Skip to main content
SpringerLink
Log in

Measures of Improvement for Noninvasive Positive Pressure Ventilation in the ICU

  • Chapter
  • First Online:
Noninvasive Ventilation in Sleep Medicine and Pulmonary Critical Care

Abstract

Noninvasive ventilation (NIV) has been used for decades in the ICU to treat acute and chronic respiratory failure from many causes [1]. Multiple randomized, controlled trials have proven the benefits of bi-level noninvasive positive pressure ventilation in patients with hypercapnic respiratory failure from an acute exacerbation of chronic obstructive pulmonary disease (COPD) and in patients with cardiogenic pulmonary edema [2]. In acute hypoxemic respiratory failure from pneumonia and sepsis, bi-level has been shown to improve respiratory status [3]. NIV has also been shown to improve reintubation outcomes in the transition time from invasive ventilation to spontaneous breathing in patients with COPD [4, 5]. The clinician caring for these acutely ill patients on noninvasive ventilation needs to have parameters to measure improvement of respiratory status. This will enable the safe use of noninvasive ventilation for acute respiratory failure and allow the operator to escalate to invasive ventilation when appropriate. In this chapter, we will review these measures of improvement for different types of acute respiratory failure: hypercapnia from COPD, respiratory failure associated with left ventricular dysfunction, and noninvasive positive pressure ventilation for respiratory failure due to pneumonia.

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

Access this chapter

Log in via an institution
eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 129.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 199.99
Price excludes VAT (USA)
  • Durable hardcover 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

Similar content being viewed by others

References

  1. Brochard L, Mancebo J, Wysocki M, et al. Noninvasive ventilation for acute exacerbations of chronic obstructive pulmonary disease. N Engl J Med. 1995;333:817–22.

    Article  CAS  Google Scholar 

  2. Gray A, Goodacre S, Newby DE, Masson M, Sampson F, Nicholl J. Noninvasive ventilation in acute cardiogenic pulmonary edema. N Engl J Med. 2008;359:142–51.

    Article  CAS  Google Scholar 

  3. Hilbert G, Gruson D, Vargas F, et al. Noninvasive ventilation in immunosuppressed patients with pulmonary infiltrates, fever, and acute respiratory failure. N Engl J Med. 2001;344:481–7.

    Article  CAS  Google Scholar 

  4. Ferrer M, Sellares J, Valencia M, et al. Non-invasive ventilation after extubation in hypercapnic patients with chronic respiratory disorders: randomised controlled trial. Lancet. 2009;374:1082–8.

    Article  Google Scholar 

  5. Esteban A, Frutos-Vivar F, Ferguson ND, et al. Noninvasive positive-pressure ventilation for respiratory failure after extubation. N Engl J Med. 2004;350:2452–60.

    Article  CAS  Google Scholar 

  6. Singh VK, Khanna P, Rao BK, Sharma SC, Gupta R. Outcome predictors for non-invasive positive pressure ventilation in acute respiratory failure. J Assoc Physicians India. 2006;54:361–5.

    CAS  PubMed  Google Scholar 

  7. Antón A, Güell R, Gómez J, et al. Predicting the result of noninvasive ventilation in severe acute exacerbations of patients with chronic airflow limitation. Chest. 2000;117(3):828–33.

    Article  Google Scholar 

  8. Bhattacharyya D, Prasad B, Tampi PS, Ramprasad R. Early predictors of success of non-invasive positive pressure ventilation in hypercapnic respiratory failure. Med J Armed Forces India. 2011;67(4):315–9.

    Article  CAS  Google Scholar 

  9. Salahuddin N, Irfan M, Khan S, et al. Variables predictive of outcome in patients with acute hypercapneic respiratory failure treated with noninvasive ventilation. J Pak Med Assoc. 2010;60(1):13–7.

    PubMed  Google Scholar 

  10. Ergan B, Nasiłowski J, Winck JC. How should we monitor patients with acute respiratory failure treated with noninvasive ventilation? Eur Respir Rev. 2018;27(148):170101.

    Article  Google Scholar 

  11. Kelly BJ, Matthay MA. Prevalence and severity of neurologic dysfunction in critically ill patients. Influence on need for continued mechanical ventilation. Chest. 1993;104(6):1818–24.

    Article  CAS  Google Scholar 

  12. Scala R, Naldi M, Archinucci I, Coniglio G, Nava S. Noninvasive positive pressure ventilation in patients with acute exacerbations of COPD and varying levels of consciousness. Chest. 2005;128(3):1657–66.

    Article  Google Scholar 

  13. Masip J, De Mendoza D, Planas K, Paez J, Sanchez B, Cancio B. Peripheral venous blood gases and pulse-oximetry in acute cardiogenic pulmonary oedema. Eur Heart J Acute Cardiovasc Care. 2012;1(4):275–80.

    Article  CAS  Google Scholar 

  14. Vital FM, Ladeira MT, Atallah AN. Non-invasive positive pressure ventilation (CPAP or bilevel NPPV) for cardiogenic pulmonary oedema. Cochrane Database Syst Rev. 2013;(5):CD005351.

    Google Scholar 

  15. Mehta S, Jay GD, Woolard RH, et al. Randomized, prospective trial of bilevel versus continuous positive airway pressure in acute pulmonary edema. Crit Care Med. 1997;25(4):620–8.

    Article  CAS  Google Scholar 

  16. Moritz F, Brousse B, Gellée B, et al. Continuous positive airway pressure versus bilevel noninvasive ventilation in acute cardiogenic pulmonary edema: a randomized multicenter trial. Ann Emerg Med. 2007;50(6):666–75. 675.e1.

    Article  Google Scholar 

  17. Shirakabe A, Hata N, Yokoyama S, et al. Predicting the success of noninvasive positive pressure ventilation in emergency room for patients with acute heart failure. J Cardiol. 2011;57(1):107–14.

    Article  Google Scholar 

  18. Passarini JN, Zambon L, Morcillo AM, Kosour C, Saad IA. Use of non-invasive ventilation in acute pulmonary edema and chronic obstructive pulmonary disease exacerbation in emergency medicine: predictors of failure. Rev Bras Ter Intensiva. 2012;24(3):278–83.

    Article  Google Scholar 

  19. Luo Z, Han F, Li Y, et al. Risk factors for noninvasive ventilation failure in patients with acute cardiogenic pulmonary edema: a prospective, observational cohort study. J Crit Care. 2017;39:238–47.

    Article  Google Scholar 

  20. Kelly CR, Higgins AR, Chandra S. Videos in clinical medicine. Noninvasive positive-pressure ventilation. N Engl J Med. 2015;372:e30. https://doi.org/10.1056/NEJMvcm1313336.

    Article  CAS  PubMed  Google Scholar 

  21. Meduri GU, Turner RE, Abou-Shala N, Wunderink R, Tolley E. Noninvasive positive pressure ventilation via face mask: first-line intervention in patients with acute hypercapnic and hypoxemic respiratory failure. Chest. 1996;109:179–93.

    Article  CAS  Google Scholar 

  22. Guerin C, Girard R, Chemorin C, De Varax R, Fournier G. Facial mask noninvasive mechanical ventilation reduces the incidence of nosocomial pneumonia: a prospective epidemiological survey from a single ICU. Intensive Care Med. 1997;23:1024–32.

    Article  CAS  Google Scholar 

  23. Wysocki M, Tric L, Wolff MA, Millet H, Herman B. Noninvasive pressure support ventilation in patients with acute respiratory failure: a randomized comparison with conventional therapy. Chest. 1995;107:761–8.

    Article  CAS  Google Scholar 

  24. Antonelli M, Conti G, Rocco M, et al. A comparison of noninvasive positive-pressure ventilation and conventional mechanical ventilation in patients with acute respiratory failure. N Engl J Med. 1998;339:429–35.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Divison of Pulmonary, Critical Care and Sleep Medicine, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, USA

    Fiore Mastroianni & Mangala Narasimhan

Authors
  1. Fiore Mastroianni
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Mangala Narasimhan
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Mangala Narasimhan .

Editor information

Editors and Affiliations

  1. Intensive Care Unit, Hospital General Universitario Morales Meseguer, Murcia, Spain

    Antonio M. Esquinas

  2. Department of Pathophysiology and Pulmonary Rehab, Azienda Ospedaliera dei Colli PO Monaldi, Napoli, Italy

    Giuseppe Fiorentino

  3. Innovative Technologies for the Study of Sleep Breathing Disorders, Institute for Biomedical Research and Innovation (IRIB), Italian National Research Council, Palermo, Italy

    Giuseppe Insalaco

  4. Department of Pulmonary and CC Medicine, Lenox Hill Hospital, New York, NY, USA

    Bushra Mina

  5. Department of Respiratory and CC Medicine, First Affiliated Hospital of Chongqing M, Chongqing, China

    Jun Duan

  6. Anestesia and Pediatric Intensive Care Department, University Hospital Policlinico S. Orsola-Malpighi, Bologna, Italy

    Maria Cristina Mondardini

  7. Anestesia and Pediatric Intensive Care Department, University Hospital Policlinico S. Orsola-Malpighi, Bologna, Italy

    Fabio Caramelli

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Mastroianni, F., Narasimhan, M. (2020). Measures of Improvement for Noninvasive Positive Pressure Ventilation in the ICU. In: Esquinas, A.M., et al. Noninvasive Ventilation in Sleep Medicine and Pulmonary Critical Care. Springer, Cham. https://doi.org/10.1007/978-3-030-42998-0_30

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-42998-0_30

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-42997-3

  • Online ISBN: 978-3-030-42998-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation