TITLE

Cephalic versus oronasal mask for noninvasive ventilation in acute hypercapnic respiratory failure

AUTHOR(S)
Cuvelier, Antoine; Pujol, Wilfried; Pramil, Stéphanie; Molano, Luis Carlos; Viacroze, Catherine; Muir, Jean-François
PUB. DATE
March 2009
SOURCE
Intensive Care Medicine;Mar2009, Vol. 35 Issue 3, p519
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Compared to oronasal interfaces, a cephalic mask has a larger inner volume, covers the entire anterior surface of the face and limits the risk of deleterious cutaneous side effects during noninvasive ventilation (NIV). The present clinical study aimed to compare the clinical efficacy of a cephalic mask versus an oronasal mask in patients with acute hypercapnic respiratory failure (AHRF). Randomized controlled study in a Respiratory Intermediate Care Unit. All consecutive patients admitted for AHRF were randomly assigned to receive bilevel NIV either with a cephalic mask ( n = 17) or an oronasal mask ( n = 17) during the first 48 h. The main outcome criterion was the improvement of arterial pH, 24 h after NIV initiation. Secondary criteria included PaCO2 and physiological parameters. Compared to values at inclusion, pH, PaCO2, encephalopathy score, respiratory distress score and respiratory frequency improved significantly and similarly with both masks. None of these parameters showed statistically significant differences between the masks at each time point throughout the study period. Mean delivered inspiratory and expiratory pressures were similar in both patient groups. Tolerance of the oronasal mask was improved at 24 h and further. One patient with the cephalic mask suffered from claustrophobia that did not lead to premature study interruption. In spite of its larger inner volume, the cephalic mask has the same clinical efficacy and requires the same ventilatory settings as the oronasal mask during AHRF.
ACCESSION #
36502952

 

Related Articles

  • Noninvazif Mekanik Ventilasyon. Karakurt, Sait // Marmara Medical Journal;2011, Vol. 24 Issue 1, p44 

    Respiratory failure in patients hospitalized in the intensive care unit is a common clinical problem. These patients need respiratory support until the effect of medical treatment begins. Positive pressure ventilation is used to support patients with respiratory failure. Mechanical ventilatory...

  • Principles of Weaning From the Mechanical Ventilation. Hasani, Antigona; Grbolar, Adem // Acta Informatica Medica;2008, Vol. 16 Issue 2, p83 

    Ventilatory support is an essential lifesaving therapy for intensive care patients with respiratory failure. Respiratory failure occurs when gas exchange becomes significantly impaired. The aim of mechanical ventilation is to provide adequate gas exchange in these patients. A goal of critical...

  • Response to hypercapnic challenge is associated with successful weaning from prolonged mechanical ventilation due to brain stem lesions. Wu, Yao-Kuang; Lee, Chih-Hsin; Shia, Ben-Chang; Tsai, Ying-Huang; Tsao, Thomas C. Y. // Intensive Care Medicine;Jan2009, Vol. 35 Issue 1, p108 

    We propose that higher airway occlusion pressure (P0.1) responses to hypercapnic challenge (HC) indicate less severe injury. The study aim was to determine whether P0.1 responses to HC were associated with successful weaning after prolonged mechanical ventilation (PMV) in patients with brainstem...

  • Noninvasive ventilation for hypercapnic respiratory failure in COPD: Encephalopathy and initial post- support deterioration of pH and PaCO2 may not predict failure. Kumar Mani, Raj // Indian Journal of Critical Care Medicine;Oct-Dec2005, Vol. 9 Issue 4, p217 

    Objectives: To correlate the degree of encephalopathy, baseline values of PaCO2 and pH, and their early response to NIV with eventual in-hospital outcome in patients of severe acute-on-chronic hypercapnic respiratory failure in COPD. Design: Retrospective review. Setting: Intensive care unit....

  • Critical patients under mechanical ventilation: care strategies for the prevention of infections. Palma, Elisabetta; Pongetti, Sabrina; Romiti, Roberta; Discepoli, Monica; Pederneschi, Katiuscia // SCENARIO: Official Italian Journal of ANIARTI;2013, Vol. 30 Issue 2Sup, p49 

    An abstract of the study "Critical Patients Under Mechanical Ventilation: Care Strategies for the Prevention of Infections," by Elisabetta Palma is presented.

  • Automatic selection of breathing pattern using adaptive support ventilation. Arnal, Jean-Michel; Wysocki, Marc; Nafati, Cyril; Donati, Stéphane; Granier, Isabelle; Corno, Gaëlle; Durand-Gasselin, Jacques // Intensive Care Medicine;Jan2008, Vol. 34 Issue 1, p75 

    In a cohort of mechanically ventilated patients to compare the automatic tidal volume ( V T)–respiratory rate (RR) combination generated by adaptive support ventilation (ASV) for various lung conditions. Prospective observational cohort study in the 11-bed medicosurgical ICU of a general...

  • Noninvasive pressure support ventilation in non-COPD patients with acute cardiogenic pulmonary edema and severe community-acquired pneumonia: acute effects and outcome. Domenighetti, G.; Gayer, R.; Gentilini, R. // Intensive Care Medicine;Sep2002, Vol. 28 Issue 9, p1226 

    Objective: To compare the acute effects of noninvasive pressure support ventilation (NIPSV) in non-COPD patients with acute cardiogenic pulmonary edema (CPE) and severe community-acquired pneumonia (CAP) presenting with a similar hypoxemic respiratory failure and exploring the...

  • Predicting non-invasive ventilation failure in children from the SpO/FiO (SF) ratio. Mayordomo-Colunga, Juan; Pons, Martí; López, Yolanda; José Solana, M.; Rey, Corsino; Martínez-Camblor, Pablo; Rodríguez-Núñez, Antonio; López-Herce, Jesús; Medina, Alberto; Abadesso, Clara; Ángeles García-Teresa, M.; Gáboli, Mirella; García-López, Milagros; González-Sánchez, María; Madurga-Revilla, Paula; González-Calvar, Amelia; Oñate, Eider // Intensive Care Medicine;Jun2013, Vol. 39 Issue 6, p1095 

    Purpose: Our objective was to assess whether SpO/FiO (SF) ratio could be a useful NIV outcome predictor in children with acute respiratory failure (ARF) and tried to develop a predictive model of NIV failure. Methods: Prospective, observational, multicenter study. Episodes of ARF-fulfilling...

  • EARLY NON-INVASIVE VENTILATION AFTER EXTUBATION HELPS SOME PATIENTS.  // RN;Sep2009, Vol. 72 Issue 9, p14 

    This article discusses a recent study reported in "The Lancet" which showed that early, non-invasive ventilation after extubation could help prevent respiratory failure in the intensive care setting. Additionally, the 90-day mortality rate was lower in the patient group treated with non-invasive...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics