Extubating to Noninvasive Ventilation: Noninvasive Ventilation from Intensive Care Unit to Home

Ashima S. Sahni; Lien Khuong Tran; Lisa Wolfe

doi:10.1016/j.jsmc.2020.08.010

Extubating to Noninvasive Ventilation: Noninvasive Ventilation from Intensive Care Unit to Home

Ashima S. Sahni^*, Lien Khuong Tran, Lisa Wolfe

^*Corresponding author for this work

Medicine, Pulmonary Division

Research output: Contribution to journal › Review article › peer-review

Abstract

Weaning to noninvasive ventilation in intensive care unit and bridging the patients to home with respiratory support is evolving as the technology of noninvasive ventilation is improving. In patients with chronic obstructive pulmonary disease exacerbation, timing of initiation of noninvasive ventilation is the key, as persistently hypercapnic patients show benefits. High-intensity pressure support seems to do better in comparison to low-intensity pressure support. In patients with obesity and hypercapnia, obesity hypoventilation cannot be ruled out especially in an inpatient setting, and it is crucial that these patients are discharged with noninvasive ventilation.

Original language	English (US)
Pages (from-to)	581-592
Number of pages	12
Journal	Sleep Medicine Clinics
Volume	15
Issue number	4
DOIs	https://doi.org/10.1016/j.jsmc.2020.08.010
State	Published - Dec 2020

Keywords

Acute respiratory failure
Home respiratory care
Hypercapnia
Noninvasive ventilation
Weaning

ASJC Scopus subject areas

Neuropsychology and Physiological Psychology
Clinical Psychology
Clinical Neurology
Psychiatry and Mental health

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10.1016/j.jsmc.2020.08.010

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title = "Extubating to Noninvasive Ventilation: Noninvasive Ventilation from Intensive Care Unit to Home",

abstract = "Weaning to noninvasive ventilation in intensive care unit and bridging the patients to home with respiratory support is evolving as the technology of noninvasive ventilation is improving. In patients with chronic obstructive pulmonary disease exacerbation, timing of initiation of noninvasive ventilation is the key, as persistently hypercapnic patients show benefits. High-intensity pressure support seems to do better in comparison to low-intensity pressure support. In patients with obesity and hypercapnia, obesity hypoventilation cannot be ruled out especially in an inpatient setting, and it is crucial that these patients are discharged with noninvasive ventilation.",

keywords = "Acute respiratory failure, Home respiratory care, Hypercapnia, Noninvasive ventilation, Weaning",

author = "Sahni, {Ashima S.} and Tran, {Lien Khuong} and Lisa Wolfe",

note = "Funding Information: The authors have no disclosures related to any relationship with a commercial company that has a direct financial interest in subject matter or materials discussed in article or with a company making a competing product.",

year = "2020",

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doi = "10.1016/j.jsmc.2020.08.010",

language = "English (US)",

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T2 - Noninvasive Ventilation from Intensive Care Unit to Home

AU - Sahni, Ashima S.

AU - Tran, Lien Khuong

AU - Wolfe, Lisa

N1 - Funding Information: The authors have no disclosures related to any relationship with a commercial company that has a direct financial interest in subject matter or materials discussed in article or with a company making a competing product.

PY - 2020/12

Y1 - 2020/12

N2 - Weaning to noninvasive ventilation in intensive care unit and bridging the patients to home with respiratory support is evolving as the technology of noninvasive ventilation is improving. In patients with chronic obstructive pulmonary disease exacerbation, timing of initiation of noninvasive ventilation is the key, as persistently hypercapnic patients show benefits. High-intensity pressure support seems to do better in comparison to low-intensity pressure support. In patients with obesity and hypercapnia, obesity hypoventilation cannot be ruled out especially in an inpatient setting, and it is crucial that these patients are discharged with noninvasive ventilation.

AB - Weaning to noninvasive ventilation in intensive care unit and bridging the patients to home with respiratory support is evolving as the technology of noninvasive ventilation is improving. In patients with chronic obstructive pulmonary disease exacerbation, timing of initiation of noninvasive ventilation is the key, as persistently hypercapnic patients show benefits. High-intensity pressure support seems to do better in comparison to low-intensity pressure support. In patients with obesity and hypercapnia, obesity hypoventilation cannot be ruled out especially in an inpatient setting, and it is crucial that these patients are discharged with noninvasive ventilation.

KW - Acute respiratory failure

KW - Home respiratory care

KW - Hypercapnia

KW - Noninvasive ventilation

KW - Weaning

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