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Patient-ventilator Interaction During Non-invasive Ventilation with the Helmet Interface

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Book cover Intensive Care Medicine

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Abstract

Non-invasive ventilation (NIV) for the treatment of acute and chronic respiratory failure has achieved an increasingly important role over the last decade. Until the mid-eighties, mechanical ventilation in intensive care unit (ICU) patients with acute respiratory failure was generally delivered invasively via an endotracheal or tracheostomy tube. With growing knowledge of pathophysiology, it became apparent that there are also risks and complications, not only related to mechanical ventilation itself (volu- and barotrauma), but especially if mechanical ventilation is delivered invasively, such as the increased rate of nosocomial pneumonias [1]. Hoarseness, sore throat or vocal cord dysfunction becoming apparent after extubation may also result in long term complications [2], Therefore, the application of NIV techniques seems logical.

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References

  1. Nourdine K, Combes P, Carton MJ, Beuret P, Cannamela A, Ducreux JC (1999) Does noninvasive ventilation reduce the ICU nosocomial infection risk? A prospective clinical survey. Intensive Care Med 25:567–573

    Article  PubMed  CAS  Google Scholar 

  2. Colice GL (1992) Resolution of laryngeal injury following translaryngeal intubation. Am Rev Respir Dis 145:361–364

    PubMed  CAS  Google Scholar 

  3. Bach JR, Alba A, Mosher R, Delaubier A (1987) Intermittent positive pressure ventilation via nasal access in the management of respiratory insufficiency. Chest 92:168–170

    PubMed  CAS  Google Scholar 

  4. Meduri GU, Conoscenti CC, Menashe P, Nair S (1989) Noninvasive face mask ventilation in patients with acute respiratory failure. Chest 95:865–870

    PubMed  CAS  Google Scholar 

  5. Burchardi H, Kuhlen R, Schonhofer B, Muller E, Criee CP, Welte T (2002) [Non-invasive ventilation. Consensus statement on indications, possibilities and use in acute respiratory insufficiency]. Anaesthesist 51:33–41

    Article  PubMed  CAS  Google Scholar 

  6. Carlucci A, Richard JC, Wysocki M, Lepage E, Brochard L (2001) Noninvasive versus conventional mechanical ventilation. An epidemiologic survey. Am J Respir Crit Care Med 163:874–880

    PubMed  CAS  Google Scholar 

  7. Brochard L, Mancebo J, Wysocki M, et al (1995) Noninvasive ventilation for acute exacerbations of chronic obstructive pulmonary disease. N Engl J Med 333:817–822

    Article  PubMed  CAS  Google Scholar 

  8. Ferrer M, Esquinas A, Arancibia F, et al (2003) Noninvasive ventilation during persistent weaning failure: a randomized controlled trial. Am J Respir Crit Care Med 168:70–76

    Article  PubMed  Google Scholar 

  9. Winck JC, Azevedo LF, Costa-Pereira A, Antonelli M, Wyatt JC (2006) Efficacy and safety of non-invasive ventilation in the treatment of acute cardiogenic pulmonary edema—a system-atic review and meta-analysis. Crit Care (in press)

    Google Scholar 

  10. 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 27:1718–1728

    Article  PubMed  CAS  Google Scholar 

  11. Ferrer M, Valencia M, Nicolas JM, Bernadich O, Badia JR, Torres A (2006) Early noninvasive ventilation averts extubation failure in patients at risk: a randomized trial. Am J Respir Crit Care Med 173:164–170

    Article  PubMed  Google Scholar 

  12. Navalesi P, Fanfulla F, Frigerio P, Gregoretti C, Nava S (2000) Physiologic evaluation of noninvasive mechanical ventilation delivered with three types of masks in patients with chronic hypercapnic respiratory failure. Crit Care Med 28:1785–1790

    Article  PubMed  CAS  Google Scholar 

  13. Conti G, Antonelli M, Navalesi P, et al (2002) Noninvasive vs. conventional mechanical ventilation in patients with chronic obstructive pulmonary disease after failure of medical treatment in the ward: a randomized trial. Intensive Care Med 28:1701–1707

    Article  PubMed  CAS  Google Scholar 

  14. Kramer N, Meyer TJ, Meharg J, Cece RD, Hill NS (1995) Randomized, prospective trial of noninvasive positive pressure ventilation in acute respiratory failure. Am J Respir Crit Care Med 151:1799–1806

    PubMed  CAS  Google Scholar 

  15. Gregoretti C, Confalonieri M, Navalesi P, et al (2002) Evaluation of patient skin breakdown and comfort with a new face mask for non-invasive ventilation: a multi-center study. Intensive Care Med 28:278–284

    Article  PubMed  Google Scholar 

  16. Meduri GU, Turner RE, Abou-Shala N, Wunderink R, Tolley E (1996) Noninvasive positive pressure ventilation via face mask. First-line intervention in patients with acute hypercapnic and hypoxemic respiratory failure. Chest 109:179–193

    PubMed  CAS  Google Scholar 

  17. Antonelli M, Pennisi MA, Conti G (2003) New advances in the use of noninvasive ventilation for acute hypoxaemic respiratory failure. Eur Respir J Suppl 42:65s–71s

    Article  PubMed  CAS  Google Scholar 

  18. Foti G, Cazzaniga M, Villa F, et al (1999) Out of hospital treatment of acute pulmonary edema (PE) by non-invasive continuous positive airway pressure (CPAP): Feasability and efficacy. Intensive Care Med 25:112

    Google Scholar 

  19. Tonnelier JM, Prat G, Nowak E, et al (2003) Noninvasive continuous positive airway pressure ventilation using a new helmet interface: a case-control prospective pilot study. Intensive Care Med 29:2077–2080

    Article  PubMed  Google Scholar 

  20. Rabitsch W, Schellongowski P, Kostler WJ, et al (2003) Efficacy and tolerability of non-inva-sive ventilation delivered via a newly developed helmet in immunosuppressed patients with acute respiratory failure. Wien Klin Wochenschr 115:590–594

    Article  PubMed  Google Scholar 

  21. Piastra M, Conti G, Caresta E, et al (2005) Noninvasive ventilation options in pediatric myas-thenia gravis. Paediatr Anaesth 15:699–702

    Article  PubMed  Google Scholar 

  22. Squadrone V, Coha M, Cerutti E, et al (2005) Continuous positive airway pressure for treatment of postoperative hypoxemia. JAMA 293:589–595

    Article  PubMed  CAS  Google Scholar 

  23. Antonelli M, Conti G, Pelosi P, et al (2002) New treatment of acute hypoxemic respiratory failure: noninvasive pressure support ventilation delivered by helmet—a pilot controlled trial. Crit Care Med 30:602–608

    Article  PubMed  Google Scholar 

  24. Rocco M, Dell’Utri D, Morelli A, et al (2004) Noninvasive ventilation by helmet or face mask in immunocompromised patients: a case-control study. Chest 126:1508–1515

    Article  PubMed  Google Scholar 

  25. Klein M, Weksler N, Bartal C, Gurman GM (2004) Helmet noninvasive ventilation for weaning from mechanical ventilation. Respir Care 49:1035–1037

    PubMed  Google Scholar 

  26. Antonelli M, Pennisi MA, Pelosi P, et al (2004) Noninvasive positive pressure ventilation using a helmet in patients with acute exacerbation of chronic obstructive pulmonary disease. Anesthesiology 100:16–24

    Article  PubMed  Google Scholar 

  27. Piastra M, Antonelli M, Chiaretti A, Polidori G, Polidori L, Conti G (2004) Treatment of acute respiratory failure by helmet-delivered non-invasive pressure support ventilation in children with acute leukemia: a pilot study. Intensive Care Med 30:472–476

    Article  PubMed  Google Scholar 

  28. Codazzi D, Nacoti M, Passoni M, Bonanomi E, Sperti LR, Fumagalli R (2006) Continuous positive airway pressure with modified helmet for treatment of hypoxemic acute respiratory failure in infants and a preschool population: a feasibility study. Pediatr Crit Care Med 7:455–460

    Article  PubMed  Google Scholar 

  29. Pelosi P, Severgnini P, Aspesi M, et al (2003) Non-invasive ventilation delivered by conventional interfaces and helmet in the emergency department. Eur J Emerg Med 10:79–86

    Article  PubMed  Google Scholar 

  30. Tüller C, Marsch S, Hunziker P (2004) Astronaut gets angioplasty — Akut-PCI unter Helmbeatmung. Kar diovaskuläre Medizin 7:221–223

    Google Scholar 

  31. Cavaliere F, Masieri S, Conti G, et al (2003) Effects of non-invasive ventilation on middle ear function in healthy volunteers. Intensive Care Med 29:611–614

    PubMed  Google Scholar 

  32. Cavaliere F, Conti G, Costa R, Proietti R, Sciuto A, Masieri S (2004) Noise exposure during noninvasive ventilation with a helmet, a nasal mask, and a facial mask. Intensive Care Med 30:1755–1760

    Article  PubMed  Google Scholar 

  33. Patroniti N, Foti G, Manfio A, Coppo A, Bellani G, Pesenti A (2003) Head helmet versus face mask for non-invasive continuous positive airway pressure: a physiological study. Intensive Care Med 29:1680–1687

    Article  PubMed  Google Scholar 

  34. Taccone P, Hess D, Caironi P, Bigatello LM (2004) Continuous positive airway pressure delivered with a “helmet”: effects on carbon dioxide rebreathing. Crit Care Med 32:2090–2096

    Article  PubMed  Google Scholar 

  35. Chiumello D, Pelosi P, Carlesso E, et al (2003) Noninvasive positive pressure ventilation delivered by helmet vs. standard face mask. Intensive Care Med 29:1671–1679

    Article  PubMed  Google Scholar 

  36. Moerer O, Fischer S, Hartelt M, Kuvaki B, Quintel M, Neumann P (2006) Influence of two different interfaces for noninvasive ventilation compared to invasive ventilation on the mechanical properties and performance of a respiratory system: a lung model study. Chest 129: 1424–1431

    Article  PubMed  Google Scholar 

  37. Racca F, Appendini L, Gregoretti C, et al (2005) Effectiveness of mask and helmet interfaces to deliver noninvasive ventilation in a human model of resistive breathing. J Appl Physiol 99:1262–1271

    Article  PubMed  Google Scholar 

  38. Sinderby C, Navalesi P, Beck J, et al (1999) Neural control of mechanical ventilation in respiratory failure. Nat Med 5:1433–1436

    Article  PubMed  CAS  Google Scholar 

  39. Costa, R, Moerer O, Beck J, Navalesi P, Brunet F, Sinderby C (2006) Inspiratory effort during neural and pressure triggering of helmet ventilation in healthy subjects. Intensive Care Med 31:148 (abst)

    Google Scholar 

  40. Moerer O, Beck J, Brander L, Quintel M, Brunet F, Sinderby C (2006) Subject-ventilator synchrony during neural vs. pressure triggered non-invasive helmet ventilation. Intensive Care Med 32:148 (abst)

    Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Anesthesiology, Emergency, and Intensive Care Medicine, Georg-August-University, Robert-Koch-Str. 40, 37075, Göttingen, Germany

    O. Moerer

  2. Department of Critical Care, St Michael’s Hospital, 30 Bond Street Room 4-072, Queen Wing, Toronto, ONM5B 1W8, Canada

    C. Sinderby

  3. Department of Critical Care, Room 4-012, Bond Wing 30 Bond Street, Toronto, ON M5B 1W, Canada

    F. Brunet

Authors
  1. O. Moerer
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  2. C. Sinderby
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  3. F. Brunet
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Editor information

Editors and Affiliations

  1. Department of Intensive Care Erasme Hospital, Free University of Brussels, Route de Lennik 808, 1070, Brussels, Belgium

    Jean-Louis Vincent MD, PhD, FCCM, FCCP (Head) (Head)

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© 2007 Springer Science + Business Media Inc.

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Moerer, O., Sinderby, C., Brunet, F. (2007). Patient-ventilator Interaction During Non-invasive Ventilation with the Helmet Interface. In: Vincent, JL. (eds) Intensive Care Medicine. Springer, New York, NY. https://doi.org/10.1007/978-0-387-49518-7_32

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  • DOI: https://doi.org/10.1007/978-0-387-49518-7_32

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-49517-0

  • Online ISBN: 978-0-387-49518-7

  • eBook Packages: MedicineMedicine (R0)

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