Skip to main content

Basics and Practical Aspects of Non-invasive Mechanical Ventilation

  • Chapter
  • First Online:
Sleep Issues in Neuromuscular Disorders

Abstract

Artificial ventilation is a lifesaving measure in the setting of respiratory failure. However, invasive ventilation using endotracheal tube or tracheostomy tube is ridden with risks and side effects. Non-invasive ventilation (NIV) has proven to be a valuable tool in some patients that don’t require invasive methods. From the primitive negative pressure “Iron Lung” ventilators to the most sophisticated automated positive pressure delivery ventilators, NIV has come a long way to become an important part of the care of the patients in respiratory failure. In this chapter, we aim to discuss the basic principles involved in NIV and the various NIV options available to the patients.

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 54.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 69.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 99.99
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. Davis JE, Sternbach GL, Varon J. Paracelsus and mechanical ventilation. Resuscitation. 2000;47(1):3–5.

    Article  CAS  Google Scholar 

  2. Dalziel J. On sleep and apparatus for promoting artificial respiration. Br Assoc Adv Sci. 1838;1:127.

    Google Scholar 

  3. Drinker P, Shaw LA. An apparatus for the prolonged administration of artificial respiration: I A design for adults and children. J Clin Invest. 1929;7:229–47.

    Article  CAS  Google Scholar 

  4. http://www.washingtontimes.com/news/2014/aug/24/north-texan-one-of-10-still-living-in-iron-lung/.

  5. Gray A, Goodacre S, Newby D, et al. Noninvasive ventilation in acute cardiogenic pulmonary edema. NEJM. 2008;359:142–51.

    Article  CAS  Google Scholar 

  6. Brochard L, Isabey D, Piquet J, et al. Reversal of acute exacerbations of chronic obstructive lung disease by inspiratory assistance with a face mask. NEJM. 1990;323:1523–30.

    Article  CAS  Google Scholar 

  7. Chatburn RL. A new system for understanding mechanical ventilators. Respir Care. 1991;36:1123.

    CAS  PubMed  Google Scholar 

  8. Chatburn RL. Classification of mechanical ventilators. Respir Care. 1992;37:1009.

    CAS  PubMed  Google Scholar 

  9. Peter JV, Moran JL, Phillips-Hughes J, et al. Effect of non-invasive positive pressure ventilation (NIPPV) on mortality in patients with acute cardiogenic pulmonary edema, a meta-analysis. Lancet. 367:1155–63.

    Article  Google Scholar 

  10. Marik P, Chen K, Varon J, et al. Management of acute intracranial hypertension: a review for clinicians. J Emerg Med. 1999;17(4):711–9.

    Article  CAS  Google Scholar 

  11. Amato MB, Meade MO, Slutsky AS, et al. Driving pressure and survival in the acute respiratory distress syndrome. N Engl J Med. 2015;372(8):747–55.

    Article  CAS  Google Scholar 

  12. Presenti A. Target blood gases during ARDS ventilator management (editorial). Intensive Care Med. 1990;16(6):3449–51.

    Google Scholar 

  13. Elliot MW, Mulvey DA, Moxham J, et al. Domiciliary nocturnal nasal intermittent positive pressure ventilation in COPD: mechanisms underlying changes in arterial blood gas tensions. Eur Respir J. 1991;4:1044.

    Google Scholar 

  14. Adıyeke E, Ozgultekin A, Turan G, et al. Non-invasive mechanical ventilation after the successful weaning: a comparison with the venturi mask. Braz J Anesthesiol. 2016;66(6):572–6.

    Article  Google Scholar 

  15. Briones Claudett KH, Briones Claudett M, Chung Sang Wong M, et al. Noninvasive mechanical ventilation with average volume assured pressure support (AVAPS) in patients with chronic obstructive pulmonary disease and hypercapnic encephalopathy. BMC Pulm Med. 2013;13:12.

    Article  Google Scholar 

  16. Mehta S, Gill NS. Noninvasive ventilation. Am J Respir Crit Care Med. 2001;163:540–77.

    Article  CAS  Google Scholar 

  17. Leger P, Jennequin J, Gerard M, et al. Home positive pressure ventilation via nasal mask for patients with neuromusculoskeletal disorders. Respir Care. 1989;7:640s–4s.

    CAS  Google Scholar 

  18. Simmonds A. Pneumothorax; an important complication of non-invasive ventilation in neuromuscular disease. Neuromuscul Disord. 2004;4(6):351–2.

    Article  Google Scholar 

  19. Nair SR, Henry MT. Pneumocephalus induced by non-invasive ventilation; a case report. Respir Med Extra. 2005;1:75–7.

    Article  Google Scholar 

  20. Gregoretti C, Pisani L, Cortegiani A, et al. Noninvasive ventilation in critically ill patients. Crit Care Clin. 2015;31(3):435–57.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG, part of Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Devasahayam, J., Whitacre, T., Oliver, T. (2018). Basics and Practical Aspects of Non-invasive Mechanical Ventilation. In: Govindarajan, R., Bollu, P. (eds) Sleep Issues in Neuromuscular Disorders. Springer, Cham. https://doi.org/10.1007/978-3-319-73068-4_8

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-73068-4_8

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-73067-7

  • Online ISBN: 978-3-319-73068-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics