Document Detail


Intermittent positive pressure ventilation via nasal access in the management of respiratory insufficiency.
MedLine Citation:
PMID:  3297517     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
These are preliminary observations of the introduction of a new technique of noninvasive positive pressure respiratory support for patients with subacute or chronic respiratory failure. Clinical situations where intubation or tracheostomy may have been performed were managed by intermittent positive pressure ventilation via nasal access (NIPPV) with a CPAP mask, or a custom constructed Vel-Foam nose piece. Four patients were managed at home with the use of portable volume ventilators. One patient employed the technique while hospitalized with subacute respiratory failure. Two patients, otherwise dependent on mouth intermittent positive pressure ventilation (MIPPV) 24 hours a day, received necessary dental care with NIPPV support. In a large population with a decade or more follow-up, MIPPV was shown to be an effective noninvasive technique to support respiration in patients with the most severe paralytic respiratory failure. Preliminary observations suggest that NIPPV may compare favorably with MIPPV and deserves more widespread study and application.
Authors:
J R Bach; A Alba; R Mosher; A Delaubier
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Chest     Volume:  92     ISSN:  0012-3692     ISO Abbreviation:  Chest     Publication Date:  1987 Jul 
Date Detail:
Created Date:  1987-08-12     Completed Date:  1987-08-12     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0231335     Medline TA:  Chest     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  168-70     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Female
Humans
Intermittent Positive-Pressure Breathing / instrumentation,  methods*
Male
Multiple Sclerosis / complications
Muscular Dystrophies / complications
Nose
Positive-Pressure Respiration / methods*
Respiratory Insufficiency / etiology,  therapy*
Respiratory Paralysis / therapy
Scoliosis / complications
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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