Noninvasive ventilation and the upper airway: Should we pay more attention?

Eline Oppersma, Jonne Doorduin, Erik H.F.M. van der Heijden, Johannes G. van der Hoeven, Leo M.A. Heunks

Research output: Contribution to journalReview articleAcademicpeer-review

Abstract

In an effort to reduce the complications related to invasive ventilation, the use of noninvasive ventilation (NIV) has increased over the last years in patients with acute respiratory failure. However, failure rates for NIV remain high in specific patient categories. Several studies have identified factors that contribute to NIV failure, including low experience of the medical team and patient-ventilator asynchrony. An important difference between invasive ventilation and NIV is the role of the upper airway. During invasive ventilation the endotracheal tube bypasses the upper airway, but during NIV upper airway patency may play a role in the successful application of NIV. In response to positive pressure, upper airway patency may decrease and therefore impair minute ventilation. This paper aims to discuss the effect of positive pressure ventilation on upper airway patency and its possible clinical implications, and to stimulate research in this field.

Original languageEnglish
Article number245
JournalCritical Care
Volume17
Issue number6
DOIs
Publication statusPublished - 5 Dec 2013

Cite this

Oppersma, E., Doorduin, J., van der Heijden, E. H. F. M., van der Hoeven, J. G., & Heunks, L. M. A. (2013). Noninvasive ventilation and the upper airway: Should we pay more attention? Critical Care, 17(6), [245]. https://doi.org/10.1186/cc13141
Oppersma, Eline ; Doorduin, Jonne ; van der Heijden, Erik H.F.M. ; van der Hoeven, Johannes G. ; Heunks, Leo M.A. / Noninvasive ventilation and the upper airway : Should we pay more attention?. In: Critical Care. 2013 ; Vol. 17, No. 6.
@article{dac8f6fd61a946a48499fd25743a20bf,
title = "Noninvasive ventilation and the upper airway: Should we pay more attention?",
abstract = "In an effort to reduce the complications related to invasive ventilation, the use of noninvasive ventilation (NIV) has increased over the last years in patients with acute respiratory failure. However, failure rates for NIV remain high in specific patient categories. Several studies have identified factors that contribute to NIV failure, including low experience of the medical team and patient-ventilator asynchrony. An important difference between invasive ventilation and NIV is the role of the upper airway. During invasive ventilation the endotracheal tube bypasses the upper airway, but during NIV upper airway patency may play a role in the successful application of NIV. In response to positive pressure, upper airway patency may decrease and therefore impair minute ventilation. This paper aims to discuss the effect of positive pressure ventilation on upper airway patency and its possible clinical implications, and to stimulate research in this field.",
author = "Eline Oppersma and Jonne Doorduin and {van der Heijden}, {Erik H.F.M.} and {van der Hoeven}, {Johannes G.} and Heunks, {Leo M.A.}",
year = "2013",
month = "12",
day = "5",
doi = "10.1186/cc13141",
language = "English",
volume = "17",
journal = "Critical Care",
issn = "1466-609X",
publisher = "Springer Science + Business Media",
number = "6",

}

Oppersma, E, Doorduin, J, van der Heijden, EHFM, van der Hoeven, JG & Heunks, LMA 2013, 'Noninvasive ventilation and the upper airway: Should we pay more attention?' Critical Care, vol. 17, no. 6, 245. https://doi.org/10.1186/cc13141

Noninvasive ventilation and the upper airway : Should we pay more attention? / Oppersma, Eline; Doorduin, Jonne; van der Heijden, Erik H.F.M.; van der Hoeven, Johannes G.; Heunks, Leo M.A.

In: Critical Care, Vol. 17, No. 6, 245, 05.12.2013.

Research output: Contribution to journalReview articleAcademicpeer-review

TY - JOUR

T1 - Noninvasive ventilation and the upper airway

T2 - Should we pay more attention?

AU - Oppersma, Eline

AU - Doorduin, Jonne

AU - van der Heijden, Erik H.F.M.

AU - van der Hoeven, Johannes G.

AU - Heunks, Leo M.A.

PY - 2013/12/5

Y1 - 2013/12/5

N2 - In an effort to reduce the complications related to invasive ventilation, the use of noninvasive ventilation (NIV) has increased over the last years in patients with acute respiratory failure. However, failure rates for NIV remain high in specific patient categories. Several studies have identified factors that contribute to NIV failure, including low experience of the medical team and patient-ventilator asynchrony. An important difference between invasive ventilation and NIV is the role of the upper airway. During invasive ventilation the endotracheal tube bypasses the upper airway, but during NIV upper airway patency may play a role in the successful application of NIV. In response to positive pressure, upper airway patency may decrease and therefore impair minute ventilation. This paper aims to discuss the effect of positive pressure ventilation on upper airway patency and its possible clinical implications, and to stimulate research in this field.

AB - In an effort to reduce the complications related to invasive ventilation, the use of noninvasive ventilation (NIV) has increased over the last years in patients with acute respiratory failure. However, failure rates for NIV remain high in specific patient categories. Several studies have identified factors that contribute to NIV failure, including low experience of the medical team and patient-ventilator asynchrony. An important difference between invasive ventilation and NIV is the role of the upper airway. During invasive ventilation the endotracheal tube bypasses the upper airway, but during NIV upper airway patency may play a role in the successful application of NIV. In response to positive pressure, upper airway patency may decrease and therefore impair minute ventilation. This paper aims to discuss the effect of positive pressure ventilation on upper airway patency and its possible clinical implications, and to stimulate research in this field.

UR - http://www.scopus.com/inward/record.url?scp=84889562611&partnerID=8YFLogxK

U2 - 10.1186/cc13141

DO - 10.1186/cc13141

M3 - Review article

VL - 17

JO - Critical Care

JF - Critical Care

SN - 1466-609X

IS - 6

M1 - 245

ER -

Oppersma E, Doorduin J, van der Heijden EHFM, van der Hoeven JG, Heunks LMA. Noninvasive ventilation and the upper airway: Should we pay more attention? Critical Care. 2013 Dec 5;17(6). 245. https://doi.org/10.1186/cc13141