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Intensive Care Medicine

Published in:

01-03-2009 | Original

Cephalic versus oronasal mask for noninvasive ventilation in acute hypercapnic respiratory failure

Authors: Antoine Cuvelier, Wilfried Pujol, Stéphanie Pramil, Luis Carlos Molano, Catherine Viacroze, Jean-François Muir

Published in: Intensive Care Medicine | Issue 3/2009

Abstract

Objective

Compared to oronasal interfaces, a cephalic mask has a larger inner volume, covers the entire anterior surface of the face and limits the risk of deleterious cutaneous side effects during noninvasive ventilation (NIV). The present clinical study aimed to compare the clinical efficacy of a cephalic mask versus an oronasal mask in patients with acute hypercapnic respiratory failure (AHRF).

Design and setting

Randomized controlled study in a Respiratory Intermediate Care Unit.

Patients

All consecutive patients admitted for AHRF were randomly assigned to receive bilevel NIV either with a cephalic mask (n = 17) or an oronasal mask (n = 17) during the first 48 h.

Measurements

The main outcome criterion was the improvement of arterial pH, 24 h after NIV initiation. Secondary criteria included PaCO₂ and physiological parameters.

Results

Compared to values at inclusion, pH, PaCO₂, encephalopathy score, respiratory distress score and respiratory frequency improved significantly and similarly with both masks. None of these parameters showed statistically significant differences between the masks at each time point throughout the study period. Mean delivered inspiratory and expiratory pressures were similar in both patient groups. Tolerance of the oronasal mask was improved at 24 h and further. One patient with the cephalic mask suffered from claustrophobia that did not lead to premature study interruption.

Conclusions

In spite of its larger inner volume, the cephalic mask has the same clinical efficacy and requires the same ventilatory settings as the oronasal mask during AHRF.

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Title: Cephalic versus oronasal mask for noninvasive ventilation in acute hypercapnic respiratory failure
Authors: Antoine Cuvelier
Wilfried Pujol
Stéphanie Pramil
Luis Carlos Molano
Catherine Viacroze
Jean-François Muir
Publication date: 01-03-2009
Publisher: Springer-Verlag
Published in: Intensive Care Medicine / Issue 3/2009
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI: https://doi.org/10.1007/s00134-008-1327-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Cephalic versus oronasal mask for noninvasive ventilation in acute hypercapnic respiratory failure

Abstract

Objective

Design and setting

Patients

Measurements

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objective

Design and setting

Patients

Measurements

Results

Conclusions

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