6533b822fe1ef96bd127d927

RESEARCH PRODUCT

New modes in non-invasive ventilation

Guillaume EmeriaudClaudio RabecM. GeorgesBrigitte FaurouxBrigitte FaurouxBrigitte FaurouxAlessandro AmadeoAlessandro AmadeoAlessandro Amadeo

subject

Pulmonary and Respiratory MedicineComplex sleep apneamedicine.medical_specialtyCentral sleep apneaAdaptive servo ventilation[ SDV.MHEP.PED ] Life Sciences [q-bio]/Human health and pathology/PediatricsCheyne-stokes respirationReview030204 cardiovascular system & hematologyPositive airway pressureRespiratory failure[SDV.MHEP.PSR]Life Sciences [q-bio]/Human health and pathology/Pulmonology and respiratory tractAssured pressure support03 medical and health sciences0302 clinical medicinemedicineNeurally adjusted ventilatory assistVentilatory modesHumansIntensive care medicineObstructive pulmonary-diseaseComplex sleep-apnea[SDV.MHEP.PED]Life Sciences [q-bio]/Human health and pathology/PediatricsNoninvasive Ventilationbusiness.industryDiaphragm electrical-activityNon invasive ventilationmedicine.diseaseNeuro adjusted ventilatory assistClinical PracticeRandomized controlled-trialAdaptative servo ventilationChronic heart-failure030228 respiratory systemRespiratory failurePediatrics Perinatology and Child HealthBreathingCentral sleep apneabusinessRespiratory InsufficiencyImproves cardiac-function[ SDV.MHEP.PSR ] Life Sciences [q-bio]/Human health and pathology/Pulmonology and respiratory tract

description

IF 2.536; International audience; Non-invasive ventilation is useful to treat some forms of respiratory failure. Hence, the number of patients receiving this treatment is steadily increasing. Considerable conceptual and technical progress has been made in recent years by manufacturers concerning this technique. This includes new features committed to improve its effectiveness as well as patient-ventilator interactions. The goal of this review is to deal with latest advances in ventilatory modes and features available for non-invasive ventilation. We present a comprehensive analysis of new modes of ventilator assistance committed to treat respiratory failure (hybrid modes) and central and complex sleep apnea (adaptive servo ventilation), and of new modes of triggering and cycling (neurally adjusted ventilatory assist). Technical aspects, modes of operation and settings of these new features as well as an exhaustive review of published data, their benefits and limits, and the potential place of these devices in clinical practice, are discussed. (C) 2015 Elsevier Ltd. All rights reserved.

10.1016/j.prrv.2015.10.004https://hal-univ-bourgogne.archives-ouvertes.fr/hal-01437335