 |
|
Should noninvasive ventilation be considered a high-risk procedure during an epidemic?
October 13, 2009Contrary to current policies recommending that non-invasive ventilation be avoided during an infectious outbreak, the author of a commentary (pre-embargo media link only http://www.cmaj.ca/embargo/cmaj081987.pdf) in CMAJ (Canadian Medical Association Journal) www.cmaj.ca argues that it should be used expeditiously in this setting.
Noninvasive ventilation uses a mask interface to ventilate the lungs of patients in respiratory failure, rather than a tube inserted into the trachea. Because suitable candidates for noninvasive ventilation avoid complications associated with endotracheal intubation, they have better outcomes compared to similar patients who are ventilated invasively.
Prohibitions against noninvasive ventilation were implemented during the SARS (severe acute respiratory syndrome) outbreak in 2003 because it was thought that flow from the mask increased the risk of infectious transmission to staff. Since then, the World Health Organization, the United Kingdom's National Health Agency, the Hong Kong Lung Association, the American Association of Respiratory Care and Ontario's Provincial Infectious Diseases Advisory Committee have published guidelines that treat noninvasive ventilation as a high-risk procedure.
"During the SARS epidemic, the suggestion that noninvasive ventilation may increase the risk of disease transmission was considered sufficient justification to avoid its use. However in the 6 years since then, no convincing evidence has substantiated that theory. On the other hand, noninvasive ventilation has been proven to save the lives of some patients in acute respiratory failure", writes John McCracken, a respiratory therapist at Peterborough Regional Health Centre in Peterborough Ontario Canada.
"It is in no one's best interest for patients to undergo endotracheal intubation in cases where it could be avoided. In light of the available evidence, the precautionary principle would suggest that it is imprudent for policymakers to await scientific certainty. Noninvasive ventilation can be accomplished using simple portable equipment. "If the demand for sophisticated ICU ventilators threatens to exceed supply during an infectious outbreak, the expeditious use of noninvasive ventilation would help conserve the equipment for those who need it most," concludes the author.
Canadian Medical Association Journal
"During the SARS epidemic, the suggestion that noninvasive ventilation may increase the risk of disease transmission was considered sufficient justification to avoid its use. However in the 6 years since then, no convincing evidence has substantiated that theory. On the other hand, noninvasive ventilation has been proven to save the lives of some patients in acute respiratory failure", writes John McCracken, a respiratory therapist at Peterborough Regional Health Centre in Peterborough Ontario Canada.
"It is in no one's best interest for patients to undergo endotracheal intubation in cases where it could be avoided. In light of the available evidence, the precautionary principle would suggest that it is imprudent for policymakers to await scientific certainty. Noninvasive ventilation can be accomplished using simple portable equipment. "If the demand for sophisticated ICU ventilators threatens to exceed supply during an infectious outbreak, the expeditious use of noninvasive ventilation would help conserve the equipment for those who need it most," concludes the author.
Canadian Medical Association Journal
Computer-driven system reduces patient mechanical ventilation time significantly
For patients with acute respiratory failure, a computer-driven system can significantly reduce the duration of mechanical ventilation and length of stay in the intensive care unit (ICU), as compared with the traditional physician-controlled weaning process.
More Noninvasive Ventilation Current Events and Noninvasive Ventilation News Articles
 |
Non-Invasive Respiratory Support Techniques: Oxygen Therapy, Non-Invasive Ventilation and CPAP by Glenda Esmond (Author), Christine Mikelsons (Author) Respiratory support techniques for treating respiratory failure - including oxygen therapy, non-invasive ventilation (NIV) and continuous positive airway pressure (CPAP) - are used in a variety of healthcare settings, which include intensive care units, high dependency units, respiratory wards and the community. In response to national guidelines there are growing numbers of patients being considered for non-invasive respiratory support techniques, both as a short and long term treatment, resulting in an increasing number of healthcare professionals requiring knowledge and skills to provide care. Written for qualified healthcare professionals with experience of caring for patients with respiratory conditions, this text provides a practical guide to oxygen therapy, NIV and CPAP, clearly... |
 |
Adapting to Breathing Changes and Use of Noninvasive Ventilation Also With: als (Producer) starting with a review of normal breathing this video review how als impacts this vital body function and what can be done to help the person with als.as the muscles used for breathing become weak people with als can benefit from a range of techniques and eguipment such as noninvasive ventilation... |
 |
Noninvasive Mechanical Ventilation by John R. Bach MD (Author) (Hanley & Belfus) Univ. of Medicine and Dentistry of New Jersey, Newark. Presents the use of noninvasive ventilatory techniques to eliminate respiratory mortality, and avoid the need to resort to tracheostomy in patients with lung or neuromuscular disease. Covers various noninvasive inspiratory and expiratory muscle aids and their outcomes. Halftone images. Softcover. |
 |
Non-Invasive Ventilation Made Simple by William J. M. Kinnear (Author) This book is a practical handbook which will tell you everything you need to know about Non-Invasive Ventilation, whether you are using BIPAP in an acute medical setting or running a home ventilation service for patients with chronic respiratory failure. |
 |
Clinical Application of Mechanical Ventilation by David W. Chang (Author) With a concise and easy-to-read approach, the new edition of this book integrates the essential concepts of respiratory physiology with the clinical application of mechanical ventilation. Extensive coverage of airway management and weaning criteria, and a concise view of pharmacotherapy for mechanical ventilation are included. Each chapter features visual examples illustrating concepts, key points summarized in margin references, and assessment questions written in NRBC format, to help prepare learners to sit for the exam. Fifteen case studies enable learners to apply theoretical knowledge to real-world critical thinking situations they may face in the field. |
 |
Noninvasive Positive Pressure Ventilation: Principles and Applications by Nicholas S. Hill (Editor) Noninvasive Positive Pressure Ventilation offers practical, evidence-based advice from experienced authors on the selection of appropriate patients, equipment and techniques used in the initiation of noninvasive positive pressure ventilation (NPPV). It discusses how to anticipate and resolve possible problem scenarios, and how to implement and monitor NPPV programs both in hospitals and in the patient's home. Defined as ventilatory assistance given without the need for an invasive airway, NPPV is often preferred over invasive mechanical ventilation because it is more convenient to use, more comfortable for the patient, and avoids complications of invasive mechanical ventilation including upper airway trauma, nosocomial pneumonias, sinusitis and sepsis. However, recipients of NPPV... |
 |
Respiratory System and Artificial Ventilation by Umberto Lucangelo (Author), Paolo Pelosi (Author), Walter A. Zin (Author), Andrea Aliverti (Author) Respiratory system and artificial ventilation are key topics when considering the main aspects of Anaesthesiology and Critical Care Medicine: assisted ventilation techniques are essential to preserve the patient’s life, but just as any other treatments they can be also extremely pernicious. Scientific research and clinical evidences are equally fundamental in investigating the best methods to provide effective support and increase positive outcomes. It is obviously desirable that this knowledge and know-how are widely shared among scientists and practitioners. With this purpose, the book includes contributions by an international panel of authors and gathers their varied and valuable expertise up to illustrate principles, study results and case... |
 |
Noninvasive Ventilation Second Edition Mongraph 41, Novemeber 2008 by J-F. Muir (Author), N. Ambrosino (Author), A. K. Simonds (Author) |
|
Discharge planning for the NPPV patient.(noninvasive positive pressure ventilation ): An article from: FOCUS: Journal for Respiratory Care & Sleep Medicine by James Stegmaier (Author) This digital document is an article from FOCUS: Journal for Respiratory Care & Sleep Medicine, published by Focus Publications, Inc. on March 22, 2005. The length of the article is 1271 words. The page length shown above is based on a typical 300-word page. The article is delivered in HTML format and is available in your Amazon.com Digital Locker immediately after purchase. You can view it with any web browser. Citation Details Title: Discharge planning for the NPPV patient.(noninvasive positive pressure ventilation ) Author: James Stegmaier Publication: FOCUS: Journal for Respiratory Care & Sleep Medicine (Magazine/Journal) Date: March 22, 2005 Publisher: Focus Publications, Inc. Page: 20(2) Distributed by Thomson... | |
|
Noninvasive Mechanical Ventilation (European Respiratory Monograph) by A.K. Simonds (Editor), N. Ambrosino (Editor), J-F. Muir (Editor) |
| © 2009 BrightSurf.com |