAPS-AE) versus average volume-assured pressure support (AVAPS) ventilation in hypercapnic respiratory failure patients: comment. Intern Emerg Med.  https://doi.org/10.1007/s11739-018-1866-2 PubMedCrossRefGoogle Scholar
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    Gursel G, Zerman A, Basarik B, Gonderen K, Aydogdu M, Memmedova S (2018) Noninvasive auto-titrating ventilation (AVAPS-AE) versus average volume-assured pressure support (AVAPS) ventilation in hypercapnic respiratory failure patients. Intern Emerg Med 13(3):359–365.  https://doi.org/10.1007/s11739-018-1821-2 PubMedCrossRefGoogle Scholar
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    Berry RB, Chediak A, Brown LK, Finder J, Gozal D, Iber C, Kushida CA, Morgenthaler T, Rowley JA, Davidson-Ward SL (2010) NPPV Titration Task Force of the American Academy of Sleep Medicine. Best clinical practices for the sleep center adjustment of noninvasive positive pressure ventilation (NPPV) in stable chronic alveolar hypoventilation syndromes. J Clin Sleep Med. 15;6(5):491–509Google Scholar
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    Aboussouan LS (2015) Sleep-disordered breathing in neuromuscular disease. Am J Respir Crit Care Med 191:979–989CrossRefPubMedGoogle Scholar
  5. 5.
    Rochwerg B, Brochard L, Elliott MW, et al (2017) Official ERS/ATS clinical practice guidelines: noninvasive ventilation for acute respiratory failure. Eur Respir J 50:1602426.  https://doi.org/10.1183/13993003.02426-2016]

Copyright information

© SIMI 2018

Authors and Affiliations

  1. 1.Department of Pulmonary Critical Care MedicineGazi University School of MedicineAnkaraTurkey

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