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Discomfort and Adaptation in Non Invasive Mechanical Ventilation: Mask Interface Problems

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Teaching Pearls in Noninvasive Mechanical Ventilation

Abstract

The success of NIV therapy depends on the underlying cause of respiratory failure, patient cooperation, staff experience and choice of the proper mask.

The appropriate device, interface and patient selection are, therefore, key components of NIV success. It is necessary to assess the tolerance of the patient and to monitor the possible complications since they are considered elements that can cause the failure of the technique.

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Abbreviations

ARF:

Acute respiratory failure

BIPAP:

Bilevel positive airway pressure

COPD:

Chronic obstructive pulmonary disease

CPAP:

Continuous positive airway pressure

EPAP:

Expiratory positive airway pressure

FiO2:

Fraction of inspired oxygen

GCS:

Glasgow coma scale

IPAP:

Inspiratory positive airway pressure

NIV:

Non invasive ventilation

PaCO2:

Partial pressure of carbon dioxide

PaO2:

Partial pressure of oxygen

PC-BIPAP:

Control pressure—bilevel positive airway pressure

PEEP:

Positive end- expiratory pressure

PS:

Support pressure

PVD:

Patient-ventilator dyssynchrony

SatO2:

Arterial oxygen saturation

VDd:

Dead space of the mask

VDdyn:

Dynamic dead space

VDph:

Physiologic dead space

References

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1 Electronic Supplementary Material

Data 4.1

(PPTX 33 kb)

Inspiratory pressuration: flow and time variable_1 (MOV 5777 kb)

Inspiratory pressuration: flow and time variable_2 (MOV 15689 kb)

Inspiratory pressuration: flow and time variable_3 (MOV 14039 kb)

Inspiratory pressuration: flow and time variable_4 (MOV 26550 kb)

Inspiratory pressuration: flow and time variable_5 (MOV 14195 kb)

Inspiratory Expiratory Time_1 (MOV 23200 kb)

Inspiratory Expiratory Time_2 (MOV 24523 kb)

Image 4.1

Inspiratory Expiratory Time_3 (JPG 2702 kb)

Image 4.2

Inspiratory Expiratory Time_4 (JPG 2843 kb)

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Iglesias, A.Ú., Burgos, I.F., Barrera, R.A.T. (2022). Discomfort and Adaptation in Non Invasive Mechanical Ventilation: Mask Interface Problems. In: Esquinas, A.M. (eds) Teaching Pearls in Noninvasive Mechanical Ventilation. Springer, Cham. https://doi.org/10.1007/978-3-030-71298-3_4

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  • DOI: https://doi.org/10.1007/978-3-030-71298-3_4

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-71297-6

  • Online ISBN: 978-3-030-71298-3

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