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ANALIZAN EL USO DE VENTILACION NO INVASIVA EN LAS EXACERBACIONES DE LA EPOC

(especial para SIIC © Derechos reservados)
Esta revisión se centra en los recientes avances en el uso de ventilación no invasiva para el tratamiento de la reagudización de la insuficiencia respiratoria crónica debida a exacerbaciones de la enfermedad pulmonar obstructiva crónica.
ambrosino9_80610.jpg Autor:
Nicolas Ambrosino
Columnista Experto de SIIC

Institución:
University Hospital Pisa

Artículos publicados por Nicolas Ambrosino
Coautor
Adriano Di Paco* 
Auxilium Vitae, Volterra, Italia*
Recepción del artículo
26 de Abril, 2010 		Aprobación
24 de Septiembre, 2010
Primera edición
17 de Enero, 2011 		Segunda edición, ampliada y corregida
7 de Junio, 2021

ANALIZAN EL USO DE VENTILACION NO INVASIVA EN LAS EXACERBACIONES DE LA EPOC

Resumen
Introducción: Las exacerbaciones agudas de la enfermedad pulmonar obstructiva crónica son eventos relevantes en la evolución natural de esa entidad. Antecedentes: Existen pruebas sólidas para el uso de la ventilación no invasiva (VNI) para evitar la intubación endotraqueal y para facilitar la extubación de los pacientes con exacerbaciones agudas de la EPOC. Hay menos datos que avalen esta modalidad para las exacerbaciones asmáticas. Resultados y conclusiones: La VNI debería aplicarse bajo un riguroso monitoreo clínico y fisiológico para detectar signos de insuficiencia respiratoria y con disponibilidad inmediata para la intubación. Un equipo entrenado, una cuidadosa selección de los pacientes y una elección adecuada de los instrumentos, pueden optimizar los resultados de la VNI.

Palabras clave
insuficiencia respiratoria aguda, EPOC, ventilación mecánica, ventilación no invasiva, intubación endotraqueal


Artículo completo
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Non-Invasive Positive Pressure Ventilation in Acute Respiratory Failure Due to COPD Acute Exacerbation

Abstract
Introduction: acute exacerbations of chronic obstructive pulmonary disease (AECOPD) are relevant events in the natural course of disease. Background: there is strong evidence that the use of non-invasive mechanical ventilation (NIV) prevents endotracheal intubation and facilitates extubation in patients with AECOPD. Less evidence supports this modality in exacerbations of asthma. Results and conclusions: NIV should be applied under close clinical and physiological monitoring for signs of treatment failure with availability of prompt intubation. A trained team, careful patient selection and optimal choice of devices can optimize outcome of NIV.

Key words
acute respiratory failure, COPD, mechanical ventilation, non-invasive ventilation, endo-tracheal intubation


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Especialidades
Principal: Medicina Interna, Neumonología
Relacionadas: Cardiología, Cuidados Intensivos, Farmacología, Geriatría



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Enviar correspondencia a:
Nicolas Ambrosino, Azienda Ospedaliero-Universitaria Pisana Dipartimento Cardio-Toracico U.O. Pneumologia, 56124, Via Paradisa 2, Pisa, Italia
Bibliografía del artículo


1. MacIntyre N, Huang YC. Acute exacerbations and respiratory failure in chronic obstructive pulmonary disease. Proc Am Thorac Soc 5:530-535, 2008.
2. Hurst JR, Donaldson GC, Quint JK, Goldring JJP, Baghai-Ravary R, Wedzicha JA. Temporal clustering of exacerbations in chronic obstructive pulmonary disease. Am J Respir Crit Care Med 179:369-374, 2009.
3. Clini EM, Ambrosino N. Non pharmacological treatment and relief of symptoms. Eur Respir J 332:218-228, 2008.
4. Hurst JR, Wedzicha JA. Management and prevention of chronic obstructive pulmonary disease exacerbations: a state of the art review. BMC Medicine 7:40, 2009; doi:10.1186/1741-7015-7-40.
5. Ambrosino N, Vagheggini G. Noninvasive positive pressure ventilation in the acute care setting: where are we? Eur Respir J 31:874-886, 2008.
6. Laghi F, Tobin MJ. Indications for mechanical ventilation. In Tobin MJ, (ed). Principles & practice of mechanical ventilation. 2nd Ed. McGraw-Hill, New York, pp, 129-162, 2006.
7. Epstein SK. Complications associated with mechanical ventilation. In: Tobin MJ (ed): Principles & practice of mechanical ventilation. 2nd Ed. McGraw-Hill, New York, pp. 877-902, 2006.
8. Girou E, Schortgen F, Delclaux C, et al. Association of noninvasive ventilation with nosocomial infections and survival in critically ill patients. JAMA 284:2361-2367, 2000.
9. Hess DR. Noninvasive positive pressure ventilation and ventilator-associated pneumonia. Respir Care 50:924-929, 2005.
10. Mukhopadhyay A, Dela Pena E, Wadden B, Procyshyn M, Keang Lim T. Effects of inhalational bronchodilator treatment during noninvasive ventilation in severe chronic obstructive pulmonary disease exacerbations. J Crit Care 24:474.e1-5, 2009.
11. Nava S, Evangelisti I, Rampulla C, Compagnoni ML, Fracchia C, Rubini F. Human and financial costs of noninvasive mechanical ventilation in patients affected by COPD and acute respiratory failure. Chest 111:1631-1638, 1997.
12. Mehta S, Hill NS. Noninvasive ventilation. Am J Respir Crit Care Med 163:540-577, 2001.
13. International Consensus Conference in Intensive Care Medicine: non-invasive positive pressure ventilation in acute respiratory failure. Am J Respir Crit Care Med 163:283-291, 2001.
14. Nava S, Hill N. Non-invasive ventilation in acute respiratory failure. Lancet 374:250-259, 2009.
15. Keenan SP, Mehta S. Noninvasive ventilation for patients presenting with acute respiratory failure: the randomized controlled trials. Respir Care 54:116-124, 2009.
16. www.ncbi.nlm.nih.gov/sites/entrez; accessed April 21, 2010.
17. Esteban A, Ferguson ND, Meade MO, et al. Evolution of mechanical ventilation in response to clinical research. Am J Respir Crit Care Med 177:170-177, 2008.
18. Hill NS, Brennan J, Garpestad E, Nava S. Noninvasive ventilation in acute respiratory failure. Crit Care Med 35:2402-2407, 2007.
19. Bott J, Carroll MP, Conway JH, et al. Randomized controlled trial of nasal ventilation in acute ventilatory failure due to chronic obstructive airways disease. Lancet 341:1555-1557, 1993.
20. Barbe F, Togores B, Rubi M, Pons S, Maimo A, Agusti AG. Noninvasive ventilatory support does not facilitate recovery from acute respiratory failure in chronic obstructive pulmonary disease. Eur Respir J 9:1240-1245, 1996.
21. Celikel T, Sungur M, Ceyhan B, Karakurt S. Comparison of non-invasive positive pressure ventilation in acute respiratory failure. Chest 114:1636-1642, 1998.
22. Conti G, Antonelli M, Navalesi P, et al. Noninvasive vs. conventional mechanical ventilation in patients with chronic obstructive pulmonary disease after failure of medical treatment in the ward: a randomized trial. Intensive Care Med 28:1701-1707, 2002.
23. Kramer N, Meyer TJ, Meharg J, Cece RD, Hill NS. Randomized, prospective trial of noninvasive positive pressure ventilation in acute respiratory failure. Am J Respir Crit Care Med 151:1799-1806, 1995.
24. Brochard L, Mancebo J, Wysocki M, et al. Noninvasive ventilation for acute exacerbations of chronic obstructive pulmonary disease. N Engl J Med 333:817-822, 1995.
25. Plant PK, Owen JL, Elliott MW. Early use of non-invasive ventilation for acute exacerbations of chronic obstructive pulmonary disease on general respiratory wards: a multicentre randomized controlled trial. Lancet 355:1931-1935, 2000.
26. Squadrone E, Frigerio P, Fogliati C, et al. Noninvasive vs invasive ventilation in COPD patients with severe acute respiratory failure deemed to require ventilatory assistance. Intensive Care Med 30:1303-1310, 2004.
27. Ram FS, Picot J, Lightowler J, Wedzicha JA. Non-invasive positive pressure ventilation for treatment of respiratory failure due to exacerbations of chronic obstructive pulmonary disease. Cochrane Database Syst Rev (3):CD004104, 2004.
28. Keenan SP, Sinuff T, Cook DJ, Hill NS. Which patients with acute exacerbation of chronic obstructive pulmonary disease benefit from noninvasive positive pressure ventilation? A systematic review of the literature. Ann Intern Med 138:861-870, 2003.
29. Lightowler JV, Wedzicha JA, Elliott MW, Ram FS. Non-invasive positive pressure ventilation to treat respiratory failure resulting from exacerbations of chronic obstructive pulmonary disease: Cochrane systematic review and meta-analysis. BMJ 326:185-189, 2003.
30. Nava S, Navalesi P, Conti G. Time of non-invasive ventilation. Intensive Care Med 32:361-370, 2006.
31. Elliott MW. Non-invasive ventilation in acute exacerbations of chronic obstructive pulmonary disease: a new gold standard? Intensive Care Med 28:1691-1694, 2002.
32. Keenan SP, Powers CE, McCormack DG. Noninvasive positive-pressure ventilation in patients with milder chronic obstructive pulmonary disease exacerbations: a randomized controlled trial. Respir Care 50:610-616, 2005.
33. Quon BS, Gan WQ, Sin DD. Contemporary management of acute exacerbations of COPD: a systematic review and metaanalysis. Chest 133:756-766, 2008.
34. Gónzalez Díaz G, Carrillo Alcaraz A, Pardo Talavera JC, et al. Noninvasive positive-pressure ventilation to treat hypercapnic coma secondary to respiratory failure. Chest 127;952-960, 2005.
35. Scala R, Naldi M, Archinucci I, Coniglio G, Nava S. Noninvasive positive pressure ventilation in patients with acute exacerbations of COPD and varying levels of consciousness. Chest 128:1657-1666, 2005.
36. Scala R, Nava S, Conti G, et al. Noninvasive versus conventional ventilation to treat hypercapnic encephalopathy in chronic obstructive pulmonary disease. Intensive Care Med 33:2101-2108, 2007.
37. Meduri GU, Cook TR, Turner RE, Cohen M, Leeper KV. Noninvasive positive pressure ventilation in status asthmaticus. Chest 110:767-774, 1996.
38. Fernandez MM, Villagra A, Blanch L, Fernandez R. Non-invasive mechanical ventilation in status asthmaticus . Intensive Care Med 27:486-492, 2001.
39. Holley MT, Morrissey TK, Seaberg DC, Afessa B, Wears RL. Ethical dilemmas in a randomized trial of asthma treatment: can Bayesian statistical analysis explain the results? Acad Emerg Med 8:1128-1135, 2001.
40. Soroksky A, Stav D, Shpirer I. A pilot, prospective, randomized, placebo controlled trial of bilevel positive airway presure in acute asthmatic attack. Chest 123:1018-1025, 2003.
41. Ram FS, Wellington S, Rowe BH, Wedzicha JA. Non-invasive positive pressure ventilation for treatment of respiratory failure due to severe acute exacerbations of asthma. Cochrane Database Syst Rev 1:CD004360, 2005.
42. British Thoracic Society Standards of Care Committee. Non-invasive ventilation in acute respiratory failure. Thorax 57:192-211, 2002.
43. 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. Ann Intern Med 128:721-728, 1998.
44. Girault C, Daudenthun I, Chevron V, Tamion F, Leroy J, Bonmarchand G. Noninvasive ventilation as a systematic extubation and weaning technique in acute-on-chronic respiratory failure. Am J Respir Crit Care Med 160:86-92, 1999.
45. Ferrer M, Esquinas A, Arancibia F et al. Noninvasive ventilation during persistent weaning failure. A randomized controlled trial. Am J Respir Crit Care Med 168:70-76, 2003.
46. Burns KE, Adhikari NK, Meade MO. A meta-analysis of noninvasive weaning to facilitate liberation from mechanical ventilation. Can J Anaesth 53:305-315, 2006.
47. Vitacca M, Ambrosino N, Clini E et al. Physiological response to pressure support ventilation delivered before and after extubation in COPD patients not capable of totally spontaneous autonomous breathing. Am J Respir Crit Care Med 164:638-641, 2001.
48. Elliott MW. Non-invasive ventilation for acute respiratory disease. Brit Med Bull 72:83-97, 2004.
49. Kelly BJ, Matthay MA. Prevalence and severity of neurologic dysfunction in critically ill patients. Influence on need for continued mechanical ventilation. Chest 104:1818-1824, 1993.
50. Ambrosino N, Foglio K, Rubini F, Clini E, Nava S, Vitacca M. Non-invasive mechanical ventilation in acute respiratory failure due to chronic obstructive pulmonary disease: correlates for success. Thorax 50:755-757, 1995.
51. Confalonieri M, Garuti G, Cattaruzza MS, et al, on behalf of the Italian noninvasive positive pressure ventilation (NPPV) study group. A chart of failure risk for noninvasive ventilation in patients with COPD exacerbation. Eur Respir J 25:348-355, 2005.
52. Nava S, Ceriana P. Causes of failure of non-invasive mechanical ventilation. Respir Care 49:295-303, 2004.
53. Chakrabarti B, Angus RM, Agarwal S, Lane S, Calverley PMA. Hyperglycaemia as a predictor of outcome during non-invasive ventilation in decompensated COPD. Thorax 64:857-862, 2009.
54. Ferrer, M, Ioanas M, Arancibia F, Marco MA, De la Bellacasa J P, Torres A. Microbial airway colonization is associated with noninvasive ventilation failure in exacerbation of chronic obstructive pulmonary disease. Crit Care Med 33:2003-2009, 2005.
55. Moretti M, Cilione C, Tampieri A, Fracchia C, Marchioni A, Nava S. Incidence and causes of non-invasive mechanical ventilation failure after initial success. Thorax 55:819-825, 2000.
56. Carlucci A, Delmastro M, Rubini F, Fracchia C, Nava S. Changes in the practice of non-invasive ventilation in treating COPD patients over 8 years. Intensive Care Med 29:519-525, 2003.
57. Girou E, Brun-Buisson C, Taillé S, Lemaire F, Brochard L. Secular trends in nosocomial infections and mortality associated with noninvasive ventilation in patients with exacerbation of COPD and pulmonary edema. JAMA 290:2985-2991, 2003.
58. Ambrosino N, Corrado A. Obstructive pulmonary disease with acute respiratory failure. In: JF Muir, AK Simonds, N. Ambrosino. Noninvasive mechanical ventilation. Eur Respir Mon 41:24-36, 2008.
59. Carrera M, Marín JM, Antón A, et al. A controlled trial of noninvasive ventilation for chronic obstructive pulmonary disease exacerbations. J Crit Care 24:473.e7-14, 2009.
60. Corrado A, Roussos C, Ambrosino N, et al. Respiratory intermediate care units: a European survey. European respiratory society task force on epidemiology of respiratory intermediate care in Europe. Eur Resp J 20:1343-1350, 2002.
61. Briones Claudett KH, Briones Claudett MH, Chung Sang Wong MA, Andrade MG, Cruz CX, Esquinas A, Diaz GG. Noninvasive mechanical ventilation in patients with chronic obstructive pulmonary disease and severe hypercapnic neurological deterioration in the emergency room. Eur J Emerg Med 15:127-133, 2008.
62. Maheshwari V, Paioli D, Rothaar R, Hill NS. Utilization of noninvasive ventilation in acute care hospitals: a regional survey. Chest 129:1226-1233, 2006.
63. Burns KEA, Sinuff T, Adhikari NKJ, et al. Bilevel noninvasive positive pressure ventilation for acute respiratory failure: Survey of Ontario practice. Crit Care Med 33:1477-1483, 2005.
64. Schettino G, Altobelli N, Kacmarek RM. Noninvasive positive-pressure ventilation in acute respiratory failure outside clinical trials: experience at the Massachusetts General Hospital. Crit Care Med 36:441-447, 2008.
65. Crummy F, Buchan C, Miller B, Toghill J, Naughton MT. The use of noninvasive mechanical ventilation in COPD with severe hypercapnic acidosis. Respir Med 101:53-61, 2007.
66. Kwok H, McCormack J, Cece R, Houtchens J, Hill NS. Controlled trial of oronasal versus nasal mask ventilation in the treatment of acute respiratory failure. Crit Care Med 31:468-473, 2003.
67. Fraticelli AT, Lellouche F, L'Her, E et al. Physiological effects of different interfaces during noninvasive ventilation for acute respiratory failure. Crit Care Med 37:939-945, 2009.
68. Girault C, Briel A, Benichou J, et al Interface strategy during noninvasive positive pressure ventilation for hypercapnic acute respiratory failure. Crit Care Med 3:124-131, 2009.
69. Costa R, Navalesi P, Antonelli M, et al. Physiologic evaluation of different levels of assistance during noninvasive ventilation delivered through a helmet. Chest 128:2984-2990, 2005.
70. Racca F, Appendini L, Gregoretti C, et al. Effectiveness of mask and helmet interfaces to deliver noninvasive ventilation in a human model of resistive breathing. J Appl Physiol 99:1262-1271, 2005.
71. Moerer O, Fischer S, Hartelt M, Kuvaki B, Quintel M, Neumann P. Influence of two different interfaces for noninvasive ventilation compared to invasive ventilation on the mechanical properties and performance of a respiratory system. Chest 129:1424-1431, 2006.
72. Navalesi P, Costa R, Ceriana P, et al. Non-invasive ventilation in chronic obstructive pulmonary disease patients: helmet versus facial mask. Intensive Care Med 33:74-81, 2007.
73. Vargas, F, Arnaud T, Aissam L, Campo FR, Brochard, L. Helmet with specific settings versus facemask for noninvasive ventilation. Crit Care Med 37:1921-1928, 2009.
74. Patroniti N, Saini M, Zanella A, Isgrò S, Pesenti A. Danger of helmet continuous positive airway pressure during failure of fresh gas source supply. Intensive Care Med 33:153-157, 2007.
75. Hui DS, Chow BK, Ng SS, et al. Exhaled air dispersion distances during noninvasive ventilation via different Respironics face masks. Chest 136:998-1005, 2009.
76. Lellouche F, Maggiore SM, Deye N, et al. Effect of the humidification device on the work of breathing during noninvasive ventilation. Intensive Care Med 28:1582-1589, 2002.
77. Vitacca M, Rubini F, Foglio K, Scalvini S, Nava S, Ambrosino N. Non-Invasive modalities of positive pressure ventilation improve the outcome of acute exacerbations in COLD patients. Intensive Care Med 19:450-455, 1993.
78. Vitacca M, Clini E, Pagani M, Bianchi L, Rossi A, Ambrosino N. Physiologic effects of early administered mask PAV (proportional assist ventilation) in patients with chronic obstructive pulmonary disease and acute respiratory failure. Crit Care Med 28:1791-1796, 2000.
79. Gay PC, Hess DR, Hill NS. Noninvasive proportional assist ventilation for acute respiratory insufficiency. A comparison with pressure support ventilation. Am J Respir Crit Care Med 164:1606-1611, 2001.
80. Ambrosino N, Rossi A. Proportional assist ventilation (PAV): a significant advance or a futile struggle between logic and practice? Thorax 57:272-276, 2002.
81. Vitacca M, Nava S, Confalonieri M, et al. The appropriate setting of noninvasive pressure support ventilation in stable COPD patients. Chest 118:1286-1293, 2000.
82. Prinianakis G, Delmastro M, Carlucci A, Ceriana P, Nava S. Effect of varying the pressurisation rate during noninvasive pressure support ventilation. Eur Respir J 23:314-320, 2004.
83. Richard JC, Carlucci A, Breton L, et al. Bench testing of pressure support ventilation with three different generations of ventilators. Intensive Care Med 28:1049-1057, 2002.
84. Tassaux D, Strasser S, Fonseca S, Dalmas E, Jolliet P. Comparative bench study of triggering, pressurisation, and cycling between the home ventilator VPAP II and three ICU ventilators. Intensive Care Med 28:1254-1261, 2002.
85. Miyoshi E, Fujino Y, Uchiyama A, Mashimo T, Nishimura M. Effects of gas leak on triggering function, humidification, and inspiratory oxygen fraction during noninvasive positive airway pressure ventilation. Chest 128:3691-3698, 2005.
86. Mulqueeny Q, Ceriana P, Carlucci A, Fanfulla F, Delmastro M, Nava S. Automatic detection of ineffective triggering and double triggering during mechanical ventilation. Intensive Care Med 33:2014-2018, 2007.
87. Fanfulla F, Taurino AE, Lupo ND, Trentin R, D'Ambrosio C, Nava S. Effect of sleep on patient/ventilator asynchrony in patients undergoing chronic non-invasive mechanical ventilation. Respir Med 101:1702-1707, 2007.
88. Vignaux L , Tassaux D, Jolliet P. Performance of noninvasive ventilation modes on ICU ventilators during pressure support: a bench model study. Intensive Care Med 33:1444-1451, 2007.
89. Tuggey JM, Delmastro M, Elliott MW. The effect of mouth leak and humidification during nasal non-invasive ventilation. Respir Med 101:1874-1879, 2007.
90. Jaber S, Chanques G, Matecki S, et al. Comparison of the effects of heat and moisture exchangers and heated humidifiers on ventilation and gas exchange during non-invasive ventilation. Intensive Care Med 28:1590-1594, 2002.
91. Branson RD, Gentile MA. Is humidification always necessary during noninvasive ventilation in the hospital? Respir Care 55:209-216, 2010.
92. Nava S, Navalesi P, Gregoretti C. Interfaces and humidification for noninvasive mechanical ventilation. Respir Care 54:71- 82, 2009.
93. Jaber S, Fodil R, Carlucci A, et al. Noninvasive ventilation with Helium-Oxygen in acute exacerbations of chronic obstructive pulmonary disease. Am J Respir Crit Care Med 161:1191-1200, 2000.
94. Jolliet P, Tassaux D, Roeseler J, et al. Helium-oxygen versus air-oxygen noninvasive pressure support in decompensated chronic obstructive diseases: A prospective multicenter study. Crit Care Med 31:878-884, 2003.
95. Gainnier M, Forel JM. Clinical review: use of helium-oxygen in critically ill patients. Crit Care 10:241, 2006.
96. Tassaux D, Gainnier M, Battisti A, Jolliet P. Helium-oxygen decreases inspiratory effort and work of breathing during pressure support in intubated patients with chronic obstructive pulmonary disease. Intensive Care Med 31:1501-1507, 2005.
97. Rodrigo G, Pollack C, Rodrigo C, Rowe BH. Heliox for nonintubated acute asthma patients. Cochrane Database Syst Rev 18:CD002884, 2006.
98. Colebourn CL, Barber V, Young JD. Use of helium-oxygen mixture in adult patients presenting with exacerbations of asthma and chronic obstructive pulmonary disease: a systematic review. Anaesthesia 62:34-42, 2007.
99. Maggiore SM, Richard JC, Abroug F, et al. A multicenter, randomized trial of noninvasive ventilation with helium-oxygen mixture in exacerbations of chronic obstructive lung disease. Crit Care Med 38:145-151, 2010.
100. Hess DR. Heliox and noninvasive positive-pressure ventilation: A role for heliox in exacerbations of chronic obstructive pulmonary disease? Respir Care 51:640-650, 2006.
 
 
 
 
 
 
 
 
 
 
 
 
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