Top

Intensive Care Medicine

Published in:

01-09-2004 | Original

Noise exposure during noninvasive ventilation with a helmet, a nasal mask, and a facial mask

Authors: Franco Cavaliere, Giorgio Conti, Roberta Costa, Rodolfo Proietti, Antonino Sciuto, Simonetta Masieri

Published in: Intensive Care Medicine | Issue 9/2004

Abstract

Objective

To assess noise exposure during noninvasive ventilation (NIV) with different types of interface (helmet, nasal, and facial masks).

Subjects and methods

Ten “naive” healthy volunteers underwent NIV at pressure support levels of 10 and 15 cmH₂O with: (a) helmet, (b) helmet equipped with HME filters at the junctions between the helmet and the inspiratory and expiratory branches of the respiratory circuit, (c) nasal mask, and (d) facial mask. Noise intensity was assessed with a sound level meter by placing a microphone near the right ear. Noise intensity and degree of discomfort were also assessed subjectively with a visual analogue scale.

Results

Inside the helmet noise exceeded 100 dB. Noise intensity was poorly affected by pressure support level and unaffected by the presence of HME filters. During NIV with nasal or facial masks the noise did not exceed 70 dB (i.e., noise was not louder than the usual noise background in ICU). Subjective evaluation of noise intensity mirrored objective measurements; however, the presence of HME filters was associated with the feeling of less noise inside the helmet. The discomfort associated with the helmet did not significantly differ from that associated with the masks.

Conclusions

NIV helmet is associated with significantly greater noise than nasal and facial masks, but is as comfortable as masks, at least in the short term. Medium- and long-term exposure to loud noise may potentially impair ear function and increase the patient’s discomfort.

Available only for authorised users

Brochard L, Mancebo J, Elliott MW (2002) Noninvasive ventilation for acute respiratory failure. Eur Respir J 19:712–721CrossRefPubMed

Antonelli M, Pennisi MA, Conti G (2003) New advances in the use of noninvasive ventilation for acute hypoxemic respiratory failure. Eur Respir J 22 Suppl 42:65s-71 s

Carlucci A, Richard JC, Wysocki M, Lepage E, Brochard L (2001) Noninvasive versus conventional mechanical ventilation. An epidemiologic survey. Am J Respir Crit Care Med 163:874–880PubMed

Nourdine K, Combes P, Carton M-J, Beuret P, Cannamela A, Ducreux J-C (1999) Does noninvasive ventilation reduce the ICU nosocomial infection risk? A prospective clinical survey. Intensive Care Med 25:567–573PubMed

Girou E, Schortgen F, Delclaux C, Brun-Buisson C, Blot F, Lefort Y, Lemaire F, Brochard L (2000) Association of non-invasive ventilation with nosocomial infections and survival in critically ill patients. JAMA 284:2361–2367PubMed

Antonelli M, Conti G, Rocco M, Bufi M, De Blasi RA, Vivino G, Gasparetto A, Meduri GU (1998) A comparison of noninvasive positive-pressure ventilation and conventional mechanical ventilation in patients with acute respiratory failure. N Engl J Med 339:429–435PubMed

Nava S, Ambrosino N, Clini E, Prato M, Orlando G, Vitacca M, Brigada P, Fracchia C, Rubini F (1998) Noninvasive mechanical ventilation in the weaning of patients with respiratory failure due to chronic obstructive pulmonary disease. A randomized, controlled trial. Ann Intern Med 128:721–728PubMed

Schönhofer B, Sortor-Leger S (2002) Equipment needs for noninvasive mechanical ventilation. Eur Respir J 20:1029–1036CrossRefPubMed

Freedman NS, Kotzer N, Schwab RJ (1999) Patient perception of sleep quality and etiology of sleep disruption in the intensive care unit. Am J Respir Crit Care Med 159 (4 Pt 1):1155–1162PubMed

10.

Freedman NS, Gazendam J, Levan L, Pack AI, Schwab RJ (2001) Abnormal sleep/wake cycles and the effect of environmental noise on sleep disruption in the intensive care unit. Am J Respir Crit Care Med 163:451–457PubMed

11.

Gabor JY, Cooper AB, Crombach SA, Lee B, Kadikar N, Bettger HE, Hanly PJ (2003) Contribution of the intensive care unit environment to sleep disruption in mechanically ventilated patients and healthy subjects. Am J Respir Crit Care Med 167:708–715CrossRefPubMed

12.

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 using a helmet in patients with acute exacerbation of chronic obstructive pulmonary disease: a feasibility study. Anesthesiology 100:16–24CrossRefPubMed

13.

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 29:1671–1679CrossRefPubMed

14.

Allaouchiche B, Duflo F, Debon R, Bergeret A, Chassard D (2002) Noise in the postanaesthesia care unit. Br J Anaesth 88:369–373CrossRefPubMed

15.

Goulios H, Robertson D (1983) Noise-induced cochlear damage assessed using electrophysiological and morphological criteria: an examination of the equal energy principal. Hear Res 11:237–242CrossRef

16.

Ward WD (1979) General auditory effects of noise. Otolaryngol Clin North Am 12:473–492PubMed

17.

Patuzzi R (1998) Exponential onset and recovery of temporary threshold shift after loud sound: evidence for long-term inactivation of mechano-electrical transduction channels. Hear Res 125:17–38CrossRefPubMed

18.

Nott MR, West PDB (2003) Orthopedic theatre noise: a potential hazard to patients. Anaesthesia 58:784–787CrossRefPubMed

19.

Zakrisson J-E, Borg E, Diamant H, Møller AR (1975) Auditory fatigue in patients with stapedius muscle paralysis. Acta Otolaryngol (Stockh) 79:228–232

20.

Cavaliere F, Masieri S, Conti G, Antonelli M, Pennisi MA, Filipo R, Proietti R (2003) Effects of non-invasive ventilation on middle ear function in healthy volunteers. Intensive Care Med 29:611–614PubMed

21.

National Institute for Occupational Safety and Health (1998) Occupational noise exposure. Revised criteria. National Institute for Occupational Safety and Health, Cincinnati

22.

Meyer TJ, Eveloff S, Bauer M, Schwartz W, Hill N, Millman R (1994) Adverse environmental condition in the respiratory and medical ICU settings. Chest 105:1211–1216PubMed

23.

Kahn DM, Cook TE, Carlisle CC, Nelson DL, Kramer NR, Millman RP (1998) Identification and modification of environmental noise in an ICU setting. Chest 114:535–540PubMed

24.

Aaron JN, Carlisle CC, Carskadon MA, Meyer TJ, Hill NS, Millman RP (1996) Environmental noise as a cause of sleep disruption in an intermediate respiratory care unit. Sleep 19:707–710PubMed

Title: Noise exposure during noninvasive ventilation with a helmet, a nasal mask, and a facial mask
Authors: Franco Cavaliere
Giorgio Conti
Roberta Costa
Rodolfo Proietti
Antonino Sciuto
Simonetta Masieri
Publication date: 01-09-2004
Publisher: Springer-Verlag
Published in: Intensive Care Medicine / Issue 9/2004
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI: https://doi.org/10.1007/s00134-004-2347-9

2024 ASCO Annual Meeting

Springer Medicine

Noise exposure during noninvasive ventilation with a helmet, a nasal mask, and a facial mask

Abstract

Objective

Subjects and methods

Results

Conclusions

2024 ASCO Annual Meeting

Springer Medicine

Abstract

Objective

Subjects and methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 9/2004

Clinician discomfort with life support plans for mechanically ventilated patients

Brain death

Superior vena caval collapsibility as a gauge of volume status in ventilated septic patients

Is there any usefulness for a specific scoring system in assessing the prognosis of cancer patients admitted to the intensive care unit?

Nutritional support in 111 pediatric intensive care units: a European survey

September 2004