Noninvasive intermittent positive pressure

The use of MI-E has been demonstrated to be very important in extubating NMD patients following general anesthesia, despite their lack of any breathing tolerance, and managing them with NIV (8,9,60). It is also permitted to avoid intubation or to quickly extubate NMD patients in acute ventilatory failure with no breathing tolerance and profuse airway secretions due to intercurrent chest infections (37,83,84). MI-E in a protocol with manually assisted coughing, oximetry feedback, and home use of noninvasive intermittent positive pressure ventilation was shown to effectively decrease hospitalizations and respiratory complications, and mortality for patients with NMD (7,85). 

Abbreviations-. Sp02, saturation of oxygen in arterial blood NIPPV, noninvasive intermittent positive pressure ventilation MAC, mechanically assisted cough CO2, carbon dioxide IPAP, inspiratory positive airway pressure BiPAP, bi-level positive airway pressure. 

Ishihara H, Kimura K, Ohi M, et al. Nationwide survey of home meehanieal ventilation and noninvasive intermittent positive pressure ventilation in 1998. A 1998 annual report of the Japanese Ministry of Health, Labour and Welfare Specified Respiratory Failure Study Group [in Japanese]. 1999 87-90. 

Pankow W, Hijjeh I, Sehutder F, et al. Influenee of noninvasive positive pressure ventilation on inspiratory musele aetivity in obese subjects. Eur Respir J 1997 10 2847-2852. de Lucas-Ramos P, de Miguel-Diez J, Santaeruz-Siminiani A, et al. Benefits at 1 year of nocturnal intermittent positive pressure ventilation in patients with obesity-hypoventilation syndrome. Respir Med 2004 98 %l-967. 

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