Academic literature on the topic 'Ventilation invasive'

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Journal articles on the topic "Ventilation invasive"

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Mehta, Akshay. "Synopsis on Non-invasive Ventilation in Neonatology." International Journal of Clinical Case Reports and Reviews 7, no. 04 (July 17, 2021): 01–06. http://dx.doi.org/10.31579/2690-4861/128.

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Non-invasive ventilation (NIV) is a mode of respiratory support commonly used on the neonatal unit. Since the advent of NIV, it has evolved from being used as a mode of respiratory support to wean infants from mechanical ventilation (MV) to a primary mode of respiratory support. NIV improve the functional residual capacity in the newborn (at term or preterm) avoiding invasive actions such as tracheal intubation. Newer methods of NIV support such as nasal bilevel positive airway pressure (BiPAP) and humidified high flow nasal cannula oxygen therapy (HHFNC) have emerged in attempts to reduce intubation rates and subsequent MV in preterm infants. With this synopsis, we aim to discuss various available NIV modes of ventilation in Neonatology, including indications, physiological principle, practical aspects and effects on important short and long-term morbidities associated with the use of NIV.
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Jovanovic, Gordana, and Sanja Maricic-Prijic. "Non-invasive ventilation in postoperative period: Non-invasive ventilation." Serbian Journal of Anesthesia and Intensive Therapy 38, no. 1-2 (2016): 5–8. http://dx.doi.org/10.5937/sjait1602005j.

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Yoder, Bradley A., and Haresh Kirpalani. "Non-Invasive Ventilation." Clinics in Perinatology 43, no. 4 (December 2016): i. http://dx.doi.org/10.1016/s0095-5108(16)30082-3.

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Baudouin, Simon V. "Invasive mechanical ventilation." Medicine 36, no. 5 (May 2008): 250–52. http://dx.doi.org/10.1016/j.mpmed.2008.02.004.

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Garfield, Mark J. "Non‐invasive ventilation." BJA CEPD Reviews 1, no. 5 (October 2001): 142–45. http://dx.doi.org/10.1093/bjacepd/1.5.142.

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Walter, James M., Thomas C. Corbridge, and Benjamin D. Singer. "Invasive Mechanical Ventilation." Southern Medical Journal 111, no. 12 (December 2018): 746–53. http://dx.doi.org/10.14423/smj.0000000000000905.

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Spence, D. "Non-invasive ventilation." Postgraduate Medical Journal 72, no. 851 (September 1, 1996): 532–34. http://dx.doi.org/10.1136/pgmj.72.851.532.

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Anton, A. "Non-invasive ventilation." Thorax 57, no. 10 (October 1, 2002): 919. http://dx.doi.org/10.1136/thorax.57.10.919.

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Nash, E. F. "Non-invasive ventilation." Thorax 57, no. 10 (October 1, 2002): 919—a—919. http://dx.doi.org/10.1136/thorax.57.10.919-a.

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Baudouin, Simon V. "Invasive mechanical ventilation." Medicine 32, no. 1 (January 2004): 102–4. http://dx.doi.org/10.1383/medc.32.1.102.28470.

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Dissertations / Theses on the topic "Ventilation invasive"

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Ramsay, Michelle Clare. "Patient-ventilator interaction in domiciliary non-invasive ventilation." Thesis, King's College London (University of London), 2018. https://kclpure.kcl.ac.uk/portal/en/theses/patientventilator-interaction-in-domiciliary-noninvasive-ventilation(9b60bd3e-84b6-4605-96a8-22b4546b1e90).html.

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Introduction: Patient-ventilator asynchrony (PVA) can adversely affect the initiation of home mechanical ventilation (HMV). The aim was to quantify the prevalence of PVA during HMV and determine the relationships between PVA and adherence to therapy, respiratory muscle loading, nocturnal gas exchange, health-related quality of life measures and sleep quality. Method: A pilot randomised control trial was conducted to compare a physiological led set-up of HMV, using neural respiratory drive to optimise ventilator set-up, to an expert led set-up. Type and frequency of PVA were measured by surface parasternal muscle electromyography, thoraco-abdominal plethysmography and mask pressure during initiation of HMV and 3 months post therapy. Severe PVA was defined as affecting ≥10% of breaths. Results: 40 patients (25 male) were enrolled with an age of 58±17years and a body mass index(BMI) of 33±10kg/m2. Underlying diagnoses were neuromuscular ± chest wall disease (NMD-CWD,n=11), obesity-related chronic respiratory failure (ORRF,n=13) and chronic obstructive pulmonary disease (COPD, n=16). Overall, PVA affected 25.6(16.4-35.7)% breaths at initiation of HMV, with ineffective efforts as the predominant type of PVA affecting 10.9(4.6-23.7)% breaths. No difference was observed in the frequency of PVA between physician led and physiological led set-up of HMV at initiation or 3 months(28.4(17.4-37.6)%vs 25.6(14.0-30.4)%;p=0.6 and 22.4(13.3-37.1)%vs23.3(15.2-41.5)%;p=0.7,respectively). No correlations were observed between PVA and ventilator adherence(rs=0.02,p=0.90), nocturnal oxygen saturations(rs =0.04,p=0.85), nocturnal carbon dioxide levels(rs=0.15,p=0.41), respiratory muscle unloading(rs=0.06,p= 0.76), patient perception of ventilator synchronisation(rs=0.03,p=0.9) at 3 months of HMV therapy. 10 patients (7 male) underwent polysomnography assessment of sleep quality. No further correlations were observed between PVA during sleep and sleep efficiency (rs=-0.6,p=0.1), wake after sleep onset(rs=0.5,p= 0.2) or total sleep time(rs=-0.4,p= 0.3) at 3 months of HMV therapy. Conclusion: Severe PVA was identified in the majority of patients irrespective of pathophysiological disease. This was not associated with inappropriate delivery of effective ventilation. These data suggest that elimination of PVA may not be required to successfully set-up HMV.
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Tuggey, Justin Mark. "Non-invasive ventilation in chronic respiratory failure." Thesis, University of Leeds, 2005. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.427749.

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Moran, Fidelma. "Non-invasive ventilation in non cystic fibrosis bronchiectasis." Thesis, University of Ulster, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.445062.

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Ward, Sarah Anne. "Impact of non-invasive ventilation on congenital neuromuscular disease." Thesis, Imperial College London, 2005. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.415338.

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Cheema, Baljit Kaur. "Non-invasive ventilation during paediatric retrieval: a systematised review." Master's thesis, University of Cape Town, 2018. http://hdl.handle.net/11427/27880.

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Background: In hospital critical-care and emergency settings, non-Invasive ventilation (NIV) is increasingly used in neonatal and paediatric patients as an alternative to invasive positive pressure ventilation (IPPV). Critically ill children and babies may need transfer to higher levels of care, but the emergency transport setting is lagging behind the hospital sector in terms of availability of NIV. Aim and objectives: The goal of this study was to assess the evidence on the safety and effectiveness of NIV in children during transportation. Safety outcome measures were intubation or escalation of ventilation mode (during and soon after transport) and adverse event (AE) occurrence during transport. Effectiveness outcome measures related to improvement in clinical parameters during transfer. Methods: A systematised review of the literature was conducted, based on searches of MEDLINE via PubMed, EMBASE (via Scopus), Cochrane Central Register of Controlled Trials (CENTRAL), African Index Medicus, Web of Science Citation Index and the World Health Organisation Trials Registry (ICTRP). Two reviewers independently reviewed all identified studies for eligibility, with an initial screening round followed by a full-text review of potentially relevant articles. The quality of studies meeting inclusion criteria was evaluated using an adapted quality assessment tool developed for this study. Results: A total of 1287 records were identified; of these, 12 studies met inclusion criteria. Following quality assessment, eight studies were included and four studies were excluded. There were no randomised controlled trials, quasi-randomised controlled trials or non-randomised studies of intervention, to answer the research question. The included studies were all observational in design: seven studies (n= 708) evaluated in-transport use of continuous positive airway pressure (CPAP) and one study (n=150) reported on use of high-flow nasal cannula (HFNC) in children during transport. During transport on NIV, 3/858 (0.4%) patients required either intubation (1/708; 0.1%; CPAP studies) or escalation of mode of ventilation (2/150; 1%; HFNC study). In the 24 hours following transfer, 63/650 (13%) of children transferred on NIV, were intubated. The odds of intubation within 24 hours were significantly higher for CPAP transfer 60/500 (12%) compared with HFNC 3/150(2%): OR (95% CI) 6.68 (2.40 - 18.63), p=0.00003. Adverse events, where reported, were found to occur in 2-4% of NIV transports, with use of BVM in 8/334 (2%), desaturation episodes in 9/290 (3%), apnoea in 11/290(4%) and administration of CPR in 0/290 (0%) cases being described. There was insufficient reporting of change in vital signs or clinical condition during transport for meaningful analysis. Conclusion: This study is the first systematised review indicating that NIV use in children during transport is likely to be safe. From the low-reliability evidence available, it was calculated that NIV use in children during transport would result in a 0.4% rate of intubation or escalation during transport and an in-transport adverse event rate of 2-4%. There was insufficient evidence to comment on clinical effectiveness of NIV during transfer. Following NIV transfer, 13% of patients were intubated within 24 hours, with significantly higher odds of intubation in children transported on CPAP compared with HFNC. Recommendations: Further research is needed in order to make firm recommendations regarding the safety and effectiveness of NIV during transport of children. A recommended minimum data set, for the standardised reporting of observational studies of paediatric NIV use during transport, is suggested. It is recommended that transport databases and registries are expanded to include NIV details as well as information regarding the presence or absence of pre-specified adverse events during transport.
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Bourke, Stephen C. "Sleep, breathing and non-invasive ventilation in motor neurone disease." Thesis, University of Newcastle Upon Tyne, 2006. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.433126.

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Rabarimanantsoa-Jamous, Herinaina. "Qualité des interactions patient-ventilateur en ventilation non invasive nocturne." Rouen, 2008. http://www.theses.fr/2008ROUES044.

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La ventilation non invasive est un moyen de traitement usuel et efficace pour soulager l’insuffisance respiratoire hypercapnique. Elle est réalisée à l’aide d’un ventilateur insufflant de l’air dans les voies respiratoires par l’intermédiaire d’un masque apposé au visage du patient : elle permet ainsi de pallier à un manque d’oxygénation et à une augmentation du taux de CO2 dans le sang. Cependant, sa réussite qui dépend surtout de l’amélioration de facteurs cliniques (normalisation des gaz du sang) est fortement liée à des facteurs dynamiques tels que la qualité des interactions patient-ventilateur : il importe ainsi que l’effort inspiratoire du patient soit suffisant pour déclencher le ventilateur et que le ventilateur réponde de manière synchrone et adéquate au cycle respiratoire du patient. Puisque la majorité des patients est ventilée la nuit, l’objectif principal de cette thèse est donc de caractériser les interactions complexes entre le patient et le ventilateur au cours du sommeil. Pour cela, des techniques d’analyse issues de la théorie des systèmes dynamiques non linéaires (portrait de phase, entropie de Shannon, dynamique symbolique) et des statistiques (comparaison de moyennes, distributions, matrices de Markov) ont été développées et validées afin d’apprécier objectivement la qualité des interactions patient-ventilateur au cours du sommeil et leurs conséquences sur la qualité du sommeil. A partir d’une étude clinique incluant quarante et un insuffisants respiratoires, des interactions patient-ventilateur non optimales et/ou des fuites au niveau du masque sont observées chez la moitié des patients. Une relation entre asynchronismes et présence de micro-éveils et d’éveils intra-sommeil est montrée et prouve que les asynchronismes contribuent à une fragmentation du sommeil
Non invasive ventilation (NIV) is an usual and efficient treatment to relieve hypercapnic respiratory failure. A ventilator is connected to patient’s face through a mask and insufflates some air into the respiratory airways. However, the success of NIV mainly depends on blood gases normalisation as well as on a good synchronisation between patient’s inspiratory efforts and ventilator’s responses. The ventilator must trigger or be adequately stop the pressurisation according to patient’s inspiration or expiration. Furthermore, since patients are mostly ventilated during their sleep, the main objective of this thesis was to characterize and to quantify patient-ventilator interactions during sleep. For that purpose, techniques borrowed from non linear dynamic systems theory (phase portrait, Shannon entropy, symbolic dynamics) and from statistics (distributions, Markov matrix) were developed and validated in order to objectively appreciate the quality of patient-ventilator interactions during sleep and to evaluate their consequences on sleep quality. From a clinical study including forty one patients with respiratory failure, patient-ventilator interactions were found non optimal in about half of patients who also present major leaks. A privileged relation was found between asynchronies and the presence of micro-arousals and awakenings. These results prove that asynchronies contribute to sleep disruption
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Borel, Jean-Christian. "Effets cliniques, biologiques et aspects techniques de la ventilation non invasive." Grenoble 1, 2008. http://www.theses.fr/2008GRE10250.

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L'hypoventilation alvéolaire chronique est considérée comme un marqueur d'évolution péjorative de différentes pathologies respiratoires. Cependant, son rôle physiopathologique dans différentes dysfonctions systémiques n'a pas été étudié de manière convaincante. Cette thèse avait pour but d'investiguer les conséquences de l'hypoventilation alvéolaire modérée au cours de l'insuffisance respiratoire chronique restrictive et les effets de son traitement par ventilation non-invasive. Nous avons montré que des patients affectés d'un syndrome obésité-hypoventilation (SOH) avaient une fonction endothéliale plus sévèrement altérée et une inflammation systémique plus importante que les patients obèses simples. La PaCO2 était corrélée à la dysfonction endothéliale (Borel et coll, manuscrit en préparation). Nous avons observé que la proportion d'hypoventilation en sommeil paradoxal, chez les sujets SOH, était associée à une réponse ventilatoire au CO2 abaissée et une somnolence diurne excessive. Pour la première fois, nous avons constaté que la ventilation non invasive nocturne améliorait la vigilance diurne objective (Chouri-Pontarollo et coll, Chest 2007). Nous menons actuellement la première étude randomisée du traitement des patients porteurs d'un SOH par VNI versus observation pendant un mois. L'analyse intermédiaire montrait qu'un mois de VNI nocturne chez les patients SOH améliorait la PaCO2 diurne, la capacité pulmonaire totale, la structure du sommeil, cependant aucun paramètre cardiovasculaire et métabolique n'était modifié. Chez des patients insuffisants respiratoires chroniques pariéto-restrictifs, la VNI utilisée au cours d'un exercice aigu, augmentait la ventilation et améliorait la tolérance à l'effort (Borel et coll, Resp Med 2008). Chez ces mêmes patients, un réentrainement à l'effort sous VNI n'apportait pas de bénéfices additionnels par rapport à un réentrainement en ventilation spontanée sauf chez les patients les plus sévères. Ces derniers, amélioraient leur périmètre de marche et leur qualité de vie. Leur fatigue en particulier était améliorée s'ils s'étaient réentraînés sous VNI (Borel et coll, Am Journal of physical med and rehab, 2008, soumis). Enfin, nous avons analysé l'impact des fuites intentionnelles des masques de VNI sur la performance des appareils de VNI bi-pressionnels. L'augmentation des fuites intentionnelles diminuait les capacités des appareils à atteindre et maintenir la pression de consigne. Ceci pouvait conduire à une diminution du volume délivré au patient, en particulier pour des fuites intentionnelles supérieures à 40 L. Min-1 à 14 cm H2O de pression (Borel et al, Chest, sous presse). Conclusion : L'hypoventilation alvéolaire chronique peut-être considéré comme un déterminant physiopathologique de la dysfonction endothéliale, de l'inflammation, de la somnolence, et de l'intolérance à l'effort. La VNI, utilisée au cours des efforts, permet d'améliorer les capacités d'exercice et la qualité de vie des patients insuffisants respiratoires restrictifs les plus sévères. Malgré les limites technologiques des appareils de VNI bi-pressionnels utilisés actuellement, la VNI corrige l'hypoventilation alvéolaire des patients SOH, cependant les effets sur l'inflammation, la dysfonction endothéliale restent incertains à cours et long terme chez ces sujets obèses
Chronic alveolar hypoventilation is considered as a pejorative factor of several respiratory diseases outcomes. However, its pathophysiological impact has not been studied in a convincing way. This thesis aimed to assess moderate alveolar hypoventilation consequences during restrictive chronic respiratory failure and the effects of its treatment by non-invasive ventilation (NIV). We have shown that Obesity Hypoventilation Syndrome patients (OHS) had more severely impaired endothelial function and higher systemic low-grade inflammation than simple obese patients. Arterial PaCO2 was correlated with endothelial dysfunction (Borel et al, manuscript in preparation). We have also reported that in OHS, the proportion of REM-sleep time spent in hypoventilation was related to lowered CO2 ventilatory response and to excessive diurnal sleepiness. Non-invasive ventilation improved objective diurnal vigilance (Chouri-Pontarollo et al Chest 2007). Currently, we are conducting the first randomized NIV versus observation during one month study in OHS. The intermediate analysis showed that one month of nocturnal NIV led to a diurnal PaCO2, an improvement of sleep structure and an increase of total lung capacity. However, neither cardiovascular nor metabolic parameters were modified. When NIV was used during exercise, in patients with chronic thoracic restrictive respiratory failure, minute ventilation and exercise tolerance were improved (Borel et al, Resp Med 2008). In these patients, long term training with NIV had no additional benefits as to training in spontaneous breathing, except for the most severe of them. For those later patients, training with NIV lead to a larger improvement in six minutes walking distance and in quality of live, particularly in their fatigue. We also focused on the impact of intentional leak levels of different masks on the performance of ventilators designed for bi-level positive pressure ventilation. Increase of intentional leaks significantly impaired the capacity of ventilators to attain and maintain preset inspiratory pressure and could decrease tidal volume. These significant effects occurred mainly for intentional leaks above 40 l/min (for an inspiratory pressure of 14 cmH2O) (Borel et al, Chest 2008 in press). Conclusion: Chronic alveolar hypoventilation may be considered as one of the patho-physiological factors of endothelial dysfunction, inflammation, sleepiness and exercise intolerance. In spite of technological limitations of bi-level pressure machines currently used, nocturnal NIV corrects alveolar hypoventilation in OHS patients; however its short term and long term impacts on inflammation and endothelial dysfunction remain uncertain. During respiratory rehabilitation program, using NIV during exercise improves exercise capacities and quality of life for the most severe restrictive respiratory failure patients
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Kelly, Julia Louise. "Autotitrating non-invasive ventilation (NIV) in patients with hypercapnic ventilatory failure." Thesis, Imperial College London, 2015. http://hdl.handle.net/10044/1/32008.

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Non-invasive ventilation (NIV) is an evidenced based treatment of alveolar hypoventilation in patients with hypercapnic respiratory failure (HRF). Volume assured pressure support (VAPS) is a new mode of NIV that aims to maintain alveolar ventilation (VA) by autotitration of the pressure support (PS) delivered to a patient in response to changes in respiratory physiology. The overall aim of this thesis was to investigate the use of VAPS ventilation in patients with chronic HRF during wakefulness and sleep, specifically in the detection and treatment of acute exacerbations. Specific aims were to: a) determine if VA was maintained during VAPS ventilation in patients, with obstructive and restrictive pathologies, specifically during during exacerbations, and sleep (Chapters 3 and 4). b) determine the mechanism(s) of presumed maintenance of VA (Chapters 3 and 4). c) determine whether changes in the ventilator-measured respiratory parameters can be used to identify or predict exacerbations (Chapter 3). d) determine if VAPS can be used clinically to treat ventilatory failure as effectively as standard PS NIV in acute hypercapnic exacerbations of chronic respiratory disease, and in patients naive to NIV therapy (Chapters 5 and 6). I have concluded that VAPS ventilation provides an alternative ventilatory mode to standard PS ventilation, and can effectively maintain VA during sleep, and during exacerbations, when lung characteristics are changing. The mechanism of VA maintenance is likely to be the integration of complex patient-ventilator interactions, with large variability between patients, independent of diagnosis. Further studies of patient-ventilator interaction and its impact on the target ventilation may be aided by measuring respiratory drive or diaphragm work. Changes in ventilator-measured parameters were not predictive of impending exacerbation. Clustering may help to understand the physiological characteristics of exacerbations and individual ventilatory responses, and also to determine whether an autotitrating iVAPS improves outcomes of exacerbations, including survival.
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Edwards, Mark. "An experimental investigation of non-invasive ventilation for chronic obstructive pulmonary disease." Thesis, King's College London (University of London), 2005. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.417240.

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Books on the topic "Ventilation invasive"

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Nava, Stefano, and Francesco Fanfulla. Non Invasive Artificial Ventilation. Milano: Springer Milan, 2014. http://dx.doi.org/10.1007/978-88-470-5526-1.

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Basner, Robert C., and Sairam Parthasarathy, eds. Nocturnal Non-Invasive Ventilation. Boston, MA: Springer US, 2015. http://dx.doi.org/10.1007/978-1-4899-7624-6.

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Christine, Mikelsons, ed. Non-invasive respiratory support techniques: Oxygen therapy, non-invasive ventilation, and CPAP. Chichester, West Sussex: Wiley-Blackwell, 2008.

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Rafferty, Mary Sara. A structural description of the experiences of individuals with severe Chronic Obstructive Pulmonary Disease using domiciliary non-invasive positive pressure ventilation. (s.l: The Author), 2001.

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Masip, Josep, Kenneth Planas, and Arantxa Mas. Non-invasive ventilation. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199687039.003.0025.

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During the last 25 years, the use of non-invasive ventilation has grown substantially. Non-invasive ventilation refers to the delivery of positive pressure to the lungs without endotracheal intubation and plays a significant role in the treatment of patients with acute respiratory failure and in the domiciliary management of some chronic respiratory and sleep disorders. In the intensive and acute care setting, the primary aim of non-invasive ventilation is to avoid intubation, and it is mainly used in patients with chronic obstructive pulmonary disease exacerbations, acute cardiogenic pulmonary oedema, or in the context of weaning, situations in which a reduction in mortality has been demonstrated. The principal techniques are continuous positive airway pressure and bilevel pressure support ventilation. Whereas non-invasive pressure support ventilation requires a ventilator, continuous positive airway pressure is a simpler technique that can be easily used in non-equipped areas such as the pre-hospital setting. The success of non-invasive ventilation is related to the adequate timing and selection of patients, as well as the appropriate use of interfaces, the synchrony of patient-ventilator, and the fine-tuning of the ventilator.
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Masip, Josep, Kenneth Planas, and Arantxa Mas. Non-invasive ventilation. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199687039.003.0025_update_001.

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During the last 25 years, the use of non-invasive ventilation has grown substantially. Non-invasive ventilation refers to the delivery of positive pressure to the lungs without endotracheal intubation and plays a significant role in the treatment of patients with acute respiratory failure and in the domiciliary management of some chronic respiratory and sleep disorders. In the intensive and acute care setting, the primary aim of non-invasive ventilation is to avoid intubation, and it is mainly used in patients with chronic obstructive pulmonary disease exacerbations, acute cardiogenic pulmonary oedema, or in the context of weaning, situations in which a reduction in mortality has been demonstrated. The principal techniques are continuous positive airway pressure and bilevel pressure support ventilation. Whereas non-invasive pressure support ventilation requires a ventilator, continuous positive airway pressure is a simpler technique that can be easily used in non-equipped areas such as the pre-hospital setting. The success of non-invasive ventilation is related to the adequate timing and selection of patients, as well as the appropriate use of interfaces, the synchrony of patient-ventilator, and the fine-tuning of the ventilator.
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Masip, Josep, Kenneth Planas, and Arantxa Mas. Non-invasive ventilation. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199687039.003.0025_update_002.

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During the last 25 years, the use of non-invasive ventilation has grown substantially. Non-invasive ventilation refers to the delivery of positive pressure to the lungs without endotracheal intubation and plays a significant role in the treatment of patients with acute respiratory failure and in the domiciliary management of some chronic respiratory and sleep disorders. In the intensive and acute care setting, the primary aim of non-invasive ventilation is to avoid intubation, and it is mainly used in patients with chronic obstructive pulmonary disease exacerbations, acute cardiogenic pulmonary oedema, or in the context of weaning, situations in which a reduction in mortality has been demonstrated. The principal techniques are continuous positive airway pressure and bilevel pressure support ventilation. Whereas non-invasive pressure support ventilation requires a ventilator, continuous positive airway pressure is a simpler technique that can be easily used in non-equipped areas such as the pre-hospital setting. The success of non-invasive ventilation is related to the adequate timing and selection of patients, as well as the appropriate use of interfaces, the synchrony of patient-ventilator, and the fine-tuning of the ventilator.
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Masip, Josep, Kenneth Planas, and Arantxa Mas. Non-invasive ventilation. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199687039.003.0025_update_003.

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During the last 25 years, the use of non-invasive ventilation has grown substantially. Non-invasive ventilation refers to the delivery of positive pressure to the lungs without endotracheal intubation and plays a significant role in the treatment of patients with acute respiratory failure and in the domiciliary management of some chronic respiratory and sleep disorders. In the intensive and acute care setting, the primary aim of non-invasive ventilation is to avoid intubation, and it is mainly used in patients with chronic obstructive pulmonary disease exacerbations, acute cardiogenic pulmonary oedema, immunocompromised or in the context of weaning, situations in which a reduction in mortality has been demonstrated. The principal techniques are continuous positive airway pressure, bilevel pressure support ventilation and more recently, high flow nasal cannula. Whereas non-invasive pressure support ventilation requires a ventilator, the other two techniques are simpler and can be easily used in non-equipped areas by less experienced teams, including the pre-hospital setting. The success of non-invasive ventilation is related to an adequate timing, proper selection of patients and interfaces, close monitoring as well as the achievement of a good adaptation to patients’ demand.
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Spoletini, Giulia, and Nicholas S. Hill. Non-invasive positive-pressure ventilation. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199600830.003.0090.

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Non-invasive ventilation (NIV) has been increasingly used over the past decades to avoid endotracheal intubation (ETI) in critical care settings. In selected patients with acute respiratory failure, NIV improves the overall clinical status more rapidly than standard oxygen therapy, avoids ETI and its complications, reduces length of hospital stay, and improves survival. NIV is primarily indicated in respiratory failure due to acute exacerbations of chronic obstructive pulmonary disease, cardiogenic pulmonary oedema and associated with immunocompromised states. Weaker evidence supports its use in other forms of acute hypercapnic and hypoxaemic respiratory failure. Candidates for NIV should be carefully selected taking into consideration the risk factors for NIV failure. Patients on NIV who are unstable or have risk factors for NIV failure should be monitored in an intensive or intermediate care units by experienced personnel to avoid delay when intubation is needed. Stable NIV patients can be monitored on regular wards.
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Elliott, Mark, Stefano Nava, and Bernd Schönhofer, eds. Non-Invasive Ventilation and Weaning. CRC Press, 2018. http://dx.doi.org/10.1201/9781315153643.

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Book chapters on the topic "Ventilation invasive"

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Conti, G., M. Antonelli, and A. Gasparetto. "Non-Invasive Ventilation." In Yearbook of Intensive Care and Emergency Medicine, 495–504. Berlin, Heidelberg: Springer Berlin Heidelberg, 1997. http://dx.doi.org/10.1007/978-3-662-13450-4_41.

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Lemyre, Brigitte, and Haresh Kirpalani. "Non-invasive Ventilation." In Manual of Neonatal Respiratory Care, 247–52. Boston, MA: Springer US, 2012. http://dx.doi.org/10.1007/978-1-4614-2155-9_27.

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Turnbull, Christopher. "Non-invasive ventilation." In Acute Medicine - A Practical Guide to the Management of Medical Emergencies, 5th Edition, 646–50. Chichester, UK: John Wiley & Sons, Ltd, 2017. http://dx.doi.org/10.1002/9781119389613.ch113.

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Astudillo Maggio, Claudia, Patricio Barañao Garcés, and Mireya Méndez Raggi. "Chronic Invasive Ventilation." In Pediatric Respiratory Diseases, 697–704. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-26961-6_68.

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Marik, Paul Ellis. "Non-invasive Ventilation." In Evidence-Based Critical Care, 311–17. Cham: Springer International Publishing, 2014. http://dx.doi.org/10.1007/978-3-319-11020-2_20.

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Mathieson, Tracey. "Non-Invasive Ventilation." In Managing Chronic Obstructive Pulmonary Disease, 209–17. West Sussex, England: John Wiley & Sons Ltd, 2008. http://dx.doi.org/10.1002/9780470697603.ch10.

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Cabrini, Luca, Margherita Pintaudi, Nicola Villari, and Dario Winterton. "Non-invasive Ventilation." In Reducing Mortality in Critically Ill Patients, 13–24. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-71917-3_2.

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Antonelli, M., M. A. Pennisi, and G. Conti. "Non-invasive Ventilation in Immunocompromised Patients." In Mechanical Ventilation, 201–9. Berlin, Heidelberg: Springer Berlin Heidelberg, 2005. http://dx.doi.org/10.1007/3-540-26791-3_14.

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Panitch, Howard B. "Chronic Invasive Mechanical Ventilation." In Respiratory Medicine, 37–56. New York, NY: Springer New York, 2016. http://dx.doi.org/10.1007/978-1-4939-3749-3_3.

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Jaber, S., G. Chanques, and B. Jung. "Postoperative Non-invasive Ventilation." In Yearbook of Intensive Care and Emergency Medicine, 310–19. Berlin, Heidelberg: Springer Berlin Heidelberg, 2008. http://dx.doi.org/10.1007/978-3-540-77290-3_29.

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Conference papers on the topic "Ventilation invasive"

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Ramsay, Michelle, Swapna Mandal, Anita K. Simonds, John Moxham, and Nicholas Hart. "Non-Invasive Assessment Of Patient-Ventilator Asynchrony During Non-Invasive Ventilation (NIV)." In American Thoracic Society 2012 International Conference, May 18-23, 2012 • San Francisco, California. American Thoracic Society, 2012. http://dx.doi.org/10.1164/ajrccm-conference.2012.185.1_meetingabstracts.a3140.

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Hodzic, Azra, Kornelija Erdelja, Ivana Barisic, Sladana Rezic, Tanja Zovko, and Andreja Sajnic. "Correlation in the use of invasive and non-invasive mechanical ventilation." In ERS Respiratory Failure and Mechanical Ventilation Conference 2020 abstracts. European Respiratory Society, 2020. http://dx.doi.org/10.1183/23120541.rfmvc-2020.45.

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Masolini, Matteo, Chiara Castellani, Chiara Degli Innocenti, Diletta Innocenti, Riccardo Guarise, Rachele Locarno, Beatrice Ferrari, and Niccolò Nassi. "Interfaces for non invasive ventilation in children." In ERS Respiratory Failure and Mechanical Ventilation Conference 2020 abstracts. European Respiratory Society, 2020. http://dx.doi.org/10.1183/23120541.rfmvc-2020.48.

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Kotanen, Petra, Hanna-Riikka Kreivi, Pirkko Brander, and Waltteri Siirala. "Home invasive mechanical ventilation in Finland 2015-2019." In ERS Respiratory Failure and Mechanical Ventilation Conference 2020 abstracts. European Respiratory Society, 2020. http://dx.doi.org/10.1183/23120541.rfmvc-2020.02.

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Almadana Pacheco, Virginia, Rafael Perera, Cristina Benito, Ana Gómez-Bastero, and Agustín Valido. "Psychiatric Pathology and non-invasive ventilation." In ERS International Congress 2018 abstracts. European Respiratory Society, 2018. http://dx.doi.org/10.1183/13993003.congress-2018.pa1675.

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Roca Noval, Ana, Beatriz Aldave, Tamara Alonso Pérez, Marta Erro Iribarren, Pedro Landete, Enrique Zamora García, and Julio Ancochea Bermúdez. "DIFFERENCES BETWEEN PATIENTS WITH INVASIVE, NON INVASIVE VENTILATION and BOTH." In ERS International Congress 2018 abstracts. European Respiratory Society, 2018. http://dx.doi.org/10.1183/13993003.congress-2018.pa2396.

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Cano, Maria del Puerto, Cristina Martín, Enrique Zamora, Celia Pinedo, Gonzalo Segrelles, Olga Rajas, Silvia Sánchez, and Julio Ancochea. "Non-Invasive Home Ventilation: Indications Are Changing." In American Thoracic Society 2010 International Conference, May 14-19, 2010 • New Orleans. American Thoracic Society, 2010. http://dx.doi.org/10.1164/ajrccm-conference.2010.181.1_meetingabstracts.a3058.

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Metwally, Mohamed M., Olfat Elshinnawy, Nermeen Abdelaleem, and Walaa Mokhtar. "Assessment of non-invasive ventilation in acute severe asthma patients." In ERS Respiratory Failure and Mechanical Ventilation Conference 2020 abstracts. European Respiratory Society, 2020. http://dx.doi.org/10.1183/23120541.rfmvc-2020.28.

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Vianello, Andrea, Emanuela Pipione, Giovanna Arcaro, Sara Zanette, Maddalena Chizzolini, Silvia Iovino, Laura Battistella, and Alberto Pavan. "The outcome and predictors of mortality in patients transitioned to invasive mechanical ventilation after non-invasive ventilation failure." In Annual Congress 2015. European Respiratory Society, 2015. http://dx.doi.org/10.1183/13993003.congress-2015.pa1566.

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Vignaux, Laurence, Serge Grazioli, Thomas Jaecklin, Nathalie Bochaton, Lise Piquilloud, Didier Tassaux, Philippe Jolliet, and Peter Rimensberger. "Patient-Ventilator Asynchrony During Mechanical Invasive Assisted Ventilation In Children: Preliminary Results." In American Thoracic Society 2011 International Conference, May 13-18, 2011 • Denver Colorado. American Thoracic Society, 2011. http://dx.doi.org/10.1164/ajrccm-conference.2011.183.1_meetingabstracts.a1696.

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Reports on the topic "Ventilation invasive"

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Morris, Andrew M., Peter Juni, Ayodele Odutayo, Pavlos Bobos, Nisha Andany, Kali Barrett, Martin Betts, et al. Remdesivir for Hospitalized Patients with COVID-19. Ontario COVID-19 Science Advisory Table, May 2021. http://dx.doi.org/10.47326/ocsat.2021.02.27.1.0.

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Remdesivir, a direct-acting antiviral agent, may reduce mortality and progression to mechanical ventilation in moderately ill patients hospitalized with COVID-19 on supplemental low-flow oxygen. The benefits of remdesivir for critically ill patients requiring supplemental oxygen via high-flow nasal cannula or mask, or non-invasive mechanical ventilation, is uncertain. Remdesivir does not benefit and may harm critically ill patients already receiving mechanical ventilation or requiring extra-corporeal membrane oxygenation (ECMO), and it does not provide substantial benefit for hospitalized patients who do not require supplemental oxygen. Remdesivir appears to have comparable effects when used for 5 days or 10 days, and does not appear to be associated with significant adverse effects. Remdesivir is recommended in moderately ill hospitalized patients with COVID-19 requiring supplemental oxygen (Figure 1). Remdesivir may be considered for patients requiring oxygen supplementation via high-flow nasal cannula or mask, or non-invasive mechanical ventilation. It should not be used in critically ill patients on mechanical ventilation or those receiving ECMO. Remdesivir should not be used in patients who do not require supplemental oxygen.
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Carney, Nancy, Tamara Cheney, Annette M. Totten, Rebecca Jungbauer, Matthew R. Neth, Chandler Weeks, Cynthia Davis-O'Reilly, et al. Prehospital Airway Management: A Systematic Review. Agency for Healthcare Research and Quality (AHRQ), June 2021. http://dx.doi.org/10.23970/ahrqepccer243.

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Objective. To assess the comparative benefits and harms across three airway management approaches (bag valve mask [BVM], supraglottic airway [SGA], and endotracheal intubation [ETI]) by emergency medical services in the prehospital setting, and how the benefits and harms differ based on patient characteristics, techniques, and devices. Data sources. We searched electronic citation databases (Ovid® MEDLINE®, CINAHL®, the Cochrane Central Register of Controlled Trials, the Cochrane Database of Systematic Reviews, and Scopus®) from 1990 to September 2020 and reference lists, and posted a Federal Register notice request for data. Review methods. Review methods followed Agency for Healthcare Research and Quality Evidence-based Practice Center Program methods guidance. Using pre-established criteria, studies were selected and dual reviewed, data were abstracted, and studies were evaluated for risk of bias. Meta-analyses using profile-likelihood random effects models were conducted when data were available from studies reporting on similar outcomes, with analyses stratified by study design, emergency type, and age. We qualitatively synthesized results when meta-analysis was not indicated. Strength of evidence (SOE) was assessed for primary outcomes (survival, neurological function, return of spontaneous circulation [ROSC], and successful advanced airway insertion [for SGA and ETI only]). Results. We included 99 studies (22 randomized controlled trials and 77 observational studies) involving 630,397 patients. Overall, we found few differences in primary outcomes when airway management approaches were compared. • For survival, there was moderate SOE for findings of no difference for BVM versus ETI in adult and mixed-age cardiac arrest patients. There was low SOE for no difference in these patients for BVM versus SGA and SGA versus ETI. There was low SOE for all three comparisons in pediatric cardiac arrest patients, and low SOE in adult trauma patients when BVM was compared with ETI. • For neurological function, there was moderate SOE for no difference for BVM compared with ETI in adults with cardiac arrest. There was low SOE for no difference in pediatric cardiac arrest for BVM versus ETI and SGA versus ETI. In adults with cardiac arrest, neurological function was better for BVM and ETI compared with SGA (both low SOE). • ROSC was applicable only in cardiac arrest. For adults, there was low SOE that ROSC was more frequent with SGA compared with ETI, and no difference for BVM versus SGA or BVM versus ETI. In pediatric patients there was low SOE of no difference for BVM versus ETI and SGA versus ETI. • For successful advanced airway insertion, low SOE supported better first-pass success with SGA in adult and pediatric cardiac arrest patients and adult patients in studies that mixed emergency types. Low SOE also supported no difference for first-pass success in adult medical patients. For overall success, there was moderate SOE of no difference for adults with cardiac arrest, medical, and mixed emergency types. • While harms were not always measured or reported, moderate SOE supported all available findings. There were no differences in harms for BVM versus SGA or ETI. When SGA was compared with ETI, there were no differences for aspiration, oral/airway trauma, and regurgitation; SGA was better for multiple insertion attempts; and ETI was better for inadequate ventilation. Conclusions. The most common findings, across emergency types and age groups, were of no differences in primary outcomes when prehospital airway management approaches were compared. As most of the included studies were observational, these findings may reflect study design and methodological limitations. Due to the dynamic nature of the prehospital environment, the results are susceptible to indication and survival biases as well as confounding; however, the current evidence does not favor more invasive airway approaches. No conclusion was supported by high SOE for any comparison and patient group. This supports the need for high-quality randomized controlled trials designed to account for the variability and dynamic nature of prehospital airway management to advance and inform clinical practice as well as emergency medical services education and policy, and to improve patient-centered outcomes.
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Pre-hospital non-invasive ventilation for people with acute respiratory failure. National Institute for Health Research, August 2015. http://dx.doi.org/10.3310/signal-000107.

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