Helmet Ventilation for Acute Respiratory Failure and Nasal Skin Breakdown in Neuromuscular Disorders

被引：41

作者：

Racca, Fabrizio ^{[1
]}

Appendini, Lorenzo ^{[2
]}

Berta, Giacomo ^{[1
]}

Barberis, Luigi ^{[1
]}

Vittone, Ferdinando ^{[1
]}

Gregoretti, Cesare ^{[3
]}

Ferreyra, Gabriela ^{[1
]}

Urbino, Rosario ^{[1
]}

Ranieri, V. Marco ^{[1
]}

机构：

[1] Univ Turin, Dipartimento Anestesia & Rianimaz, Osped S Giovanni Battista Molinette, Turin, Italy

[2] Ist Sci Veruno, IRCCS, Fdn Salvatore Maugeri, Div Pneumol, Veruno, No, Italy

[3] Azienda Osped CTO CRF Maria Adelaide, Serv Anestesia & Rianimaz, Turin, Italy

来源：

ANESTHESIA AND ANALGESIA | 2009年 / 109卷 / 01期

关键词：

PRESSURE SUPPORT VENTILATION; NONINVASIVE VENTILATION; INSPIRATORY EFFORT; MASK;

D O I：

10.1213/ane.0b013e3181a1f708

中图分类号：

R614 [麻醉学];

学科分类号：

100217 [麻醉学];

摘要：

Noninvasive ventilation (NIV) has been widely used to decrease the complications associated with tracheal intubation in mechanically ventilated patients with neuromuscular diseases in acute respiratory failure. However, nasal ulcerations might occur when masks are used as an interface. Helmet ventilation is a possible option in this case. We describe two patients with acute respiratory failure due to Duchenne muscular dystrophy who developed nasal bridge skin necrosis during NIV. Helmet pressure support ventilation caused significant patient-ventilator asynchrony, leading to NIV intolerance. Thus, biphasic positive airway pressure delivered by helmet was applied, which improved gas exchange and patient-ventilator interaction, allowing successful NIV. (Anesth Analg 2009;109:164-7)

引用

页码：164 / 167

页数：4

共 13 条

[1]

New treatment of acute hypoxemic respiratory failure: Noninvasive pressure support ventilation delivered by helmet - A pilot controlled trial [J].