Physiologic evaluation of pressure support ventilation by nasal mask in patients with stable COPD.

Abstract:

:We evaluated the physiologic effects of pressure support ventilation by nasal route (NPSV) in eight patients with severe stable COPD and chronic hypercapnia who were randomly submitted to 2-h sessions of NPSV both with a portable ventilator (Respironics BIPAP device) and with a standard ventilator (Bird 6400ST device) at an inspiratory airway pressure of 22 cm H2O. Two sessions with each ventilator were performed using an FIO2 of 0.21 in each patient on two consecutive days. One patient did not tolerate either form of ventilation. Comparison of spontaneous with BIPAP ventilation showed a significant improvement in pH, PaCO2, and PaO2. Ventilatory pattern assessed by a respiratory inductive plethysmograph showed a significant increase in minute ventilation (VE), VT, and Ttot. Integrated surface diaphragmatic EMG activity measured only during BIPAP device ventilation decreased from that measured during spontaneous breathing. Similar changes in blood gases and ventilatory pattern were observed during ventilation by the Bird 6400ST except for VT/Ti ratio, which significantly increased. Comparison of baseline with measurements performed 12 h after the whole cycle of treatment showed a significant increase in pH and VE and a decrease in PaCO2. We conclude that short-term NPSV may be useful in improving respiratory pattern and blood gases in stable COPD patients with chronic hypercapnia.

journal_name

Chest

journal_title

Chest

authors

Ambrosino N,Nava S,Bertone P,Fracchia C,Rampulla C

doi

10.1378/chest.101.2.385

subject

Has Abstract

pub_date

1992-02-01 00:00:00

pages

385-91

issue

2

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(16)33762-X

journal_volume

101

pub_type

临床试验,杂志文章,随机对照试验

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