A Comparison of Noninvasive Positive-Pressure Ventilation and Conventional Mechanical Ventilation in Patients with Acute Respiratory Failure

@article{Antonelli1998ACO,
  title={A Comparison of Noninvasive Positive-Pressure Ventilation and Conventional Mechanical Ventilation in Patients with Acute Respiratory Failure},
  author={Massimo Antonelli and Giorgio Conti and Monica Rocco and M. Bufi and Roberto Alberto De Blasi and Gabriella Vivino and Alessandro Gasparetto and Gianfranco Umberto Meduri},
  journal={The New England Journal of Medicine},
  year={1998},
  volume={339},
  pages={429-435}
}
Background and Methods The role of noninvasive positive-pressure ventilation delivered through a face mask in patients with acute respiratory failure is uncertain. We conducted a prospective, randomized trial of noninvasive positive-pressure ventilation as compared with endotracheal intubation with conventional mechanical ventilation in 64 patients with hypoxemic acute respiratory failure who required mechanical ventilation. Results Within the first hour of ventilation, 20 of 32 patients (62… 
Noninvasive positive-pressure ventilation as a weaning strategy for intubated adults with respiratory failure.
TLDR
Compared with IPPV weaning, NPPV weaned significantly decreased mortality, and the benefits for mortality were significantly greater in trials enrolling exclusively participants with COPD (risk ratio) and reintubation (RR 0.55) amidst significant heterogeneity.
Non-invasive positive pressure ventilation in patients with acute respiratory failure.
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  • 2002
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The benefit of non-invasive positive pressure ventilation appears to be established in patients with chronic obstructive airways disease with hypercapnic acute respiratory failure, one of the major unresolved issues is whether one modality is significantly better than the others.
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This review is meant to familiarize the burn specialist with the current uses, benefits, risks, and complications of NIV and opportunities and horizons for ventilation without intubation of the trachea are proposed.
ROLE OF NON-INVASIVE VENTILATION (NIV) IN PATIENTS WITH ACUTE HYPOXAEMIC RESPIRATORY FAILURE
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  • 2020
TLDR
NIV is not a substitute or replacement to invasive ventilation in all patients of acute hypoxemic respiratory failure but it can be useful alternative in selected patients depending on clinical and technical experience of the intensivist and familiarity of care giver with non-invasive ventilation.
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TLDR
The application of CPAP at least as a first line of treatment for flail chest caused by blunt thoracic trauma is supported, with lower mortality and a lower nosocomial infection rate compared with intermittent positive pressure ventilation.
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TLDR
Although PAV seems more comfortable and intolerance occurred less frequently, no major differences exist in terms of physiological improvement or interms of outcomes when comparing PSV and PAV.
Noninvasive ventilation to facilitate extubation in a pediatric intensive care unit
TLDR
Noninvasive positive pressure ventilation can facilitate endotracheal extubation in pediatric patients with diverse diagnoses who have failed or who are at risk of failing Extubation, including those with neuromuscular weakness.
Noninvasive vs. conventional mechanical ventilation in patients with chronic obstructive pulmonary disease after failure of medical treatment in the ward: a randomized trial
TLDR
The use of NPPV in patients with chronic obstructive pulmonary disease and acute respiratory failure requiring ventilatory support after failure of medical treatment avoided ETI in 48% of the patients, had the same ICU mortality as conventional treatment and, at 1-year follow-up was associated with fewer patients readmitted to the hospital or requiring for long-term oxygen supplementation.
Noninvasive ventilation in immunosuppressed patients with pulmonary infiltrates, fever, and acute respiratory failure.
TLDR
In selected immunosuppressed patients with pneumonitis and acute respiratory failure, early initiation of noninvasive ventilation is associated with significant reductions in the rates of endotracheal intubation and serious complications and an improved likelihood of survival to hospital discharge.
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