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Noninvasive Mechanical Ventilation in Pre-Hospital Medicine: Clinical Applications

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Noninvasive Mechanical Ventilation

Abstract

Noninvasive mechanical ventilation has been widely used over the past decades because it prevents major complications from invasive mechanical ventilation. Its application has great advantageous effects on acute respiratory failure. Its most beneficial effects are documented in acute cardiogenic pulmonary oedema and acute exacerbation of chronic obstructive lung disease with positive impact in mortality, hospital length of stay and rate of endotracheal intubation.

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Abbreviations

ACPO:

Acute cardiogenic pulmonary oedema

AECOPD:

Acute exacerbation of COPD

ARF:

Acute respiratory failure

COPD:

Chronic obstructive pulmonary disease

COVID-19:

2019 coronavirus disease

CPAP:

Continuous positive airway pressure

ETI:

Endotracheal intubation

HRF:

Hypercapnic respiratory failure

NIMV:

Noninvasive mechanical ventilation

PEEP:

Positive end expiratory pressure

PHMES:

Pre-hospital medical emergency service

WHO:

World Health Organization

References

  1. Goodacre S, Stevens JW, Pandor A, et al. Prehospital noninvasive ventilation for acute respiratory failure: systematic review, network meta-analysis, and individual patient data meta-analysis. Acad Emerg Med. 2014;21(9):960–70.

    Article  PubMed  Google Scholar 

  2. Baird S, Ravindranath TM. Out-of-hospital noninvasive ventilation: epidemiology, technology and equipment. Pediatr Rep. 2012;4:17–20.

    Article  Google Scholar 

  3. Bledsoe E, Anderson E, Hodnick R, et al. Low-fractional oxygen concentration continuous positive airway pressure is effective in the prehospital setting. Prehosp Emerg Care. 2012;16:217–21.

    Article  PubMed  Google Scholar 

  4. Pandor A, Thokala P, Goodacre S, et al. Pre-hospital non-invasive ventilation for acute respiratory failure: a systematic review and cost-effectiveness evaluation. Health Technol Assess. 2015;19:1–103.

    Article  Google Scholar 

  5. Fuller GW, Keating S, Goodacre S, et al. Prehospital continuous positive airway pressure for acute respiratory failure: the ACUTE feasibility RCT. Health Technol Assess. 2021;5:1–124.

    Article  Google Scholar 

  6. Nicholl J, West J, Goodacre S, et al. The relationship between distance to hospital and patient mortality in emergencies: an observational study. Emerg Med J. 2007;24:665–8.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Gray AJ, Goodacre S, Newby DE, et al. A multicentre randomised controlled trial of the use of continuous positive airway pressure and non-invasive positive pressure ventilation in the early treatment of patients presenting to the emergency department with severe acute cardiogenic pulmonary oedema: the 3CPO trial. Health Technol Assess. 2009;13:1–108.

    Article  CAS  PubMed  Google Scholar 

  8. Simpson PM, Bendal JC. Prehospital non-invasive ventilation for acute cardiogenic pulmonary oedema: an evidence-based review. Emerg Med J. 2011;28:609–12.

    Article  PubMed  Google Scholar 

  9. Bakke SA, Botker MT, Riddervold IS, et al. Continuous positive airway pressure and noninvasive ventilation in prehospital treatment of patients with acute respiratory failure: A systematic review of controlled studies. Scand J Trauma Resusc Emerg Med. 2014;22:1–13.

    Article  Google Scholar 

  10. Li H, Hu C, Xia J, et al. A comparison of bilevel and continuous positive airway pressure noninvasive ventilation in acute cardiogenic pulmonary edema. Am J Emerg Med. 2013;31:1322–7.

    Article  PubMed  Google Scholar 

  11. Osadnik CR, Tee VS, Carson-Chahhoud V, et al. Non-invasive ventilation for the management of acute hypercapnic respiratory failure due to exacerbation of chronic obstructive pulmonary disease (review). Cochrane Database Syst Rev. 2017;7(7):CD004104.

    PubMed  Google Scholar 

  12. GOLD Committee, GOLD-report-2021. 2021. https://goldcopd.org/gold-reports/gold-report-2021-v1-0-11nov20_wmv/

  13. Meduri GU, Cook TR, Turner RE, et al. Noninvasive positive pressure ventilation in status asthmaticus. Chest. 1996;110:767–74.

    Article  CAS  PubMed  Google Scholar 

  14. Soma T, Hino M, Kida K, et al. A prospective and randomized study for improvement of acute asthma by non-invasive positive pressure ventilation (NPPV). Intern Med. 2008;47:493–501.

    Article  PubMed  Google Scholar 

  15. Chiumello D, Coppola S, Froio S, et al. Noninvasive ventilation in chest trauma: systematic review and meta-analysis. Intensive Care Med. 2013;39:1171–80.

    Article  CAS  PubMed  Google Scholar 

  16. Duggal A, Perez P, Golan E, et al. Safety and efficacy of noninvasive ventilation in patients with blunt chest trauma: a systematic review. Crit Care. 2013;17:1–9.

    Article  Google Scholar 

  17. Hernandez G, Fernandez R, Lopez-Reina P, et al. Noninvasive ventilation reduces intubation in chest trauma-related hypoxemia: a randomized clinical trial. Chest. 2010;137:74–80.

    Article  PubMed  Google Scholar 

  18. Jouffroy R, Lemoine S, Derkenne C, et al. Prehospital management of acute respiratory distress in suspected COVID-19 patients. Am J Emerg Med. 2020;45:410–4.

    Article  PubMed  PubMed Central  Google Scholar 

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Correspondence to João Rodrigues .

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Rodrigues, J., Pinto, M., Gerardo, R. (2023). Noninvasive Mechanical Ventilation in Pre-Hospital Medicine: Clinical Applications. In: Esquinas, A.M. (eds) Noninvasive Mechanical Ventilation. Springer, Cham. https://doi.org/10.1007/978-3-031-28963-7_45

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  • DOI: https://doi.org/10.1007/978-3-031-28963-7_45

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-28962-0

  • Online ISBN: 978-3-031-28963-7

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