INTERMITTENT VOLUME CYCLED MECHANICAL VENTILATION VIA NASAL MASK IN PATIENTS WITH RESPIRATORY-FAILURE DUE TO COPD

被引:79
作者
MARINO, W
机构
[1] Our Lady of Mercy Medical Ctr., Bronx, NY 10466
关键词
D O I
10.1378/chest.99.3.681
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Intermitten mechanical ventilation via nasal CPAP mask was provided to 13 patients admitted to this institution for exacerbation of chronic respiratory failure. Ten suffered from COPD, two suffered from obesity hypoventilation syndrome (OHS), and one from severe hypothyroidism. All except one presented with dyspnea and hypercapnia due solely to progression of their underlying disease processes. Six of the patients with COPD and the patient with hypothyroidism responded to positive pressure ventilation by mask with improvements in blood gas values and clinical status. The remaining two patients with COPD and the two patients with OHS were unable to use the system. Four of the patients with COPD and chronic respiratory failure have been subsequently maintained on daily volume ventilation via nasal mask for about 20 months with persistent clinical and physiologic improvements. Application of volume ventilation through the nasal CPAP mask is a feasible strategy for providing long-term mechanical ventilation to selected patients with COPD and respiratory failure.
引用
收藏
页码:681 / 684
页数:4
相关论文
共 11 条
  • [1] INTERMITTENT POSITIVE PRESSURE VENTILATION VIA NASAL ACCESS IN THE MANAGEMENT OF RESPIRATORY INSUFFICIENCY
    BACH, JR
    ALBA, A
    MOSHER, R
    DELAUBIER, A
    [J]. CHEST, 1987, 92 (01) : 168 - 170
  • [2] BRAUN NMT, 1984, CHEST S, V85, P59
  • [3] NONINVASIVE VENTILATORY SUPPORT DURING SLEEP IMPROVES RESPIRATORY-FAILURE IN KYPHOSCOLIOSIS
    ELLIS, ER
    GRUNSTEIN, RR
    CHAN, S
    BYE, PTP
    SULLIVAN, CE
    [J]. CHEST, 1988, 94 (04) : 811 - 815
  • [4] SUSTAINED REVERSAL OF CHRONIC HYPERCAPNIA IN PATIENTS WITH ALVEOLAR HYPOVENTILATION SYNDROMES - LONG-TERM MAINTENANCE WITH NON-INVASIVE NOCTURNAL MECHANICAL VENTILATION
    GARAY, SM
    TURINO, GM
    GOLDRING, RM
    [J]. AMERICAN JOURNAL OF MEDICINE, 1981, 70 (02) : 269 - 274
  • [5] HAAS A, 1979, PULMONARY THERAPY RE, P146
  • [6] EFFECT OF CARBON-DIOXIDE ON DIAPHRAGMATIC FUNCTION IN HUMAN-BEINGS
    JUAN, G
    CALVERLEY, P
    TALAMO, C
    SCHNADER, J
    ROUSSOS, C
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 1984, 310 (14) : 874 - 879
  • [7] KERBY GR, 1987, AM REV RESPIR DIS, V135, P738
  • [8] MARINO W, 1982, AM REV RESPIR DIS, V125, P855
  • [9] MARINO WD, 1986, AM REV RESPIR DIS, V133, P167
  • [10] NONINVASIVE FACE MASK VENTILATION IN PATIENTS WITH ACUTE RESPIRATORY-FAILURE
    MEDURI, GU
    CONOSCENTI, CC
    MENASHE, P
    NAIR, S
    [J]. CHEST, 1989, 95 (04) : 865 - 870