Journal article
Keys to effective noninvasive ventilation, Part 2: Technique tips
The Journal of critical illness, Vol.16(3), pp.118-124
03/01/2001
Abstract
Patient-ventilator synchrony and close attention to the type of machine and mode used are integral to the success of noninvasive positive pressure ventilation (NIPPV). Patient-ventilator asynchrony often occurs when the presence of auto-positive end-expiratory pressure (PEEP) prevents sufficient reduction of proximal airway pressure. It can also occur when the ventilator fails to detect end-inspiration because of mask leakage. Counter-balancing auto-PEEP with applied PEEP reduces the work of triggering. Applied PEEP can be initiated at a low level and adjusted upward while assessing triggering effort. Time-cycled pressure-support or volume assist-control ventilation can minimize problems related to mask leakage. Patients require careful monitoring (for example, with waveform analysis), particularly during the first hour of NIPPV, to assess patient-ventilator interaction and to permit timely modification of ventilator settings if necessary.
Details
- Title: Subtitle
- Keys to effective noninvasive ventilation, Part 2: Technique tips
- Creators
- MICHAEL J MooreGREGORY A Schmidt
- Resource Type
- Journal article
- Publication Details
- The Journal of critical illness, Vol.16(3), pp.118-124
- Publisher
- CMP Medica, LLC
- ISSN
- 1040-0257
- Language
- English
- Date published
- 03/01/2001
- Description audience
- Academic; Professional
- Academic Unit
- Internal Medicine; Pulmonary, Critical Care, and Occupational Medicine
- Record Identifier
- 9984359941202771
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