Different modes of noninvasive intermittent positive pressure ... | 合法醫療器材資訊網

由KFoglio著作·1994·被引用4次—Differentmodesofnoninvasiveintermittentpositivepressureventilation(IPPV)inacuteexacerbationsofCOLDpatients.MonaldiArchChestDis.1994Dec ...

Patients with chronic obstructive lung disease may suffer from acute exacerbations of their disease, which may lead to acute respiratory failure necessitating endotracheal intubation and mechanical ventilation. We have compared retrospectively the results obtained with nasal positive pressure ventilation and those of standard medical therapy in acute relapses of severe COLD. The study showed that nasal IPPV (NIPPV) in control mode delivered for approximately 1 h, four times daily, six days a week over a 21 day period, does not result in independent improvement of acute exacerbation of COLD. In the next study the data seem to indicate, in apparent contrast, a marked reduction in the need for endotracheal intubation using noninvasive ventilation, both with assist-control and pressure support noninvasive modes, in comparison with an historical control group. We did not find a significant difference in the success rate ...