Noninvasive Ventilation, An Issue of Sleep Medicine Clinics

1st Edition, Volume 15-4 - November 11, 2020
Editors: Amen Sergew, Lisa Wolfe
Language: English
Hardback ISBN:
9 7 8 - 0 - 3 2 3 - 7 6 4 7 6 - 6
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 7 6 4 7 5 - 9

This issue of Sleep Medicine Clinics, guest-edited by Drs. Amen Sergew and Lisa F. Wolfe, focuses on Noninvasive Ventilation and Sleep Medicine. This issue is one of four selected… Read more

Noninvasive Ventilation, An Issue of Sleep Medicine Clinics

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This issue of Sleep Medicine Clinics, guest-edited by Drs. Amen Sergew and Lisa F. Wolfe, focuses on Noninvasive Ventilation and Sleep Medicine. This issue is one of four selected each year by series Consulting Editor, Dr. Teofilo Lee-Chiong. Articles include: Obesity hypoventilation - Traditional vs Non Traditional Populations; Spinal cord injury; Peri-Operative Care and Medication Related Hypoventilation; Lifetime Care of Duchenne Muscular Dystrophy; Management of Chronic Respiratory Failure in COPD - High and Low Intensity Ventilation; Management of Rare Causes Pediatric Chronic Respiratory Failure; Noninvasive Ventilator Management of ALS - Bulbar vs non Bulbar; Parsonage Turner; Noninvasive Ventilator Devices and Modes; Tailoring the Sleep Lab for Chronic Respiratory Failure; Long-Term Follow Up of Noninvasive Ventilation: Downloads and Troubleshooting; Extubating to Noninvasive Ventilation – NIV from ICU to Home; and From Tracheostomy to Noninvasive Ventilation – NIV from Long Term Acute Care to Home.

Cover image
Title page
Table of Contents
Copyright
Sleep Medicine Clinics
Contributors
Preface
Obesity Hypoventilation: Traditional Versus Nontraditional Populations
Key points
Introduction
Ambulatory management of obesity hypoventilation syndrome
Inpatient management of suspected obesity hypoventilation syndrome
Perioperative considerations in obesity hypoventilation syndrome
Specific syndromes with hypoventilation
Rapid-onset obesity with hypoventilation, hypothalamic, autonomic dysregulation
Noninvasive Ventilation and Spinal Cord Injury
Key points
Introduction
Respiratory complications after acute spinal cord injury
Pathophysiology of chronic respiratory failure in spinal cord injury
Role of noninvasive ventilation
Summary
Perioperative Care and Medication-related Hypoventilation
Key points
Introduction
Epidemiology of obstructive sleep apnea and obesity hypoventilation syndrome in surgical patients
Preoperative evaluation of sleep-related breathing disorders
The intraoperative and immediate postoperative periods
Sleep-related breathing disorders in the postoperative period
Reducing postoperative complications
Summary
Lifetime Care of Duchenne Muscular Dystrophy
Key points
Introduction
Sleep-related breathing disorders and respiratory failure
Other Sleep Disorders
Palliative/end-of-life care
Summary
Clinics Care Points
Management of Chronic Respiratory Failure in Chronic Obstructive Pulmonary Disease: High-Intensity and Low-Intensity Ventilation
Key points
Introduction
Physiology of breathing in chronic obstructive pulmonary disease and during sleep
Potential importance of hypercapnia in chronic obstructive pulmonary disease
Physiology of noninvasive ventilation
Early trials of noninvasive ventilation in stable chronic obstructive pulmonary disease
High-intensity noninvasive ventilation
High versus low intensity: does one size fit all?
Practical considerations for use of noninvasive ventilation in chronic obstructive pulmonary disease
Summary
Clinics care points
Management of Rare Causes of Pediatric Chronic Respiratory Failure
Key points
Introduction
Noninvasive positive pressure ventilation in pediatrics
Indications for noninvasive positive pressure ventilation in children
Rare pediatric diseases
Summary
Noninvasive Ventilation in Amyotrophic Lateral Sclerosis
Key points
Introduction
Impact of noninvasive ventilation on amyotrophic lateral sclerosis
Indications for noninvasive ventilation in amyotrophic lateral sclerosis
Early screening and initiation of noninvasive ventilation
Modes of noninvasive ventilation in amyotrophic lateral sclerosis
Noninvasive ventilation failure: causes and suggested solutions
Long-term monitoring of noninvasive ventilation in amyotrophic lateral sclerosis
Summary
Phrenic Nerve Involvement in Neuralgic Amyotrophy (Parsonage-Turner Syndrome)
Key points
Introduction
Phrenic nerve involvement
Treatment
Summary and future directions
Noninvasive Ventilator Devices and Modes
Key points
Introduction
Distinguishing portable ventilators from respiratory assist devices
Noninvasive ventilation versus invasive ventilation
Available devices for noninvasive positive pressure ventilation in the outpatient setting
Important/general settings/concepts
Modes of noninvasive ventilation
Important differences between Philips Respironics and ResMed
Selecting appropriate noninvasive positive pressure ventilation mode based on disease state
Initial settings and titration
Summary
Tailoring the Sleep Laboratory for Chronic Respiratory Failure
Key points
Introduction
Physical sleep laboratory
Modified polysomnography protocols for nonobstructive sleep apnea hypoventilation and sleep-disordered breathing
The standard polysomnography and additional options
Carbon dioxide monitoring
Respiratory muscle electromyography
Supplemental oxygen
Modified polysomnography titration protocols for nonobstructive sleep apnea hypoventilation
Neuromuscular disease
Chronic obstructive pulmonary disease
Nonobstructive sleep apnea obesity hypoventilation syndrome
Congenital central hypoventilation syndrome and other disorders of central respiratory control
Documentation considerations
Noninvasive Ventilation Downloads and Monitoring
Key points
Introduction
Parameters
Adherence
Leak
Exhaled tidal volume
Percent triggered breaths
Overnight oximetry
Transcutaneous CO2 monitoring
Protocols
Summary
Extubating to Noninvasive Ventilation: Noninvasive Ventilation from Intensive Care Unit to Home
Key points
Introduction
Tracheostomy to Noninvasive Ventilation: From Acute Care to Home
Key points
Introduction
Scope of problem
From the intensive care unit to long-term acute care or acute rehabilitation center
Ventilator asynchrony on new ventilator
Tracheostomy placement with plan for downsizing and decannulation
Advancing from tracheostomy to noninvasive positive pressure ventilation
Choosing a device for long-term ventilation: invasive or noninvasive
From long-term acute care or acute rehabilitation center to home
To decannulate or not to decannulate
Summary