How to ventilate obstructive and asthmatic patients
Exacerbations are part of the natural history of chronic obstructive pulmonary disease and asthma. Severe exacerbations can cause acute respiratory failure, which may ultimately require mechanical ventilation. This review summarizes practical ventilator strategies for the management of patients with...
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| Veröffentlicht in: | Intensive care medicine 2020-12, Vol.46 (12), p.2436-2449 |
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| creator | Demoule, Alexandre Brochard, Laurent Dres, Martin Heunks, Leo Jubran, Amal Laghi, Franco Mekontso-Dessap, Armand Nava, Stefano Ouanes-Besbes, Lamia Peñuelas, Oscar Piquilloud, Lise Vassilakopoulos, Theodoros Mancebo, Jordi |
| description | Exacerbations are part of the natural history of chronic obstructive pulmonary disease and asthma. Severe exacerbations can cause acute respiratory failure, which may ultimately require mechanical ventilation. This review summarizes practical ventilator strategies for the management of patients with obstructive airway disease. Such strategies include non-invasive mechanical ventilation to prevent intubation, invasive mechanical ventilation, from the time of intubation to weaning, and strategies intended to prevent post-extubation acute respiratory failure. The role of tracheostomy, the long-term prognosis, and potential future adjunctive strategies are also discussed. Finally, the physiological background that underlies these strategies is detailed. |
| doi_str_mv | 10.1007/s00134-020-06291-0 |
| format | Article |
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Severe exacerbations can cause acute respiratory failure, which may ultimately require mechanical ventilation. This review summarizes practical ventilator strategies for the management of patients with obstructive airway disease. Such strategies include non-invasive mechanical ventilation to prevent intubation, invasive mechanical ventilation, from the time of intubation to weaning, and strategies intended to prevent post-extubation acute respiratory failure. The role of tracheostomy, the long-term prognosis, and potential future adjunctive strategies are also discussed. 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Severe exacerbations can cause acute respiratory failure, which may ultimately require mechanical ventilation. This review summarizes practical ventilator strategies for the management of patients with obstructive airway disease. Such strategies include non-invasive mechanical ventilation to prevent intubation, invasive mechanical ventilation, from the time of intubation to weaning, and strategies intended to prevent post-extubation acute respiratory failure. The role of tracheostomy, the long-term prognosis, and potential future adjunctive strategies are also discussed. Finally, the physiological background that underlies these strategies is detailed.</description><subject>Acute respiratory distress syndrome</subject><subject>Allergic diseases</subject><subject>Anesthesiology</subject><subject>Asthma</subject><subject>Asthma - therapy</subject><subject>Chronic obstructive pulmonary disease</subject><subject>Critical Care Medicine</subject><subject>Emergency Medicine</subject><subject>Extubation</subject><subject>Humans</subject><subject>Intensive</subject><subject>Intensive care</subject><subject>Intubation</subject><subject>Life Sciences</subject><subject>Lung diseases</subject><subject>Mechanical ventilation</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Methods</subject><subject>Obstructive lung disease</subject><subject>Ostomy</subject><subject>Oxygen therapy</subject><subject>Pain Medicine</subject><subject>Pediatrics</subject><subject>Pneumology/Respiratory System</subject><subject>Pulmonary Disease, Chronic Obstructive - complications</subject><subject>Pulmonary Disease, Chronic Obstructive - therapy</subject><subject>Respiration, Artificial</subject><subject>Respiratory failure</subject><subject>Respiratory Insufficiency</subject><subject>Respiratory Therapy</subject><subject>Respiratory tract diseases</subject><subject>Review</subject><subject>Tracheostomy</subject><subject>Ventilation</subject><subject>Ventilator Weaning</subject><subject>Weaning</subject><issn>0342-4642</issn><issn>1432-1238</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kk9r3DAQxUVpSbbbfIEeiqGX9uBk9M-yL4UltN3CQi_pWciytKtgW1vL3tBv39k6TZqwFIEEo9-8kR6PkLcULimAukoAlIscGORQsIrm8IIsqOAsp4yXL8kCuGC5KAQ7J69TukVcFZKekXPOaVExKheEr-NdNsbs4PoxtGZ0WazTOEx2DAeXmb7JTBp3nRmDzfa4I5bekFfetMld3J9L8uPL55vrdb75_vXb9WqT24LyMS-8lAwKsHVd8aoynoMrC25qU3tqqWRO4SMqqphXTlLhvRTQlOBtqSpqG74kn2bd_VR3rrE4ezCt3g-hM8MvHU3QT2_6sNPbeND4SwZSocDHWWD3rG292uhjDTiwQik4UGQ_3A8b4s_JpVF3IVnXtqZ3cUqaCVnxo6xA9P0z9DZOQ49WIKU4kxI4e6S2pnU69D7iG-1RVK8U4xUVjJZI5Seoresdfij2zgcsP-EvT_C4GtcFe7KBzQ12iCkNzj8YQUEfY6TnGGmMkf4TI3RlSd796_xDy9_cIMBnIOFVv3XDowX_kf0Nhy_O6Q</recordid><startdate>20201201</startdate><enddate>20201201</enddate><creator>Demoule, Alexandre</creator><creator>Brochard, Laurent</creator><creator>Dres, Martin</creator><creator>Heunks, Leo</creator><creator>Jubran, Amal</creator><creator>Laghi, Franco</creator><creator>Mekontso-Dessap, Armand</creator><creator>Nava, Stefano</creator><creator>Ouanes-Besbes, Lamia</creator><creator>Peñuelas, Oscar</creator><creator>Piquilloud, Lise</creator><creator>Vassilakopoulos, Theodoros</creator><creator>Mancebo, Jordi</creator><general>Springer Berlin Heidelberg</general><general>Springer</general><general>Springer Nature B.V</general><general>Springer Verlag</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M7Z</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>1XC</scope><scope>VOOES</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-0432-7217</orcidid><orcidid>https://orcid.org/0000-0001-9191-6089</orcidid><orcidid>https://orcid.org/0000-0001-5961-5577</orcidid></search><sort><creationdate>20201201</creationdate><title>How to ventilate obstructive and asthmatic patients</title><author>Demoule, Alexandre ; Brochard, Laurent ; Dres, Martin ; Heunks, Leo ; Jubran, Amal ; Laghi, Franco ; Mekontso-Dessap, Armand ; Nava, Stefano ; Ouanes-Besbes, Lamia ; Peñuelas, Oscar ; Piquilloud, Lise ; Vassilakopoulos, Theodoros ; Mancebo, Jordi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c613t-6f552060cbb9399af30e863ababf1c152e76929172f7e514ff540d80fc8791cd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Acute respiratory distress syndrome</topic><topic>Allergic diseases</topic><topic>Anesthesiology</topic><topic>Asthma</topic><topic>Asthma - therapy</topic><topic>Chronic obstructive pulmonary disease</topic><topic>Critical Care Medicine</topic><topic>Emergency Medicine</topic><topic>Extubation</topic><topic>Humans</topic><topic>Intensive</topic><topic>Intensive care</topic><topic>Intubation</topic><topic>Life Sciences</topic><topic>Lung diseases</topic><topic>Mechanical ventilation</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Methods</topic><topic>Obstructive lung disease</topic><topic>Ostomy</topic><topic>Oxygen therapy</topic><topic>Pain Medicine</topic><topic>Pediatrics</topic><topic>Pneumology/Respiratory System</topic><topic>Pulmonary Disease, Chronic Obstructive - complications</topic><topic>Pulmonary Disease, Chronic Obstructive - therapy</topic><topic>Respiration, Artificial</topic><topic>Respiratory failure</topic><topic>Respiratory Insufficiency</topic><topic>Respiratory Therapy</topic><topic>Respiratory tract diseases</topic><topic>Review</topic><topic>Tracheostomy</topic><topic>Ventilation</topic><topic>Ventilator Weaning</topic><topic>Weaning</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Demoule, Alexandre</creatorcontrib><creatorcontrib>Brochard, Laurent</creatorcontrib><creatorcontrib>Dres, Martin</creatorcontrib><creatorcontrib>Heunks, Leo</creatorcontrib><creatorcontrib>Jubran, Amal</creatorcontrib><creatorcontrib>Laghi, Franco</creatorcontrib><creatorcontrib>Mekontso-Dessap, Armand</creatorcontrib><creatorcontrib>Nava, Stefano</creatorcontrib><creatorcontrib>Ouanes-Besbes, Lamia</creatorcontrib><creatorcontrib>Peñuelas, Oscar</creatorcontrib><creatorcontrib>Piquilloud, Lise</creatorcontrib><creatorcontrib>Vassilakopoulos, Theodoros</creatorcontrib><creatorcontrib>Mancebo, Jordi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biochemistry Abstracts 1</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - 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Severe exacerbations can cause acute respiratory failure, which may ultimately require mechanical ventilation. This review summarizes practical ventilator strategies for the management of patients with obstructive airway disease. Such strategies include non-invasive mechanical ventilation to prevent intubation, invasive mechanical ventilation, from the time of intubation to weaning, and strategies intended to prevent post-extubation acute respiratory failure. The role of tracheostomy, the long-term prognosis, and potential future adjunctive strategies are also discussed. 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| ispartof | Intensive care medicine, 2020-12, Vol.46 (12), p.2436-2449 |
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| source | MEDLINE; SpringerNature Journals |
| subjects | Acute respiratory distress syndrome Allergic diseases Anesthesiology Asthma Asthma - therapy Chronic obstructive pulmonary disease Critical Care Medicine Emergency Medicine Extubation Humans Intensive Intensive care Intubation Life Sciences Lung diseases Mechanical ventilation Medicine Medicine & Public Health Methods Obstructive lung disease Ostomy Oxygen therapy Pain Medicine Pediatrics Pneumology/Respiratory System Pulmonary Disease, Chronic Obstructive - complications Pulmonary Disease, Chronic Obstructive - therapy Respiration, Artificial Respiratory failure Respiratory Insufficiency Respiratory Therapy Respiratory tract diseases Review Tracheostomy Ventilation Ventilator Weaning Weaning |
| title | How to ventilate obstructive and asthmatic patients |
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