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Book ChapterDOI

ICU Ventilators Versus BiPAP Ventilators in Noninvasive Ventilation

Tamer S. Fahmy, +1 more
- pp 31-39
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TLDR
The choice of a ventilator may be crucial for the success of NIV in the acute setting, because intolerance and excessive air leaks are significantly correlated with NIV failure.
Abstract
In contrast to the closed-circuit ventilation of invasive ventilation, noninvasive ventilation (NIV) is an open-circuit ventilation where leaks are inherent and, paradoxically, essential to its success. The success of NIV, whether in the acute setting, weaning, or long-term therapy is dependent on all three aspects for its use, appropriate patient selection, suitably fitting interface, and a specifically designed machine. The choice of a ventilator may be crucial for the success of NIV in the acute setting, because intolerance and excessive air leaks are significantly correlated with NIV failure [10].

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Citations
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Journal ArticleDOI

Home mechanical ventilation in children with chronic respiratory failure: a narrative review

TL;DR: Clinical considerations for HMV in children are outlined, showing that HMV continues to change the scope of treatment for chronic respiratory failure in children in that it decreases respiratory morbidity and prolongs life spans.
References
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Journal ArticleDOI

Patient-ventilator asynchrony during noninvasive ventilation: a bench and clinical study.

TL;DR: In this paper, a clinical study evaluated the incidence of patient-ventilator asynchronies in 15 patients during three randomized, consecutive, 20-min periods of NIV using an ICU ventilator with and without its NIV algorithm engaged and a dedicated NIV ventilators.
Journal ArticleDOI

Home versus intensive care pressure support devices. Experimental and clinical comparison.

TL;DR: Differences exist between devices in terms of occurrence of rebreathing, speed of attainment of stable pressure support level, and expiratory resistance, and these differences characterizing the delivery of pressure support may have clinical impact on the inspiratory effort of patients.
Journal ArticleDOI

Leak compensation in positive pressure ventilators: a lung model study

TL;DR: Pressure-targeted ventilators are preferred for noninvasive positive pressure ventilation in patients with substantial air leaking, andequate inspiratory flows and durations should be used, triggering sensitivity should be adjusted to prevent autocycling, and a mechanism should be available to limit inspiratory time and avoid I:E ratio inversion.
Journal ArticleDOI

Evaluating noninvasive ventilation using a monitoring system coupled to a ventilator: a bench-to-bedside study

TL;DR: The systematic use of the VPAPTMIII-ResLinkTM enables NIV to be optimised, limiting the indication of sleep studies to complex cases.
Journal ArticleDOI

Bilevel vs ICU Ventilators Providing Noninvasive Ventilation: Effect of System Leaks: A COPD Lung Model Comparison

TL;DR: Clinicians should be aware that in the presence of leaks, most ICU ventilators require adjustments to maintain an adequate tidal volume, although the clinical significance of these differences is unclear.
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