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Intensive Care Medicine
Published in: Intensive Care Medicine 10/2003

01-10-2003 | Original

Noninvasive positive pressure ventilation delivered by helmet vs. standard face mask

Authors: Davide Chiumello, Paolo Pelosi, Eleonora Carlesso, Paolo Severgnini, Michele Aspesi, Chiara Gamberoni, Massimo Antonelli, Giorgio Conti, Maurizio Chiaranda, Luciano Gattinoni

Published in: Intensive Care Medicine | Issue 10/2003

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Abstract

Objective

This bench and human study compared large and small helmets with face mask (FM) for delivery of noninvasive positive pressure ventilation.

Design

A lung simulator was employed, and the human study involved six healthy subjects. We evaluated a continuous high-flow (CPAPHF), low flow (CPAPLF), ventilator (CPAPVENT) CPAP, and pressure support ventilation (PSV 10 and 20 cmH2O). In the human study we used CPAPHF, CPAPVENT, and PSV 5 cmH2O. PEEP was 5 cmH2O.

Measurements

In the bench study during CPAP we measured the negative airway pressure time product (areaCPAP), i.e., the area of airway pressure (Paw) under PEEP and during PSV the pressure airway time product (areaPSV), i.e., the area of Paw from onset to end of inspiratory flow. In the human study we measured the breathing pattern and work of breathing (WOB).

Results

In the bench study during CPAPLF the helmets had a lower areaCPAP than the FM, while during CPAPHF the three interfaces had similar areaCPAP. Using CPAPVENT and PSV the FM reduced areaCPAP and increased areaPSV compared to helmets. At 20 cmH2O of PSV using helmets areaPSV was similar to that obtained at 10 cmH2O of PSV using the FM. In human study using CPAPHF and CPAPVENT the tree interfaces had similar effects on breathing pattern and WOB, while using PSV the FM reduced WOB more than helmets.

Conclusions

During CPAPLF helmets were more efficient than FM, while during CPAPHF the three interfaces were comparable. Using CPAPVENT and PSV, FM was more efficient than helmets
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Metadata
Title
Noninvasive positive pressure ventilation delivered by helmet vs. standard face mask
Authors
Davide Chiumello
Paolo Pelosi
Eleonora Carlesso
Paolo Severgnini
Michele Aspesi
Chiara Gamberoni
Massimo Antonelli
Giorgio Conti
Maurizio Chiaranda
Luciano Gattinoni
Publication date
01-10-2003
Publisher
Springer-Verlag
Published in
Intensive Care Medicine / Issue 10/2003
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-003-1825-9

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