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…
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References
SHOWING 1-10 OF 33 REFERENCES
Noninvasive pressure support ventilation in patients with acute respiratory failure. A randomized comparison with conventional therapy.
- Medicine, BiologyChest
- 1995
It is concluded that NIPSV is of no benefit when used systematically in all forms of acute respiratory failure not related to COPD and a subgroup of patients, characterized by acute ventilatory failure and hypercapnia, may potentially benefit from this therapy.
NONINVASIVE VENTILATION FOR ACUTE EXACERBATIONS OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE
- Medicine
- 2000
A prospective, randomized study comparing noninvasive pressure-support ventilation delivered through a face mask with standard treatment in patients admitted to five intensive care units over a 15-month period suggests that this approach can reduce the need for endotracheal intubation and the length of the hospital stay.
Randomized, prospective trial of noninvasive positive pressure ventilation in acute respiratory failure.
- MedicineAmerican journal of respiratory and critical care medicine
- 1995
Noninvasive positive pressure ventilation administered by nasal or oronasal mask avoids the need for endotracheal intubation, rapidly improves vital signs, gas exchange, and sense of dyspnea, and may reduce mortality in selected patients with acute respiratory failure.
Noninvasive positive pressure ventilation via face mask. First-line intervention in patients with acute hypercapnic and hypoxemic respiratory failure.
- MedicineChest
- 1996
Application of NPPV in clinical practice is an effective and safe alternative to ETI in many hemodynamically stable patients with hypercapnic ARF and in those with hypoxemic ARF in whom the clinical condition can be readily reversed in 48 to 72 h.
Treatment of severe cardiogenic pulmonary edema with continuous positive airway pressure delivered by face mask.
- Medicine, BiologyThe New England journal of medicine
- 1991
This short-term study could not establish whether continuous positive airway pressure has any long-term benefit or whether a larger study would have shown a difference in mortality between the treatment groups, and no significant difference was found in in-hospital mortality.
Noninvasive positive-pressure ventilation via face mask during bronchoscopy with BAL in high-risk hypoxemic patients.
- MedicineChest
- 1996
NPPV should be considered during bronchoscopy of immunosuppressed patients with severe hypoxemia, and NPPV significantly improved PaO2/FIo2 and O2 saturation.
Comparison of three methods of gradual withdrawal from ventilatory support during weaning from mechanical ventilation.
- MedicineAmerican journal of respiratory and critical care medicine
- 1994
A randomized trial in three intensive care units in mechanically ventilated patients who met standard weaning criteria found a lower number of failures was found with PSV than with the other two modes, with the difference just reaching the level of significance.
Continuous positive airway pressure by face mask in acute cardiogenic pulmonary edema.
- MedicineThe American journal of cardiology
- 1985
Randomised controlled trial of nasal ventilation in acute ventilatory failure due to chronic obstructive airways disease
- MedicineThe Lancet
- 1993
Reappraisal of continuous positive airway pressure therapy in acute cardiogenic pulmonary edema. Short-term results and long-term follow-up.
- MedicineChest
- 1995
Although study size was not large enough to demonstrate a difference in mortality, CPAP therapy resulted in physiologic cardiovascular and pulmonary function improvement and significantly reduced the need for intubation; however, it did not decrease mortality in patients with acute cardiogenic pulmonary edema.


