• Paediatr Respir Rev · Mar 2016

    Review

    New modes in non-invasive ventilation.

    • Claudio Rabec, Guillaume Emeriaud, Alessandro Amadeo, Brigitte Fauroux, and Marjolaine Georges.
    • Pulmonary Departement and Respiratory Critical Care Unit, University Hospital Dijon, France; Inserm U 866, University of Burgundy, School of Medicine, Dijon, France. Electronic address: claudio.rabec@chu-dijon.fr.
    • Paediatr Respir Rev. 2016 Mar 1; 18: 73-84.

    AbstractNon-invasive ventilation is useful to treat some forms of respiratory failure. Hence, the number of patients receiving this treatment is steadily increasing. Considerable conceptual and technical progress has been made in the last years by manufacturers concerning this technique. This includes new features committed to improve its effectiveness as well as patient-ventilator interactions. The goal of this review is to deal with latest advances in ventilatory modes and features available for non-invasive ventilation. We present a comprehensive analysis of new modes of ventilator assistance committed to treat respiratory failure (hybrid modes) and central and complex sleep apnea (adaptive servo ventilation), and of new modes of triggering and cycling (neurally adjusted ventilatory assist). Technical aspects, modes of operation and settings of these new features as well as an exhaustive review of published data, their benefits and limits, and the potential place of these devices in clinical practice, are discussed. Copyright © 2015 Elsevier Ltd. All rights reserved.

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