Monitoring of noninvasive ventilation: comparative analysis of different strategies.
Fiche publication
Date publication
décembre 2020
Journal
Respiratory research
Auteurs
Membres identifiés du Cancéropôle Est :
Pr BONNIAUD Philippe, Dr BELTRAMO Guillaume
Tous les auteurs :
Georges M, Rabec C, Monin E, Aho S, Beltramo G, Janssens JP, Bonniaud P
Lien Pubmed
Résumé
Noninvasive ventilation (NIV) represents an effective treatment for chronic respiratory failure. However, empirically determined NIV settings may not achieve optimal ventilatory support. Therefore, the efficacy of NIV should be systematically monitored. The minimal recommended monitoring strategy includes clinical assessment, arterial blood gases (ABG) and nocturnal transcutaneous pulsed oxygen saturation (SpO). Polysomnography is a theoretical gold standard but is not routinely available in many centers. Simple tools such as transcutaneous capnography (TcPCO) or ventilator built-in software provide reliable informations but their role in NIV monitoring has yet to be defined. The aim of our work was to compare the accuracy of different combinations of tests to assess NIV efficacy.
Mots clés
Bi-level positive airway pressure, Monitoring, Nocturnal pulse oximetry, Non-invasive ventilation, Respiratory failure, Transcutaneous capnography
Référence
Respir Res. 2020 Dec 10;21(1):324