Abstract
It is essential to investigate pulmonary function measurements in the management of patients with respiratory conditions or diseases. The measurements help in diagnosis, monitoring response to treatment, and can provide assistance in guiding clinical decisions. Noninvasive ventilation (NIV) is commonly used for respiratory failure. Delay in assessing and monitoring NIV failure can lead to fatal outcomes. Therefore, pulmonary function tests are crucial in monitoring lack of responsiveness to NIV, respiratory failure progression, or complications related to either underlying pathology or machine. Patient-ventilator synchrony is an important issue affected by machine performance and its interface and patient characteristics. Accurate recognition and management for asynchrony require proper bedside assessment of ventilator graphics and a patient’s clinical observation.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Abbreviations
- ARF:
-
Acute respiratory failure
- COPD:
-
Chronic obstructive pulmonary disease
- NIV:
-
Noninvasive mechanical ventilation
- O2:
-
Carbon dioxide
- PaCO2:
-
Arterial carbon dioxide tension
- PEEP:
-
Positive end-expiratory pressure
- PEEPi:
-
Intrinsic positive end-expiratory pressure
- VTE:
-
Expiratory tidal volume
References
Rochwerg B, Brochard L, Elliott M, Hess D, Hill N, Nava S, et al. Official ERS/ATS clinical practice guidelines: noninvasive ventilation for acute respiratory failure. Eur Respir J. 2017;50(2):1602426.
Epstein S. How often does patient-ventilator asynchrony occur and what are the consequences? Respir Care. 2011;56(1):25–38.
Hess D. Patient-ventilator interaction during noninvasive ventilation. Respir Care. 2011;56(2):153–67.
Pierson D. Patient-ventilator interaction. Respir Care. 2011;56(2):214–28.
Ram FS, Picot J, Lightowler J, Wedzicha JA. Non-invasive positive pressure ventilation for treatment of respiratory failure due to exacerbations of chronic obstructive pulmonary disease. Cochrane Database Syst Rev. 2004;1:CD004104.
Weng C. Meta-analysis: noninvasive ventilation in acute cardiogenic pulmonary edema. Ann Intern Med. 2010;152(9):590.
Demoule A, Girou E, Richard J, Taillé S, Brochard L. Increased use of noninvasive ventilation in French intensive care units. Intensive Care Med. 2006;32(11):1747–55.
Hess DR. How to initiate a noninvasive ventilation program: bringing the evidence to the bedside. Respir Care. 2009;54(2):232–43.
Vignaux L, Vargas F, Roeseler J, Tassaux D, Thille A, Kossowsky M et al. Patient–ventilator asynchrony during non-invasive ventilation for acute respiratory failure: a multicenter study. Intensive Care Med 2009;35(5).
Nava S, Navalesi P, Gregoretti C. Interfaces and humidification for noninvasive mechanical ventilation. Respir Care. 2009;54(1):71–84.
Crimi C, Noto A, Princi P, Esquinas A, Nava S. A European survey of noninvasive ventilation practices. Eur Respir J. 2010;36(2):362–9.
Kwok H, McCormack J, Cece R, Houtchens J, Hill NS. Controlled trial of oronasal versus nasal mask ventilation in the treatment of acute respiratory failure. Crit Care Med. 2003;31(2):468–73.
Taccone P, Hess D, Caironi P, Bigatello LM. Continuous positive airway pressure delivered with a “helmet”: effects on carbon dioxide rebreathing. Crit Care Med. 2004;32(10):2090–6.
Mojoli F, Iotti GA, Gerletti M, Lucarini C, Braschi A. Carbon dioxide rebreathing during non-invasive ventilation delivered by helmet: a bench study. Intensive Care Med. 2008;34(8):1454–60.
Banzett RB, Lansing RW, Evans KC, Shea SA. Stimulus-response characteristics of CO2-induced air hunger in normal subjects. Respir Physiol. 1996;103(1):19–31.
Costa R, Navalesi P, Spinazzola G, Ferrone G, Pellegrini A, Cavaliere F, et al. Influence of ventilator settings on patient-ventilator synchrony during pressure support ventilation with different interfaces. Intensive Care Med. 2010;36(8):1363–70.
Carteaux G, Lyazidi A, Cordoba-Izquierdo A, et al. Patient-ventilator asynchrony during noninvasive ventilation: a bench and clinical study. Chest. 2012;142:367–76.
Davidson AC, Banham S, Elliott M, et al. BTS/ICS guideline for the ventilatory management of acute hypercapnic respiratory failure in adults. Thorax. 2016;71(Suppl. 2):ii1–35.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2021 The Author(s), under exclusive license to Springer Nature Switzerland AG
About this chapter
Cite this chapter
AlAhmari, M. (2021). Pulmonary Function Measurement in Noninvasive Ventilatory Support. In: Esquinas, A.M. (eds) Pulmonary Function Measurement in Noninvasive Ventilatory Support. Springer, Cham. https://doi.org/10.1007/978-3-030-76197-4_34
Download citation
DOI: https://doi.org/10.1007/978-3-030-76197-4_34
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-76196-7
Online ISBN: 978-3-030-76197-4
eBook Packages: MedicineMedicine (R0)