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Contribution of Back-Up Respiratory Rate Setting in Noninvasive Ventilation

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Noninvasive Mechanical Ventilation

Abstract

Few studies have specifically addressed the role of back-up respiratory rate (BURR) in noninvasive ventilation (NIV), and clinical practice is often empirical. There are potentially complex interactions between BURR settings and respiratory centers: absence of BURR may be associated with central respiratory events and can contribute to upper airway instability in patients prone to obstructive hypopnea or apnea. Conversely, use of a BURR can contribute to improved efficacy of NIV and arterial blood gases in obesity-hypoventilation and is strongly recommended in patients with neuromuscular disorders.

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Abbreviations

ABG:

Arterial blood gases

ACV:

Assist-control ventilation

BURR:

Back-up respiratory rate

CHRF:

Chronic hypercapnic respiratory failure

COPD:

Chronic obstructive pulmonary disease

CPAP:

Continuous positive airway pressure

EPAP:

Expiratory positive airway pressure

HMV:

Home mechanical ventilation

LTOT:

Long-term oxygen therapy

NIV:

Noninvasive ventilation

NPPV:

Noninvasive positive pressure ventilation

PaCO2 :

Arterial partial pressure of carbon dioxide

PCRIT :

Pharyngeal critical pressure

PEEPi:

Intrinsic positive end-expiratory pressure

PS:

Pressure support

PSG:

Polysomnography

PtcCO2 :

Transcutaneous partial pressure of carbon dioxide

PTPes:

Pressure time product based on esophageal pressure

RR:

Respiratory rate

S:

Spontaneous mode

S/T:

Spontaneous/timed mode

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Correspondence to Jean-Paul Janssens MD .

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Janssens, JP., Adler, D., Pasquina, P., Contal, O. (2016). Contribution of Back-Up Respiratory Rate Setting in Noninvasive Ventilation. In: Esquinas, A. (eds) Noninvasive Mechanical Ventilation. Springer, Cham. https://doi.org/10.1007/978-3-319-21653-9_79

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  • DOI: https://doi.org/10.1007/978-3-319-21653-9_79

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-21652-2

  • Online ISBN: 978-3-319-21653-9

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