Initiation of Noninvasive Ventilation for Sleep Related Hypoventilation Disorders: Advanced Modes and Devices

Bernardo J. Selim, Lisa F Wolfe, John Martin Coleman III, Naresh A. Dewan*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

18 Scopus citations

Abstract

Although noninvasive ventilation (NIV) has been used since the 1950s in the polio epidemic, the development of modern bilevel positive airway pressure (BPAP) devices did not become a reality until the 1990s. Over the past 25 years, BPAP technology options have increased exponentially. The number of patients receiving this treatment both in the acute setting and at home is growing steadily. However, a knowledge gap exists in the way the settings on these devices are adjusted to achieve synchrony and match the patient's unique physiology of respiratory failure. This issue is further complicated by differences in pressure and flow dynamic settings among different types of NIV devices available for inpatient and home care.

Original languageEnglish (US)
Pages (from-to)251-265
Number of pages15
JournalCHEST
Volume153
Issue number1
DOIs
StatePublished - Jan 1 2018

Keywords

  • alveolar hypoventilation
  • cycle sensitivity
  • inspiratory time
  • noninvasive ventilation
  • trigger sensitivity

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine
  • Cardiology and Cardiovascular Medicine

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