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Intensivmedizin up2date 2013; 09(02): 101-114
DOI: 10.1055/s-0032-1326627
Allgemeine Prinzipien der Intensivmedizin
© Georg Thieme Verlag KG Stuttgart · New York

Nichtinvasive Beatmung – update

Jens Geiseler
,
Clemens Kelbel
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Publication History

Publication Date:
15 May 2013 (online)

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Kernaussagen

  • Die NIV ist eine Bereicherung in den therapeutischen Möglichkeiten einer ARI.

  • Besonders Patienten mit hyperkapnischem Atemversagen profitieren von einer NIV.

  • Von den Pneumoniepatienten profitieren besonders diejenigen mit vorbestehenden kardialen und pulmonalen Erkrankungen von der NIV.

  • Die NIV kann eine wesentlich frühere Beatmungsentwöhnung ermöglichen und das Risiko eines Post-Extubationsversagens reduzieren.

  • Beim kardialen Lungenödem ist nicht die NIV, sondern CPAP die Methode der ersten Wahl.

  • Die Expertise des NIV-Teams mit Respektierung der Indikationen, Kontraindikationen und Einschränkungen der NIV ist ein Garant für eine erfolgreiche NIV-Therapie.

 

  • Literatur

  • 1 Schönhofer B, Kuhlen R, Neumann P et al. Nichtinvasive Beatmung als Therapie der akuten respiratorischen Insuffizienz. Pneumologie 2008; 62: 449-479
    Article in Thieme ConnectPubMedGoogle Scholar
  • 2 Windisch W, Brambring J, Budweiser S et al. Nichtinvasive und invasive Beatmung als Therapie der chronischen respiratorischen Insuffizienz. Pneumologie 2010; 64: 207-240
    Article in Thieme ConnectPubMedGoogle Scholar
  • 3 Marco FD, Centanni S, Bellone A. Optimization of ventilator setting by flow and pressure waveforms analysis during noninvasive ventilation for acute exacerbations of COPD: a multicentric randomized controlled trial. Critical Care 2011; 15: R283
    CrossrefPubMedGoogle Scholar
  • 4 Moerer O, Beck J et al. Subject-ventilator synchrony during neural versus pneumatically triggered non-invasive helmet ventilation. Intensive Care Med 2008; 34: 1615-1623
    CrossrefPubMedGoogle Scholar
  • 5 Dellweg D, Hochrainer D, Klauke M et al. Determinants of skin contact pressure formation during non-invasive veantilation. J Biomech 2010; 43: 652-657
    CrossrefPubMedGoogle Scholar
  • 6 Calvo FJR, Madrazzo M, Gilsanz F et al. Helmet noninvasive machanical ventilation in patients with acute postoperative respiratory failure. Respir Care 2012; 57: 743-752
    PubMedGoogle Scholar
  • 7 Olivieri C, Costa R, Spinazzola G et al. Bench comparative evaluation of a new generation and standard helmet for delivering non-invasive ventilation. Intensive Care Med 2012; DOI: 10.1007/s00134-012-2765-z.
    PubMedGoogle Scholar
  • 8 Devlin JW, Nava S, Fong JJ et al. Survey of sedation practices during noninvasive positive-pressure ventilation to treat acute respiratory failure. Crit Care Med 2007; 35: 2298-2302
    CrossrefPubMedGoogle Scholar
  • 9 Banzett RB, Adams L, O’Donell CR et al. Using laboratory models to test treatment: morphine reduces dyspnea and hypercapnic ventilatory response. Am J Respir Crit Care Med 2012; 184: 920-927
    PubMedGoogle Scholar
  • 10 Clouzeau B, Bui HN, Vargas F et al. Target-controlled infusion of propofol for sedation in patients with non-invasive ventilation failure due to low tolerance: a preliminary study. Intensive Care Med 2010; 36: 1675-1680
    CrossrefPubMedGoogle Scholar
  • 11 Hilbert G, Clouzeau B, Nam BuiH et al. Sedation during non-invasive ventilation. Minerva Anestesiol 2012; 78: 842-846
    PubMedGoogle Scholar
  • 12 Nava S, Navalesi P, Gregoretti C. Interfaces and humidification for noninvasive mechanical ventilation. Respir Care 2009; 564: 71-84
    PubMedGoogle Scholar
  • 13 Restrepo RD, Walsh BK. AARC Clincal practice guideline. Humidification during invasive and noninvasive mechanical ventilation: 2012. Respir Care 2012; 57: 782-788
    CrossrefPubMedGoogle Scholar
  • 14 Franca ET, De Andrade AF, Cabral G et al. Nebulization assicated with bi-level noninvasive ventilation: analysis of pulmonary radioaerosol deposition. Respir Med 2006; 100: 721-728
    CrossrefPubMedGoogle Scholar
  • 15 Dhand R. Aerosol therapy in patients receiving noninvasive positive pressure ventilation. J Aerosol Med Pulm Drug Deliv 2012; 25: 1-16
    CrossrefPubMedGoogle Scholar
  • 16 Ram FS, Picot J, Lightowler J et al. Non-invasive positive pressure ventilation for treatment of respiratory failure due to exacerbations of chronic obstructive pulmonary disease. Cochrane Database Syst Rev 2004; CD004104
    PubMedGoogle Scholar
  • 17 Camarez MP, Borges JB, Tucci MR et al. Paradoxical responses to positive end-exspiratory pressure in patients with airway obstruction during controlled ventilation. Crit Care Med 2005; 33: 1519-1528
    CrossrefPubMedGoogle Scholar
  • 18 Funk GC, Breyer MK, Burghuber OC et al. Long-term non-invasive ventilation in COPD after acute-on-chronic respiratory failure. Respir Med 2011; 105: 427-434
    CrossrefPubMedGoogle Scholar
  • 19 Dreher M, Storre JH, Schmoor C et al. High-intensity versus low-intensity non-invasive ventilation in patients with stable hypercapnic COPD: a randomised crossover trial. Thorax 2010; 65: 303-308
    CrossrefPubMedGoogle Scholar
  • 20 Priou P, Hamel JF, Person C et al. Long-Term Outcome of Noninvasive Positive Pressure Ventilation for Obesity Hypoventilation Syndrome. Chest 2010; 138: 84-90
    CrossrefPubMedGoogle Scholar
  • 21 Carrillo A, Ferrer M, Gonzales-Diaz G et al. Non-invasive ventilation in acute hypercapnic respiratory failure due to obesity-hypoventilation syndrome and chronic obstructive pulmonary disease. Am J Respir Crit Care Med 2012; 186: 1279-1285
    CrossrefPubMedGoogle Scholar
  • 22 Vital FM, Saconato H, Ladeira MT et al. Non-invasive positive pressure ventilation (CPAP or bilevel NPPV) for cardiogenic pulmonary edema (Review). Cochrane Database Syst Rev 2008; 16 (03)
    PubMedGoogle Scholar
  • 23 Weng CL, Zhao Y-T, Liu Q-H et al. Meta-analysis: Noninvasive ventilation in acute cardiogenic pulmonary edema. Ann Intern Med 2010; 152: 590-600
    CrossrefPubMedGoogle Scholar
  • 24 Yamamoto T, Takeda S, Sato N et al. Noninvasive ventilation in pulmonary edema complicating acute myocardial infarction. Circ J 2012; 76: 2586-2591
    CrossrefPubMedGoogle Scholar
  • 25 Carrillo A, Gonzalez-Diaz G, Ferrer M et al. Non-invasive ventilation in community-acquired pneumonia and severe acute respiratory failure. Intensive Care Med 2012; 38: 458-466
    CrossrefPubMedGoogle Scholar
  • 26 Gristina GR, Antonelli M, Conti G et al. Noninvasive versus invasive ventilation for acute respiratory failure in patients with hematological malignancies: a 5-year multicenter observational study. Crit Care Med 2011; 39: 2232-2239
    CrossrefPubMedGoogle Scholar
  • 27 Adda M, Coquet I, Darmon M et al. Predictors of noninvasive ventilation failure in patients with hematologic malignancy and acute respiratory failure. Crit Care Med 2008; 36: 2766-2772
    CrossrefPubMedGoogle Scholar
  • 28 Zhan Q, Sun B, Liang L et al. Early use of noninvasive positive pressure ventilation for acute lung injury: a multicenter randomized controlled trial. Crit Care Med 2012; 40: 455-460
    CrossrefPubMedGoogle Scholar
  • 29 Nicolini A, Tonveronachi E et al. Effectiveness and predictors of success of noninvasive ventilation during H1N1 pandemics: a multicenter study. Minerva Anestesiol 2012; 78: 1333-1340
    PubMedGoogle Scholar
  • 30 Agarwal R, Aggarwal AN, Gupta D. Role of noninvasive ventilation in acute lung injury/acute respiratory distress syndrome: a proportion meta-analysis. Respiratory Care 2010; 55: 1653-1660
    PubMedGoogle Scholar
  • 31 Nava S, Ambrosino N, Clini E et al. Noninvasive mechanical ventilation in the weaning of patients with respiratory failure due to chronic obstructive pulmonary disease. A randomized, controlled trial. Ann Intern Med 1998; 128: 721-728
    CrossrefPubMedGoogle Scholar
  • 32 Burns KEA, Adhikari NKJ, Keenan SP et al. Noninvasive positive pressure ventilation as a weaning strategy for intubated adults with respiratory failure. Cochrane Database of Systematic Reviews 2010; CD 004127
    PubMedGoogle Scholar
  • 33 Bach JR, Goncalves MR, Hamdani I et al. Extubation of patients with neuromuscular weakness – a new management paradigm. Chest 2010; 137: 1033-1039
    CrossrefPubMedGoogle Scholar
  • 34 Ferrer M, Sellares J, Valencia M et al. Non-invasive ventilation after extubation in hypercapnic patients with chronic respiratory disorders: randomised controlled trial. Lancet 2009; 374: 1082-1088
    CrossrefPubMedGoogle Scholar
  • 35 Su CL, Chiang LL, Yang SH et al. Preventive use of noninvasive ventilation after extubation: a prospective, multicenter randomized controlled trial. Respir Care 2012; 57: 204-210
    PubMedGoogle Scholar
  • 36 Gossop AJ, Shephard N, Bryden DC et al. Non-invasive ventilation for weaning, avoiding reintubation after extubation and in the postoperative period: a meta-analysis. Br J Anaesth 2012; 109: 305-314
    CrossrefPubMedGoogle Scholar
  • 37 Schönhofer B, Berndt C, Achtzehn U et al. Entwöhnung von der Beatmungstherapie – eine Erhebung zur Situation pneumologischer Beatmungszentren in Deutschland. Dtsch Med Wochenschr 2008; 133: 700-704
    Article in Thieme ConnectPubMedGoogle Scholar
  • 38 Ambrosino N, Guarracino F. Unusual applications of noninvasive ventilation. Eur Respir J 2011; 38: 440-449
    CrossrefPubMedGoogle Scholar
  • 39 Azoulay E, Demoule A, Jaber S et al. Palliative noninvasive ventilation in patients with acute respiratory failure. Intensive Care Med 2011; 37: 1250-1257
    CrossrefPubMedGoogle Scholar
  • 40 Azoulay E, Kouatchet A, Jaber S et al. Noninvasive mechanical ventilation in patients having declined tracheal intubation. Intensive Care Med 2013; 39: 292-301
    CrossrefPubMedGoogle Scholar