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Practical aspects of nocturnal noninvasive ventilation in neuromuscular and chest wall disease

Authors
Nicholas S Hill, MD
Naomi R Kramer, MD
Section Editors
Jeremy M Shefner, MD, PhD
Polly E Parsons, MD
Deputy Editors
Geraldine Finlay, MD
John F Dashe, MD, PhD

INTRODUCTION

Noninvasive ventilation refers to mechanical ventilation without the need for an invasive interface (ie, an invasive artificial airway) between the ventilatory device and the patient. Noninvasive ventilation is now commonly used to assist ventilation in patients with a variety of chronic neuromuscular and chest wall diseases [1].

The incidence of respiratory muscle dysfunction varies among these different entities. In neuromuscular disease, the degree of compromise may differ significantly between respiratory and nonrespiratory muscles, and not all respiratory muscles may be similarly impaired. The clinical course also varies, as the rate of progression may differ enormously between individuals with the same disease (eg, amyotrophic lateral sclerosis) and respiratory muscle weakness may be:

Completely reversible (Guillain-Barré syndrome)

Reversible with treatment (myasthenia gravis)

Relapsing (multiple sclerosis)

               

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Literature review current through: Nov 2016. | This topic last updated: Tue May 31 00:00:00 GMT+00:00 2016.
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References
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  1. Ozsancak A, D'Ambrosio C, Hill NS. Nocturnal noninvasive ventilation. Chest 2008; 133:1275.
  2. Meyer TJ, Hill NS. Noninvasive positive pressure ventilation to treat respiratory failure. Ann Intern Med 1994; 120:760.
  3. Bach, JR, Brougher, P, Hess, DR, et al. Consensus statement: Noninvasive positive pressure ventilation. Respir Care 1997; 42:364.
  4. Mehta S, Hill NS. Noninvasive ventilation. Am J Respir Crit Care Med 2001; 163:540.
  5. Dhand UK, Dhand R. Sleep disorders in neuromuscular diseases. Curr Opin Pulm Med 2006; 12:402.
  6. Chatwin M, Nickol AH, Morrell MJ, et al. Randomised trial of inpatient versus outpatient initiation of home mechanical ventilation in patients with nocturnal hypoventilation. Respir Med 2008; 102:1528.
  7. Berry RB, Chediak A, Brown LK, et al. Best clinical practices for the sleep center adjustment of noninvasive positive pressure ventilation (NPPV) in stable chronic alveolar hypoventilation syndromes. J Clin Sleep Med 2010; 6:491.
  8. Atkeson AD, RoyChoudhury A, Harrington-Moroney G, et al. Patient-ventilator asynchrony with nocturnal noninvasive ventilation in ALS. Neurology 2011; 77:549.
  9. Richards GN, Cistulli PA, Ungar RG, et al. Mouth leak with nasal continuous positive airway pressure increases nasal airway resistance. Am J Respir Crit Care Med 1996; 154:182.
  10. Sanders MH, Kern NB, Costantino JP, et al. Accuracy of end-tidal and transcutaneous PCO2 monitoring during sleep. Chest 1994; 106:472.
  11. Storre JH, Magnet FS, Dreher M, Windisch W. Transcutaneous monitoring as a replacement for arterial PCO(2) monitoring during nocturnal non-invasive ventilation. Respir Med 2011; 105:143.
  12. Janssens JP, Borel JC, Pépin JL, SomnoNIV Group. Nocturnal monitoring of home non-invasive ventilation: the contribution of simple tools such as pulse oximetry, capnography, built-in ventilator software and autonomic markers of sleep fragmentation. Thorax 2011; 66:438.
  13. Fanfulla F, Delmastro M, Berardinelli A, et al. Effects of different ventilator settings on sleep and inspiratory effort in patients with neuromuscular disease. Am J Respir Crit Care Med 2005; 172:619.
  14. Aboussouan LS, Khan SU, Meeker DP, et al. Effect of noninvasive positive-pressure ventilation on survival in amyotrophic lateral sclerosis. Ann Intern Med 1997; 127:450.
  15. Bourke SC, Tomlinson M, Williams TL, et al. Effects of non-invasive ventilation on survival and quality of life in patients with amyotrophic lateral sclerosis: a randomised controlled trial. Lancet Neurol 2006; 5:140.
  16. Lo Coco D, Marchese S, Pesco MC, et al. Noninvasive positive-pressure ventilation in ALS: predictors of tolerance and survival. Neurology 2006; 67:761.
  17. Bach JR. Amyotrophic lateral sclerosis: prolongation of life by noninvasive respiratory AIDS. Chest 2002; 122:92.
  18. Windisch W, Quality of life in home mechanical ventilation study group. Impact of home mechanical ventilation on health-related quality of life. Eur Respir J 2008; 32:1328.
  19. Tsolaki V, Pastaka C, Kostikas K, et al. Noninvasive ventilation in chronic respiratory failure: effects on quality of life. Respiration 2011; 81:402.
  20. Hannan LM, Dominelli GS, Chen YW, et al. Systematic review of non-invasive positive pressure ventilation for chronic respiratory failure. Respir Med 2014; 108:229.
  21. Gustafson T, Franklin KA, Midgren B, et al. Survival of patients with kyphoscoliosis receiving mechanical ventilation or oxygen at home. Chest 2006; 130:1828.
  22. Barbé F, Quera-Salva MA, de Lattre J, et al. Long-term effects of nasal intermittent positive-pressure ventilation on pulmonary function and sleep architecture in patients with neuromuscular diseases. Chest 1996; 110:1179.
  23. Schönhofer B, Köhler D. Effect of non-invasive mechanical ventilation on sleep and nocturnal ventilation in patients with chronic respiratory failure. Thorax 2000; 55:308.
  24. Collard P, Dury M, Delguste P, et al. Movement arousals and sleep-related disordered breathing in adults. Am J Respir Crit Care Med 1996; 154:454.
  25. Masa JF, Celli BR, Riesco JA, et al. Noninvasive positive pressure ventilation and not oxygen may prevent overt ventilatory failure in patients with chest wall diseases. Chest 1997; 112:207.
  26. Annane D, Quera-Salva MA, Lofaso F, et al. Mechanisms underlying effects of nocturnal ventilation on daytime blood gases in neuromuscular diseases. Eur Respir J 1999; 13:157.
  27. Turkington PM, Elliott MW. Rationale for the use of non-invasive ventilation in chronic ventilatory failure. Thorax 2000; 55:417.
  28. Bach JR. Update and perspective on noninvasive respiratory muscle aids. Part 2: The expiratory aids. Chest 1994; 105:1538.
  29. Boitano LJ. Management of airway clearance in neuromuscular disease. Respir Care 2006; 51:913.
  30. Sundling, I-M, Ekman, S-L, Weinberg, J, Klefbeck, B. Patients' with ALS and Caregivers' experiences of non-invasive home ventilation. Adv Physiother 2007; 99999:1.
  31. Mustfa N, Walsh E, Bryant V, et al. The effect of noninvasive ventilation on ALS patients and their caregivers. Neurology 2006; 66:1211.