Non-invasive bi-level positive airway pressure ventilation (BIPAP) in the treatment of acute respiratory failure
Abstract
Mechanical intermittent positive pressure ventilation effectively provides ventilatory support in patients with acute respiratory failure (ARF), but it requires placing artificial airways resulting in such complications as ventilator pneumonia, mechanical damage of larynx and trachea and others. In this article we discuss the validities and advantages of alternative method of mechanical ventilation – non-invasive positive pressure ventilation (NPPV) via nasai and facial masks. We consider indication and exclusion cruteria for NPPV, different modes of ventilation used more often with NPPV, the groups of patients with ARF which may benefit from NPPV. We also review several controlled and uncontrolled stydies showed advantages of NPPV over convectional methods resuited in reduction in intubation rates, hospital mortality and length of stay in hospital. We present case report showed the efficacy of NPPV in 68-old patient with acute respiratory failure due to acute exacerbation of chronic obstructive pulmonary disease.
About the Authors
S. N. Avdeev
НИИ пульмонологии М3 РФ
Russian Federation
Russian Federation
A. V. Tretjakov
НИИ пульмонологии М3 РФ
Russian Federation
Russian Federation
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Review
For citations:
Avdeev S.N., Tretjakov A.V. Non-invasive bi-level positive airway pressure ventilation (BIPAP) in the treatment of acute respiratory failure. PULMONOLOGIYA. 1996;(4):33-37. (In Russ.)
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