Noninvasive ventilation and the upper airway: should we pay more attention?

Abstract:

:In an effort to reduce the complications related to invasive ventilation, the use of noninvasive ventilation (NIV) has increased over the last years in patients with acute respiratory failure. However, failure rates for NIV remain high in specific patient categories. Several studies have identified factors that contribute to NIV failure, including low experience of the medical team and patient-ventilator asynchrony. An important difference between invasive ventilation and NIV is the role of the upper airway. During invasive ventilation the endotracheal tube bypasses the upper airway, but during NIV upper airway patency may play a role in the successful application of NIV. In response to positive pressure, upper airway patency may decrease and therefore impair minute ventilation. This paper aims to discuss the effect of positive pressure ventilation on upper airway patency and its possible clinical implications, and to stimulate research in this field.

journal_name

Crit Care

authors

Oppersma E,Doorduin J,van der Heijden EH,van der Hoeven JG,Heunks LM

doi

10.1186/cc13141

subject

Has Abstract

pub_date

2013-12-05 00:00:00

pages

245

issue

6

eissn

1364-8535

issn

1466-609X

pii

cc13141

journal_volume

17

pub_type

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