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Comfort During Non-invasive Ventilation.

Gianmaria Cammarota¹, Rachele Simonte¹, Edoardo De Robertis¹

¹Dipartimento di Medicina e Chirurgia, Università degli Studi di Perugia, Perugia, Italy.

Frontiers in Medicine

|April 11, 2022

Summary

This summary is machine-generated.

Patient comfort is key for non-invasive ventilation (NIV) success in acute hypoxemic respiratory failure. Optimizing interfaces, settings, and using sedation when needed can improve tolerance and avoid intubation.

Keywords:

acute respiratory failure (ARF)comfort continuous positive airway pressure (CPAP)non-invasive ventilation (NIV)respiration

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A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation

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Published on: January 17, 2011

Area of Science:

Critical Care Medicine
Respiratory Medicine
Pulmonary Diseases

Background:

Non-invasive ventilation (NIV) improves survival in acute hypoxemic respiratory failure (ARF) but has high failure rates due to patient discomfort.
Enhancing patient tolerance to NIV is crucial for successful respiratory support and avoiding intubation.

Purpose of the Study:

To review strategies for improving patient comfort during NIV.
To highlight the impact of interface choice, ventilatory settings, and adjunct therapies on NIV tolerance.

Main Methods:

Review of existing literature on NIV interfaces, ventilatory settings, and adjunctive therapies.
Analysis of factors influencing patient comfort and adherence to NIV.
Consideration of interventions like helmet interfaces, electrical activity of the diaphragm (EADi)-driven ventilation, and sedation.

Main Results:

Helmet interfaces are better tolerated than nasal masks, leading to lower NIV failure rates.
Pressure-support ventilation (PSV) and EADi-driven ventilation improve comfort compared to controlled ventilation.
Sedation can be a valuable tool to manage discomfort, agitation, and intolerance, thereby increasing NIV success.

Conclusions:

Patient comfort is a primary determinant of NIV success in ARF.
Optimizing NIV interfaces, ventilatory settings, and employing non-pharmacological and pharmacological strategies are essential to enhance patient tolerance and improve outcomes.