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Intensive Care Medicine
Published in: Intensive Care Medicine 6/2008

01-06-2008 | Brief Report

Comparative evaluation of different helmets on patient–ventilator interaction during noninvasive ventilation

Authors: R. Costa, P. Navalesi, G. Spinazzola, M. Rossi, F. Cavaliere, M. Antonelli, R. Proietti, G. Conti

Published in: Intensive Care Medicine | Issue 6/2008

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Excerpt

The helmet has been shown to be effective for the delivery of noninvasive ventilation (NIV) to patients with acute respiratory failure (ARF) [1‐5]. Some studies found worse patient–ventilator synchrony [6, 7] and inspiratory effort reduction [6‐9] with the helmet than with the oro-nasal mask. The physical characteristics of the helmet, large inner volume and a high compliance, determine an initial pressure dissipation that prolongs the time needed to reach the preset pressure support (PS) level; as a consequence, the overall amount of inspiratory pressure applied to the patient is decreased [6, 8, 10]. The decay of inspiratory flow to the cycling-off threshold is also affected by the mechanical characteristics of this device [6]. …
Literature
1.
Antonelli M, Conti G, Pelosi P, Gregoretti C, Pennisi MA, Costa R, Severgnini P, Chiaranda M, Proietti R (2002) New treatment of acute hypoxemic respiratory failure: non-invasive mechanical ventilation delivered by helmet; a pilot trial study. Crit Care Med 30:602–608PubMedCrossRef
2.
International Consensus Conference in Intensive Care Medicine (2001) Noninvasive positive pressure ventilation in acute respiratory failure. Am J Respir Crit Care Med 163:283–291
3.
Kramer N, Meyer TJ, Meharg J, Cece RD, Hill NS (1995) Randomized, prospective trial of noninvasive positive pressure ventilation in acute respiratory failure. Am J Respir Crit Care Med 151:1799–1806PubMed
4.
Antonelli M, Pennisi MA, Pelosi P, Gregoretti C, Squadrone V, Rocco M, Cecchini L, Chiumello D, Severgnini P, Proietti R, Navalesi P, Conti G (2004) Noninvasive positive pressure ventilation ventilation using an helmet in patients with acute exacerbation of chronic obstructive pulmonary disease: a feasibility study. Anesthesiology 100:16–24PubMedCrossRef
5.
Piastra M, Antonelli M, Chiaretti M, Polidori G, Polidori L, Conti G (2004) Treatment of acute respiratory failure by helmet-delivered non invasive pressure support ventilation in children with acute leucemia: a pilot study. Intensive Care Med 30:472–476PubMedCrossRef
6.
Racca F, Appendini L, Gregoretti C, Stra E, Patessio A, Donner CF, Ranieri VM (2005) Effectiveness of mask and helmet interfaces to deliver noninvasive ventilation in a human model of resistive breathing. J Appl Physiol 99:1262–1271PubMedCrossRef
7.
Navalesi P, Costa R, Ceriana P, Carlucci A, Prinianakis G, Antonelli M, Conti G, Nava S (2006) Noninvasive ventilation in chronic obstructive pulmonary disease patients: helmet versus facial mask. Intensive Care Med 33:74–81PubMedCrossRef
8.
Chiumello D, Pelosi P, Carlesso E, Severgnini P, Aspesi M, Gamberoni C, Antonelli M, Conti G, Chiaranda M, Gattinoni L (2003) Noninvasive positive pressure ventilation delivered by helmet vs standard face mask. Intensive Care Med 29:1671–1679PubMedCrossRef
9.
Pelosi P, Servegnini P, Aspesi M, Gamberoni C, Chiumello D, Fachinetti C, Introzzi L, Antonelli M, Chiaranda M (2003) Non invasive ventilation delivered by conventional interfaces and helmet in emergency department. Eur J Emerg Med 10:79–86PubMedCrossRef
10.
Costa R, Navalesi P, Antonelli M, Cavaliere F, Craba A, Proietti R, Conti G (2006) Physiologic evaluation of different levels of assistance during noninvasive ventilation delivered through a helmet. Chest 128:2984–2990CrossRef
11.
Rocco M, Dell'Utri D, Morelli A, Spadetta G, Conti G, Antonelli M, Pietropaoli P (2004) Noninvasive ventilation by helmet or face mask in immunocompromised patients: a case-control study. Chest 126:1508–1515PubMedCrossRef
Metadata
Title
Comparative evaluation of different helmets on patient–ventilator interaction during noninvasive ventilation
Authors
R. Costa
P. Navalesi
G. Spinazzola
M. Rossi
F. Cavaliere
M. Antonelli
R. Proietti
G. Conti
Publication date
01-06-2008
Publisher
Springer-Verlag
Published in
Intensive Care Medicine / Issue 6/2008
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-008-1041-8

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