Sleep-related breathing disorders and non-invasive ventilation
Non-invasive mechanical ventilation (NPPV) was originally used in patients with acute respiratory impairment or exacerbations of chronic respiratory diseases, as an alternative to the endotracheal tube. Over the last thirty years NPPV has been also used at night in patients with stable chronic lung...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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PAGEPress Publications
2015-05-01
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| Series: | Italian Journal of Medicine |
| Subjects: | |
| Online Access: | http://www.italjmed.org/index.php/ijm/article/view/395 |
| _version_ | 1827611392411172864 |
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| author | Agata Lax Simona Colamartino Paolo Banfi Antonello Nicolini |
| author_facet | Agata Lax Simona Colamartino Paolo Banfi Antonello Nicolini |
| author_sort | Agata Lax |
| collection | DOAJ |
| description | Non-invasive mechanical ventilation (NPPV) was originally used in patients with acute respiratory impairment or exacerbations of chronic respiratory diseases, as an alternative to the endotracheal tube. Over the last thirty years NPPV has been also used at night in patients with stable chronic lung disease such as obstructive sleep apnea, the overlap syndrome (chronic obstructive pulmonary disease and obstructive sleep apnea), neuromuscular disorders, obesity-hypoventilation syndrome, and in other conditions such as sleep disorders associated with congestive heart failure (Cheyne-Stokes respiration). In this no-systematic review we discuss the different types of NPPV, the specific conditions in which they can be used and the indications, recommendations and evidence supporting the efficacy of NPPV. Optimizing patient acceptance and adherence to non-invasive ventilation treatment is challenging. The treatment of sleep-related disorders is a life-threatening condition. The optimal level of treatment should be determined in a sleep laboratory. Side effects directly affecting the patient’s adherence to treatment are known. The most common are nasopharyngeal symptoms including increased congestion and rhinorrhea; these effects are related to reduced humidity of inspired gas. Humidification of delivered gas may improve these symptoms. |
| first_indexed | 2024-03-09T08:06:31Z |
| format | Article |
| id | doaj.art-7b8ecaae4877474c81f3c69033d88962 |
| institution | Directory Open Access Journal |
| issn | 1877-9344 1877-9352 |
| language | English |
| last_indexed | 2024-03-09T08:06:31Z |
| publishDate | 2015-05-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | Italian Journal of Medicine |
| spelling | doaj.art-7b8ecaae4877474c81f3c69033d889622023-12-02T23:57:36ZengPAGEPress PublicationsItalian Journal of Medicine1877-93441877-93522015-05-019210911510.4081/itjm.2015.395463Sleep-related breathing disorders and non-invasive ventilationAgata Lax0Simona Colamartino1Paolo Banfi2Antonello Nicolini3Neuromuscular Diseases Unit, Don Gnocchi Foundation, MilanRespiratory Medicine Unit, Hospital of Sestri Levante (GE)Neuromuscular Diseases Unit, Don Gnocchi Foundation, MilanRespiratory Medicine Unit, Hospital of Sestri Levante (GE)Non-invasive mechanical ventilation (NPPV) was originally used in patients with acute respiratory impairment or exacerbations of chronic respiratory diseases, as an alternative to the endotracheal tube. Over the last thirty years NPPV has been also used at night in patients with stable chronic lung disease such as obstructive sleep apnea, the overlap syndrome (chronic obstructive pulmonary disease and obstructive sleep apnea), neuromuscular disorders, obesity-hypoventilation syndrome, and in other conditions such as sleep disorders associated with congestive heart failure (Cheyne-Stokes respiration). In this no-systematic review we discuss the different types of NPPV, the specific conditions in which they can be used and the indications, recommendations and evidence supporting the efficacy of NPPV. Optimizing patient acceptance and adherence to non-invasive ventilation treatment is challenging. The treatment of sleep-related disorders is a life-threatening condition. The optimal level of treatment should be determined in a sleep laboratory. Side effects directly affecting the patient’s adherence to treatment are known. The most common are nasopharyngeal symptoms including increased congestion and rhinorrhea; these effects are related to reduced humidity of inspired gas. Humidification of delivered gas may improve these symptoms.http://www.italjmed.org/index.php/ijm/article/view/395Sleep-related respiratory disordersnon-invasive ventilationcontinuous positive airway pressurebilevel positive airway pressure. |
| spellingShingle | Agata Lax Simona Colamartino Paolo Banfi Antonello Nicolini Sleep-related breathing disorders and non-invasive ventilation Italian Journal of Medicine Sleep-related respiratory disorders non-invasive ventilation continuous positive airway pressure bilevel positive airway pressure. |
| title | Sleep-related breathing disorders and non-invasive ventilation |
| title_full | Sleep-related breathing disorders and non-invasive ventilation |
| title_fullStr | Sleep-related breathing disorders and non-invasive ventilation |
| title_full_unstemmed | Sleep-related breathing disorders and non-invasive ventilation |
| title_short | Sleep-related breathing disorders and non-invasive ventilation |
| title_sort | sleep related breathing disorders and non invasive ventilation |
| topic | Sleep-related respiratory disorders non-invasive ventilation continuous positive airway pressure bilevel positive airway pressure. |
| url | http://www.italjmed.org/index.php/ijm/article/view/395 |
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