Respiratory insufficiency, chronic hypercapnia and domiciliary non-invasive ventilation from the point of view of a pneumologist

Czech version

Authors: Jaroslav Lněnička
Authors‘ workplace: Klinika pneumologie 3. LF UK a Fakultní nemocnice Bulovka, Praha
Published in: Vnitř Lék 2021; 67(6): 323-327
Category: Main Topic

Overview

Domiciliary non-invasive ventilation has been an established method of treating chronic hypercapnic respiratory insufficiency for decades. Its effectiveness is based on a number of clinical studies and the prevalence of use worldwide and in the Czech Republic is increasing. The article offers a brief summary of the pathophysiology of hypercapnic respiratory insufficiency and its treatment.

Keywords:

non-invasive ventilation – respiratory insufficiency – hypercapnia – domiciliary non-invasive ventilation – NIV

Sources

1. Rochwerg B, Brochard L, Elliott MW et al. Official ERS/ATS clinical practice guidelines: noninvasive ventilation for acute respiratory failure. Eur Respir J 2017; 50.

2. Windisch W, Dreher M, Storre JH, Sorichter S. Nocturnal non-invasive positive pressure ventilation: physiological effects on spontaneous breathing. Respir Physiol Neurobiol 2006; 150: 251–260.

3. Simonds AK. Home mechanical ventilation: an overview. Ann Am Thorac Soc 2016; 13: 2035–2044. doi: 10.1513/AnnalsATS.201606–454FR

4. Lloyd-Owen SJ, Donaldson GC, Ambrosino N, Escarabill J, Farre R, Fauroux B, Robert D, Schoenhofer B, Simonds AK, Wedzicha JA. Patterns of home mechanical ventilation use in Europe: results from the Eurovent survey. Eur Respir J 2005; 25: 1025–1031.

5. Rose L, McKim DA, Katz SL, Leasa D, Nonoyama M, Pedersen C, Goldstein RS, Road JD. CANuVENT Group. Home mechanical ventilation in Canada: a national survey. Respir Care 2015; 60: 695–704.

6. Indikační kritéria pro domácí neinvazivní ventilační podporu (NIV) – k dispozici na https:// www.sleep-society.cz/index.php/cs/doporucene-postupy-paticka.

7. Metodika PZT VZP – k dispozici na https://www.vzp.cz/poskytovatele/ciselniky/zdravotnicke- prostredky.

8. Osadnik CR, Tee VS, Carson-Chahhoud KV et al. Non-invasive ventilation for the management of acute hypercapnic respiratory failure due to exacerbation of chronic obstructive pulmonary disease. Cochrane Database Syst Rev 2017; 7: CD004104.

9. Köhnlein T, Windisch W, Köhler D, Drabik A, Geiseler J, Hartl S et al. Non-invasive positive pressure ventilation for the treatment of severe stable chronic obstructive pulmonary disease: a prospective, multicentre, randomised, controlled clinical trial. Lancet Respir Med 2014; 2: 698–705.

10. Struik FM, Sprooten RT, Kerstjens HA et al. Nocturnal non-invasive ventilation in COPD patients with prolonged hypercapnia after ventilatory support for acute respiratory failure: a randomised, controlled, parallel-group study. Thorax 2014; 69: 826–834.

11. Murphy PB, Rehal S, Arbane G et al. Effect of home noninvasive ventilation with oxygen therapy vs oxygen therapy alone on hospital readmission or death after an acute COPD exacerbation: a randomized clinical trial. JAMA 2017; 317: 2177–2186.

12. Buyse B, Meersseman W, Demedts M. Treatment of chronic respiratory failure in kyphoscoliosis: oxygen or ventilation? Eur Respir J 2003; 22: 525–528.

13. Masa JF, Janssens J-P, Borel J-C, Pepin J-L. OHS: definition, diagnosis, pathophysiology and management; in: Obstructive Sleep Apnoea. European Respiratory Society, 2015: 137–152.

14. Nowbar S, Burkart KM, Gonzales R, Fedorowicz A, Gozansky WS, Gaudio JC et al. Obesity- associated hypoventilation in hospitalized patients: prevalence, effects, and outcome. Am J Med 2004; 116: 1–7.

15. Kaw R, Hernandez AV, Walker E, Aboussouan L, Mokhlesi B. Determinants of hypercapnia in obese patients with obstructive sleep apnea: a systematic review and metaanalysis of cohort studies. CHEST J 2009; 136: 787–796.