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- W2186048265 abstract "The present chapter deals with the technical aspects of ventilators and interfaces used in noninvasive ventilation (NIV) of patients with chronic respiratory failure (CRF). Before going into details, it might be helpful to highlight one important clinical issue: patients with CRF are more or less in a respiratory stable condition and are not dependent on ventilatory support 24 hours a day; however, patients with CRF have limited ventilatory capacities, thus the use of NIV as an intermittent treatment should be clinically beneficial and lead to stabilisation of the ventilatory failure. Therefore, in contrast to invasive mechanical ventilation (IMV), cessation of NIV does not cause an immediate life-threatening risk. Complications of IMV, such as failure of the ventilator, changes in ventilator settings, accidental disconnection from ventilator or accidental decannulation, may lead to acute deterioration of clinical status, acute hospitalisation or even death. Therefore, to minimise these complications, ventilators in IMV are equipped with many surveillance devices and alarms [1]. In contrast, such a surveillance system is not necessary when NIV is used to treat CRF, thus avoiding unnecessary irritation to the patient. Accordingly, a recently published study investigated the technical performance of nine portable pressure ventilators (which are also used as NIV ventilators in the home) and found that most of the portable pressure ventilators evaluated were able to respond to high ventilatory demands, even outperforming the intensive care unit (ICU) device [2]. The objective of the first section of the present chapter is to discuss the principal characteristics of ventilators that have been designed for use in patients with CRF requiring NIV. In the second section, the interfaces of NIV are discussed." @default.
- W2186048265 created "2016-06-24" @default.
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- W2186048265 date "2008-11-01" @default.
- W2186048265 modified "2023-09-23" @default.
- W2186048265 title "Noninvasive mechanical ventilation in chronic respiratory failure: ventilators and interfaces" @default.
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- W2186048265 doi "https://doi.org/10.1183/1025448x.00041022" @default.
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