Nasal ventilation to facilitate weaning in patients with chronic respiratory insufficiency.

• DOI: 10.1136/thx.47.9.715
• Publication Date: 2008-12-13T03:22:59Z
• Authors: Z F Udwadia; G K Santis; M H Steven; A K Simonds
• Keywords: Work of breathing; Obstructive lung disease; Artificial ventilation

BACKGROUND: The non-invasive technique of nasal intermittent positive pressure ventilation (NIPPV) has an established role in providing domiciliary nocturnal ventilatory support patients with chest wall disorders, neuromuscular disease, and chronic obstructive lung disease. NIPPV was used to simplify management assist the return spontaneous breathing respiratory insufficiency who had failed wean from conventional (IPPV). METHODS: A trial carried out 22 weaning difficulties. Nine disorders or primary six conditions, seven cardiac additional pulmonary Conventional IPPV via endotracheal tube tracheostomy been continued postoperatively nine 13 ventilated after acute cardiorespiratory decompensation. RESULTS: for a median 31 days (range 2-219). Eighteen were successfully transferred discharged home 11 8-13) starting this type ventilation. Sixteen remain well 1-50 months hospital discharge 10 these continue on NIPPV. Seven have returned work. CONCLUSION: can be facilitate reduce need intensive care accommodation exacerbation that requires intubation IPPV.