Advertisement

Noninvasive Ventilatory Support in Acute Respiratory Distress Syndrome

  • Martin DRES
  • Laurent Brochard
Chapter

Abstract

The current ventilation strategy of acute respiratory distress syndrome (ARDS) is based on the use of lung-protective invasive ventilation. Since invasive ventilation is associated with potentially severe complications, there is a growing interest for alternative ventilatory support such as noninvasive ventilation (NIV) and heat and humidified high-flow oxygenation through nasal cannula (1). While NIV exerts evidenced beneficial effects in patients presenting with severe exacerbation of chronic obstructive pulmonary disease or cardiogenic pulmonary edema, the use of NIV in acute hypoxemic respiratory failure related to early ARDS is still debated. Moreover, NIV can also be deleterious in some patients, mostly by delaying needed intubation (2). There is a high interest for high-flow oxygenation through nasal cannula. High-flow oxygenation through nasal cannula has been investigated in adults with acute hypoxemic respiratory failure with interesting findings. The exact positioning of this technique needs more assessment as well as determining its mechanisms of action (3). Immunocompromised patients are a subset of patients in whom the effect of NIV has been shown to be beneficial. However, the improved prognosis of these patients over the recent years, even under mechanical ventilation, necessitates a reappraisal of its effects (4). Lastly, an important emerging concern comes from the fact that some non-intubated patients with a high respiratory drive may develop an injurious breathing pattern and self-inflict lung injury. The optimal treatment may then be sedation, intubation, and application of a lung-protective ventilation.

Keywords

Continuous Positive Airway Pressure Acute Respiratory Distress Syndrome Acute Respiratory Failure Invasive Mechanical Ventilation Nasal Cannula 
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.

References

  1. 1.
    Petrof BJ, Jaber S, Matecki S (2010) Ventilator-induced diaphragmatic dysfunction. Curr Opin Crit Care 16:19–25CrossRefPubMedGoogle Scholar
  2. 2.
    Klompas M (2013) Complications of mechanical ventilation–the CDC’s new surveillance paradigm. N Engl J Med 368:1472–1475Google Scholar
  3. 3.
    Slutsky AS, Ranieri VM (2014) Ventilator-induced lung injury. N Engl J Med 370:980PubMedGoogle Scholar
  4. 4.
    Masip J, Roque M, Sánchez B, Fernández R, Subirana M, Expósito JA (2005) Noninvasive ventilation in acute cardiogenic pulmonary edema: systematic review and meta-analysis. JAMA 294:3124–3130CrossRefPubMedGoogle Scholar
  5. 5.
    Keenan SP, Sinuff T, Cook DJ, Hill NS (2003) 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 138:861–870CrossRefPubMedGoogle Scholar
  6. 6.
    Lemiale V, Mokart D, Resche-Rigon M et al (2015) Effect of noninvasive ventilation vs oxygen therapy on mortality among immunocompromised patients with acute respiratory failure: a randomized clinical trial. JAMA 314:1–9CrossRefGoogle Scholar
  7. 7.
    Cracco C, Fartoukh M, Prodanovic H et al (2013) Safety of performing fiberoptic bronchoscopy in critically ill hypoxemic patients with acute respiratory failure. Intensive Care Med 39:45–52CrossRefPubMedGoogle Scholar
  8. 8.
    Girault C, Bubenheim M, Abroug F et al (2011) Noninvasive ventilation and weaning in patients with chronic hypercapnic respiratory failure: a randomized multicenter trial. Am J Respir Crit Care Med 184:672–679CrossRefPubMedGoogle Scholar
  9. 9.
    Lorut C, Lefebvre A, Planquette B et al (2014) Early postoperative prophylactic noninvasive ventilation after major lung resection in COPD patients: a randomized controlled trial. Intensive Care Med 40:220–227CrossRefPubMedGoogle Scholar
  10. 10.
    Squadrone V, Coha M, Cerutti E et al (2005) Continuous positive airway pressure for treatment of postoperative hypoxemia: a randomized controlled trial. Jama 293:589–595CrossRefPubMedGoogle Scholar
  11. 11.
    Jaber S, Lescot T, Futier E et al (2016) Effect of noninvasive ventilation on tracheal reintubation among patients with hypoxemic respiratory failure following abdominal surgery: a randomized clinical trial. JAMA 315:1345–1353CrossRefPubMedGoogle Scholar
  12. 12.
    Hess DR (2004) The evidence for noninvasive positive-pressure ventilation in the care of patients in acute respiratory failure: a systematic review of the literature. Respir Care 49:810–829PubMedGoogle Scholar
  13. 13.
    Ware LB, Matthay MA (2000) The acute respiratory distress syndrome. N Engl J Med 342:1334–1349CrossRefPubMedGoogle Scholar
  14. 14.
    Definition Task Force ARDS, Ranieri VM, Rubenfeld GD, Thompson BT, Ferguson ND, Caldwell E, Fan E, Camporota L, Slutsky AS (2012) Acute respiratory distress syndrome: the Berlin Definition. JAMA 307:2526–2533Google Scholar
  15. 15.
    Rittayamai N, Brochard L (2015) Recent advances in mechanical ventilation in patients with acute respiratory distress syndrome. Eur Respir Rev Off J Eur Respir Soc 24:132–140CrossRefGoogle Scholar
  16. 16.
    L’Her E, Deye N, Lellouche F, Taille S, Demoule A, Fraticelli A, Mancebo J, Brochard L (2005) Physiologic effects of noninvasive ventilation during acute lung injury. Am J Respir Crit Care Med 172:1112–1118CrossRefPubMedGoogle Scholar
  17. 17.
    Evans TW (2001) International Consensus Conferences in Intensive Care Medicine: non-invasive positive pressure ventilation in acute respiratory failure. Organised jointly by the American Thoracic Society, the European Respiratory Society, the European Society of Intensive Care Medicine, and the Société de Réanimation de Langue Française, and approved by the ATS Board of Directors, December 2000. Intensive Care Med 27:166–178CrossRefPubMedGoogle Scholar
  18. 18.
    Carlucci A, Richard JC, Wysocki M, Lepage E, Brochard L, SRLF Collaborative Group on Mechanical Ventilation (2001) Noninvasive versus conventional mechanical ventilation. An epidemiologic survey. Am J Respir Crit Care Med 163:874–880CrossRefPubMedGoogle Scholar
  19. 19.
    Ozsancak Ugurlu A, Sidhom SS, Khodabandeh A et al (2014) Use and outcomes of noninvasive positive pressure ventilation in acute care hospitals in Massachusetts. Chest 145:964–971CrossRefPubMedGoogle Scholar
  20. 20.
    Burns KEA, Sinuff T, Adhikari NKJ, Meade MO, Heels-Ansdell D, Martin CM, Cook DJ (2005) Bilevel noninvasive positive pressure ventilation for acute respiratory failure: survey of Ontario practice. Crit Care Med 33:1477–1483CrossRefPubMedGoogle Scholar
  21. 21.
    Walkey AJ, Wiener RS (2013) Use of noninvasive ventilation in patients with acute respiratory failure, 2000-2009: a population-based study. Ann Am Thorac Soc 10:10–17CrossRefPubMedPubMedCentralGoogle Scholar
  22. 22.
    Demoule A, Chevret S, Carlucci A et al (2015) Changing use of noninvasive ventilation in critically ill patients: trends over 15 years in francophone countries. Intensive Care Med. doi: 10.1007/s00134-015-4087-4 Google Scholar
  23. 23.
    Bellani G, Laffey JG, Pham T et al (2016) Epidemiology, patterns of care, and mortality for patients with acute respiratory distress syndrome in intensive care units in 50 countries. JAMA 315:788–800CrossRefPubMedGoogle Scholar
  24. 24.
    Girou E, Schortgen F, Delclaux C, Brun-Buisson C, Blot F, Lefort Y, Lemaire F, Brochard L (2000) Association of noninvasive ventilation with nosocomial infections and survival in critically ill patients. JAMA 284:2361–2367CrossRefPubMedGoogle Scholar
  25. 25.
    Hilbert G, Gruson D, Vargas F, Valentino R, Gbikpi-Benissan G, Dupon M, Reiffers J, Cardinaud JP (2001) Noninvasive ventilation in immunosuppressed patients with pulmonary infiltrates, fever, and acute respiratory failure. N Engl J Med 344:481–487CrossRefPubMedGoogle Scholar
  26. 26.
    Antonelli M, Conti G, Bufi M, Costa MG, Lappa A, Rocco M, Gasparetto A, Meduri GU (2000) Noninvasive ventilation for treatment of acute respiratory failure in patients undergoing solid organ transplantation: a randomized trial. JAMA 283:235–241CrossRefPubMedGoogle Scholar
  27. 27.
    Auriant I, Jallot A, Hervé P, Cerrina J, Le Roy LF, Fournier JL, Lescot B, Parquin F (2001) Noninvasive ventilation reduces mortality in acute respiratory failure following lung resection. Am J Respir Crit Care Med 164:1231–1235CrossRefPubMedGoogle Scholar
  28. 28.
    Antonelli M, Conti G, Rocco M, Bufi M, De Blasi RA, Vivino G, Gasparetto A, Meduri GU (1998) A comparison of noninvasive positive-pressure ventilation and conventional mechanical ventilation in patients with acute respiratory failure. N Engl J Med 339:429–435CrossRefPubMedGoogle Scholar
  29. 29.
    Wysocki M, Tric L, Wolff MA, Millet H, Herman B (1995) Noninvasive pressure support ventilation in patients with acute respiratory failure. A randomized comparison with conventional therapy. Chest 107:761–768PubMedGoogle Scholar
  30. 30.
    Ferrer M, Esquinas A, Leon M, Gonzalez G, Alarcon A, Torres A (2003) Noninvasive ventilation in severe hypoxemic respiratory failure: a randomized clinical trial. Am J Respir Crit Care Med 168:1438–1444CrossRefPubMedGoogle Scholar
  31. 31.
    Squadrone E, Frigerio P, Fogliati C, Gregoretti C, Conti G, Antonelli M, Costa R, Baiardi P, Navalesi P (2004) Noninvasive vs invasive ventilation in COPD patients with severe acute respiratory failure deemed to require ventilatory assistance. Intensive Care Med 30:1303–1310CrossRefPubMedGoogle Scholar
  32. 32.
    Demoule A, Girou E, Richard JC, Taille S, Brochard L (2006) Benefits and risks of success or failure of noninvasive ventilation. Intensive Care Med 32:1756–1765CrossRefPubMedGoogle Scholar
  33. 33.
    Kangelaris KN, Ware LB, Wang CY, Janz DR, Zhuo H, Matthay MA, Calfee CS (2016) Timing of intubation and clinical outcomes in adults with acute respiratory distress syndrome. Crit Care Med 44:120–129CrossRefPubMedPubMedCentralGoogle Scholar
  34. 34.
    Chawla R, Mansuriya J, Modi N, Pandey A, Juneja D, Chawla A, Kansal S (2016) Acute respiratory distress syndrome: Predictors of noninvasive ventilation failure and intensive care unit mortality in clinical practice. J Crit Care 31:26–30CrossRefPubMedGoogle Scholar
  35. 35.
    Carteaux G, Millán-Guilarte T, De Prost N, Razazi K, Abid S, Thille AW, Schortgen F, Brochard L, Brun-Buisson C, Mekontso Dessap A (2016) Failure of noninvasive ventilation for De Novo acute hypoxemic respiratory failure: role of tidal volume. Crit Care Med 44:282–290CrossRefPubMedGoogle Scholar
  36. 36.
    Frat J-P, Thille AW, Mercat A et al (2015) High-flow oxygen through nasal cannula in acute hypoxemic respiratory failure. N Engl J Med 372:2185–2196CrossRefPubMedGoogle Scholar
  37. 37.
    Confalonieri M, Potena A, Carbone G, Porta RD, Tolley EA, Umberto Meduri G (1999) Acute respiratory failure in patients with severe community-acquired pneumonia. A prospective randomized evaluation of noninvasive ventilation. Am J Respir Crit Care Med 160:1585–1591CrossRefPubMedGoogle Scholar
  38. 38.
    Rana S, Jenad H, Gay PC, Buck CF, Hubmayr RD, Gajic O (2006) Failure of non-invasive ventilation in patients with acute lung injury: observational cohort study. Crit Care Lond Engl 10:R79CrossRefGoogle Scholar
  39. 39.
    Thille AW, Contou D, Fragnoli C, Córdoba-Izquierdo A, Boissier F, Brun-Buisson C (2013) Non-invasive ventilation for acute hypoxemic respiratory failure: intubation rate and risk factors. Crit Care Lond Engl 17:R269CrossRefGoogle Scholar
  40. 40.
    Patel BK, Wolfe KS, Pohlman AS, Hall JB, Kress JP (2016) Effect of noninvasive ventilation delivered by helmet vs face mask on the rate of endotracheal intubation in patients with acute respiratory distress syndrome: a randomized clinical trial. JAMA. doi: 10.1001/jama.2016.6338 Google Scholar
  41. 41.
    Antonelli M, Conti G, Moro ML et al (2001) Predictors of failure of noninvasive positive pressure ventilation in patients with acute hypoxemic respiratory failure: a multi-center study. Intensive Care Med 27:1718–1728CrossRefPubMedGoogle Scholar
  42. 42.
    Antonelli M, Conti G, Esquinas A et al (2007) A multiple-center survey on the use in clinical practice of noninvasive ventilation as a first-line intervention for acute respiratory distress syndrome. Crit Care Med 35:18–25CrossRefPubMedGoogle Scholar
  43. 43.
    Carrillo A, Gonzalez-Diaz G, Ferrer M, Martinez-Quintana ME, Lopez-Martinez A, Llamas N, Alcazar M, Torres A (2012) Non-invasive ventilation in community-acquired pneumonia and severe acute respiratory failure. Intensive Care Med 38:458–466CrossRefPubMedGoogle Scholar
  44. 44.
    Dani C, Pratesi S, Migliori C, Bertini G (2009) High flow nasal cannula therapy as respiratory support in the preterm infant. Pediatr Pulmonol 44:629–634CrossRefPubMedGoogle Scholar
  45. 45.
    Parke R, McGuinness S, Eccleston M (2009) Nasal high-flow therapy delivers low level positive airway pressure. Br J Anaesth 103:886–890CrossRefPubMedPubMedCentralGoogle Scholar
  46. 46.
    Parke RL, Eccleston ML, McGuinness SP (2011) The effects of flow on airway pressure during nasal high-flow oxygen therapy. Respir Care 56:1151–1155CrossRefPubMedGoogle Scholar
  47. 47.
    Ricard J-D (2012) High flow nasal oxygen in acute respiratory failure. Minerva Anestesiol 78:836–841PubMedGoogle Scholar
  48. 48.
    Roca O, Riera J, Torres F, Masclans JR (2010) High-flow oxygen therapy in acute respiratory failure. Respir Care 55:408–413PubMedGoogle Scholar
  49. 49.
    Pham TMT, O’Malley L, Mayfield S, Martin S, Schibler A (2015) The effect of high flow nasal cannula therapy on the work of breathing in infants with bronchiolitis. Pediatr Pulmonol 50:713–720CrossRefPubMedGoogle Scholar
  50. 50.
    Lenglet H, Sztrymf B, Leroy C, Brun P, Dreyfuss D, Ricard J-D (2012) Humidified high flow nasal oxygen during respiratory failure in the emergency department: feasibility and efficacy. Respir Care 57:1873–1878CrossRefPubMedGoogle Scholar
  51. 51.
    Spoletini G, Alotaibi M, Blasi F, Hill NS (2015) Heated humidified high-flow nasal oxygen in adults: mechanisms of action and clinical implications. Chest 148:253–261CrossRefPubMedGoogle Scholar
  52. 52.
    Sztrymf B, Messika J, Bertrand F, Hurel D, Leon R, Dreyfuss D, Ricard J-D (2011) Beneficial effects of humidified high flow nasal oxygen in critical care patients: a prospective pilot study. Intensive Care Med 37:1780–1786CrossRefPubMedGoogle Scholar
  53. 53.
    Lemiale V, Mokart D, Mayaux J, Lambert J, Rabbat A, Demoule A, Azoulay E (2015) The effects of a 2-h trial of high-flow oxygen by nasal cannula versus Venturi mask in immunocompromised patients with hypoxemic acute respiratory failure: a multicenter randomized trial. Crit Care Lond Engl 19:380CrossRefGoogle Scholar
  54. 54.
    Azevedo LCP, Caruso P, Silva UVA et al (2014) Outcomes for patients with cancer admitted to the ICU requiring ventilatory support: results from a prospective multicenter study. Chest 146:257–266CrossRefPubMedGoogle Scholar
  55. 55.
    Azoulay E, Lemiale V, Mokart D et al (2014) Acute respiratory distress syndrome in patients with malignancies. Intensive Care Med 40:1106–1114CrossRefPubMedGoogle Scholar
  56. 56.
    Depuydt PO, Benoit DD, Vandewoude KH, Decruyenaere JM, Colardyn FA (2004) Outcome in noninvasively and invasively ventilated hematologic patients with acute respiratory failure. Chest 126:1299–1306CrossRefPubMedGoogle Scholar
  57. 57.
    Adda M, Coquet I, Darmon M, Thiery G, Schlemmer B, Azoulay E (2008) Predictors of noninvasive ventilation failure in patients with hematologic malignancy and acute respiratory failure. Crit Care Med 36:2766–2772CrossRefPubMedGoogle Scholar
  58. 58.
    Azoulay E, Alberti C, Bornstain C, Leleu G, Moreau D, Recher C, Chevret S, Le Gall JR, Brochard L, Schlemmer B (2001) Improved survival in cancer patients requiring mechanical ventilatory support: impact of noninvasive mechanical ventilatory support. Crit Care Med 29:519–525CrossRefPubMedGoogle Scholar
  59. 59.
    Squadrone V, Massaia M, Bruno B et al (2010) Early CPAP prevents evolution of acute lung injury in patients with hematologic malignancy. Intensive Care Med 36:1666–1674CrossRefPubMedGoogle Scholar
  60. 60.
    Azoulay E, Thiéry G, Chevret S et al (2004) The prognosis of acute respiratory failure in critically ill cancer patients. Medicine (Baltimore) 83:360–370CrossRefGoogle Scholar
  61. 61.
    Wermke M, Schiemanck S, Höffken G, Ehninger G, Bornhäuser M, Illmer T (2012) Respiratory failure in patients undergoing allogeneic hematopoietic SCT–a randomized trial on early non-invasive ventilation based on standard care hematology wards. Bone Marrow Transplant 47:574–580Google Scholar
  62. 62.
    Frat JP, Ragot S, Girault C, Perbet S, Prat G, Boulain T et al (2016) Impact of non-invasive oxygenation strategies in immunocompromised patients with severe acute respiratory failure: post hoc analysis of a randomized trial. Lancet Resp Med 4(8):646–652CrossRefGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2017

Authors and Affiliations

  1. 1.Sorbonne Universités, UPMC Univ Paris 06, INSERM, UMRS_1158 Neurophysiologie Respiratoire Expérimentale et CliniqueParisFrance
  2. 2.Keenan Research Centre for Biomedical ScienceLi Ka Shing Knowledge Institute, St. Michael’s HospitalTorontoCanada
  3. 3.Interdepartmental Division of Critical Care MedicineUniversity of TorontoTorontoCanada

Personalised recommendations