Skip to main content

Use of Noninvasive Ventilation in the Course of Extracorporeal Membrane Oxygenation

  • Chapter
Noninvasive Mechanical Ventilation

Abstract

Noninvasive ventilation (NIV) is used extensively today in the intensive care unit and in many non-intensive-care settings. NIV treatment has increased in recent years, with the goal of preventing intubation and invasive mechanical ventilation in a substantial number of patients. Nevertheless, a certain percentage of patients in whom NIV treatment fails require intubation. To date, extracorporeal membrane oxygenation (ECMO) in patients undergoing NIV treatment is mostly used as an alternative bridging strategy to IMV in patients awaiting lung transplantation. Furthermore, the use of awake ECMO to prevent intubation could also be a valid therapeutic choice in some patients in the early stages of acute respiratory distress syndrome. The awake ECMO strategy associated with NIV treatment should be managed in highly experienced centers.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 249.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Abbreviations

ARDS:

Acute respiratory distress syndrome

COPD:

Chronic obstructive pulmonary disease

ECCO2R:

Extracorporeal CO2 Removal

ECMO:

Extracorporeal membrane oxygenation

IMV:

Invasive mechanical ventilation

NIV:

Noninvasive ventilation

References

  1. Patroniti N, Zangrillo A, Pappalardo F, et al. The Italian ECMO network experience during the 2009 influenza A(H1N1) pandemic: preparation for severe respiratory emergency outbreaks. Intensive Care Med. 2011;37(9):1447–57.

    Article  PubMed  Google Scholar 

  2. Schmidt M, Pellegrino V, Combes A, et al. Mechanical ventilation during extracorporeal membrane oxygenation. Crit Care. 2014;18(1):203.

    Article  PubMed Central  PubMed  Google Scholar 

  3. Nosotti M, Rosso L, Tosi D, et al. Extracorporeal membrane oxygenation with spontaneous breathing as a bridge to lung transplantation. Interact Cardiovasc Thorac Surg. 2013;16(1):55–9.

    Article  PubMed Central  PubMed  Google Scholar 

  4. Fuehner T, Kuehn C, Hadem J, et al. Extracorporeal membrane oxygenation in awake patients as bridge to lung transplantation. Am J Respir Crit Care Med. 2012;185(7):763–8.

    Article  PubMed  Google Scholar 

  5. Crotti S, Iotti GA, Lissoni A, et al. Organ allocation waiting time during extracorporeal bridge to lung transplant affects outcomes. Chest. 2013;144(3):1018–25.

    Article  PubMed  Google Scholar 

  6. Chandra D, Stamm JA, Taylor B. Outcomes of noninvasive ventilation for acute exacerbations of chronic obstructive pulmonary disease in the United States, 1998–2008. Am J Respir Crit Care Med. 2012;185(2):152–9.

    Article  PubMed Central  PubMed  Google Scholar 

  7. Kluge S, Braune SA, Engel M, et al. Avoiding invasive mechanical ventilation by extracorporeal carbon dioxide removal in patients failing noninvasive ventilation. Intensive Care Med. 2012;38(10):1632–9.

    Article  PubMed  Google Scholar 

  8. Wiesner O, Hadem J, Sommer W, et al. Extracorporeal membrane oxygenation in a nonintubated patient with acute respiratory distress syndrome. Eur Respir J. 2012;40(5):1296–8.

    Article  PubMed  Google Scholar 

  9. Hoeper MM, Wiesner O, Hadem J, et al. Extracorporeal membrane oxygenation instead of invasive mechanical ventilation in patients with acute respiratory distress syndrome. Intensive Care Med. 2013;39(11):2056–7.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Adriano Peris .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Peris, A., Cozzolino, M.C., Ferraro, M. (2016). Use of Noninvasive Ventilation in the Course of Extracorporeal Membrane Oxygenation. In: Esquinas, A. (eds) Noninvasive Mechanical Ventilation. Springer, Cham. https://doi.org/10.1007/978-3-319-21653-9_73

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-21653-9_73

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-21652-2

  • Online ISBN: 978-3-319-21653-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics