Skip to main content

Face mask ventilation in acute exacerbations of chronic obstructive pulmonary disease

  • Chapter
  • 302 Accesses

Part of the book series: Topics in Anaesthesia and Critical Care ((TIACC))

Abstract

Acute exacerbation of chronic obstructive pulmonary disease (COPD) constitutes a frequent cause of admission in intensive care units. All patients require specific medical therapy, including oxygen, and many of them eventually require endotracheal intubation and mechanical ventilation with the aim of improving gas exchange, rest the respiratory muscles and avoid exhaustion and respiratory arrest. This technique is considered as invasive because it bypasses natural airway protective mechanisms in order to give access to the lower airways, often necessitates sedation and can be associated with traumatic or infectious complications [1, 2]. Non-invasive ventilation constitutes a way of delivering mechanical ventilation avoiding the use of endotracheal intubation. After being used in the setting of home mechanical ventilation [3, 4], it is now proposed for patients with acute respiratory failure [5–13].

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

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   84.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   109.99
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

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Pingleton SK (1988) Complications of acute respiratory failure. Am Rev Respir Dis 137: 1463–1493

    Article  PubMed  CAS  Google Scholar 

  2. Fagon JY, Chastre J, Hance AJ, Montravers P, Novara A, Gibert C (1993) Nosocomial pneumonia in ventilated patients: a cohort study evaluating attributable mortality and hospital stay. Am J Med 94: 281–288

    Article  PubMed  CAS  Google Scholar 

  3. Garay SM, Turino GM, Goldring RM (1981) Sustained reversal of chronic hypercap-nia in patients with alveolar hypoventilation syndromes: long-term maintenance with non invasive mechanical ventilation. Am J Med 70: 269–274

    Article  PubMed  CAS  Google Scholar 

  4. Bach JR, Alba A, Mosher R, Delaubier A (1989) Intermittent positive pressure ventilation via nasal access in the management of respiratory insufficiency. Chest 92: 168–170

    Article  Google Scholar 

  5. Leger P, Jennequin J, Gaussorgues P, Robert D (1988) Acute respiratory failure in COPD patients treated with non invasive intermittent mechanical ventilation (control mode) with nasal mask. Am Rev Respir Dis 137: A63

    Google Scholar 

  6. Hill NS (1993) Non invasive ventilation Does it work, for whom and how? Am Rev Respir Dis 147: 1050–1055

    Article  PubMed  CAS  Google Scholar 

  7. Meduri GU, Conoscenti CC, Menashe P, Nair S (1989) Non invasive face mask ventilation in patients with acute respiratory failure. Chest 95: 865–870

    Article  PubMed  CAS  Google Scholar 

  8. Benhamou D, Girault C, Faure C, Portier F, Muir JF (1992) Nasal mask ventilation in acute respiratory failure. Experience in elderly patients. Chest 102: 912–917

    Google Scholar 

  9. Fernandez R, Blanch LP, Valles J, Baigorri F, Artigas A (1993) Pressure support ventilation via face mask in acute respiratory failure in hypercapnic COPD patients. Int Care Med 19: 465–461

    Google Scholar 

  10. Foglio C, Vittaca M, Quadri A, Scalvini S, Marangoni S, Ambrosino N (1992) Acute exacerbations in severe COLD patients. Treatment using positive pressure ventilation by nasal mask. Chest 101: 533–538

    Google Scholar 

  11. Brochard L, Isabey D, Piquet J, Amaro P, Mancebo J, Messadi AA, Brun-Buisson C, Rauss A, Lemaire F, Harf A (1990) Reversal of acute exacerbations of chronic obstructive lung disease by inspiratory assistance with a face mask. N Eng J Med 323: 1523–1530

    Article  CAS  Google Scholar 

  12. Bott J, Carroll MP, Conway et al (1993) Randomised controlled trial of nasal ventilation in acute ventilatory failure due to chronic obstructive airways disease. Lancet 341: 1555–1557

    Article  PubMed  CAS  Google Scholar 

  13. Wysocki M, Tric L, Wolff MA, Gertner J, Millet H, Herman B (1993) Non invasive pressure support ventilation in patients with acute respiratory failure. Chest 103: 907–913

    Article  PubMed  CAS  Google Scholar 

  14. Vitacca M, Rubini F, Foglio K, Scalvini S, Nava S, Ambrosino N (1993) Non invasive modalities of positive pressure ventilation improve the outcome of acute exacerbations in COPD patients. Int Care Med 19: 450–455

    Article  CAS  Google Scholar 

  15. Brochard L (1993) Non invasive ventilation: practical issues. Int Care Med 19: 431–432

    Article  CAS  Google Scholar 

  16. Carrey Z, Gottfried SB, Levy RD (1990) Ventilatory muscle support in respiratory failure with nasal positive pressure ventilation. Chest 97: 150–158

    Article  PubMed  CAS  Google Scholar 

  17. Pennock BE, Kaplan PD, Carlin BW, Sabangan JS, Magovern JA (1991) Pressure support ventilation with a simplified ventilatory support system administered with a nasal mask in patients with respiratory failure. Chest 100: 1371–1376

    Article  PubMed  CAS  Google Scholar 

  18. Appendini L, Patessio A, Zanaboni S, Carone M, Gukov B, Donner C, Rossi A (1994) Physiologic effects of positive end-expiratory pressure support during exacerbations of chronic obstructive pulmonary disease. Am J Respir Crit Care Med 149: 1069–1076

    Article  PubMed  CAS  Google Scholar 

  19. Chevrolet JC, Jolliet P, Abajo B, Toussi A, Louis M (1991) Nasal positive pressure ventilation in patients with acute respiratory failure. Difficult and time-consuming procedure for nurses. Chest 100: 775–782

    Google Scholar 

  20. Meduri GU, Abou-Shala N, Fox RC, Jones CB, Leeper KV, Wunderig RG (1991) Non invasive face mask mechanical ventilation in patients with acute hypercapnic respiratory failure. Chest 100: 445–454

    Article  PubMed  CAS  Google Scholar 

  21. Nava S, Ambrosino N, Rubini F, et al (1993) Effect of nasal pressure support ventilation and external PEEP on diaphragmatic activity in patients with severe stable COPD. Chest 103: 143–150

    Article  PubMed  CAS  Google Scholar 

  22. Brochard L, Wysocki M, Lofaso F, et al (1993) Face mask inspiratory positive airway pressure for acute aexacerbation on chronic respiratory insufficiency. A randomized multicenter study. Am Rev Respir Dis 147: A984

    Google Scholar 

  23. Elliott MW, Steven MH, Philipps GD, Branthwaite MA (1990) Non invasive mechanical ventilation for acute respiratory failure. B Med J 300: 358–360

    Article  CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1998 Springer-Verlag Italia

About this chapter

Cite this chapter

Brochard, L. (1998). Face mask ventilation in acute exacerbations of chronic obstructive pulmonary disease. In: Milic-Emili, J. (eds) Applied Physiology in Respiratory Mechanics. Topics in Anaesthesia and Critical Care. Springer, Milano. https://doi.org/10.1007/978-88-470-2928-6_18

Download citation

  • DOI: https://doi.org/10.1007/978-88-470-2928-6_18

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-2930-9

  • Online ISBN: 978-88-470-2928-6

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics