Interaktion von patient und ventilator während nichtinvasiver druckunterstützter spontanatmung bei patienten mit hyperkapnischer COPD

Translated title of the contribution: Patient-ventilator interaction with noninvasive pressure support ventilation in patients with hypercapnic COPD

W. Pankow, H. Becket, U. Köhler, H. Schneider, T. Penzel, J. H. Peter

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Noninvasive pressure support ventilation (NPSV) demands triggering with each breath. This study investigates the effects of NPSV via face mask on breathing pattern, ventilation and respiratory muscle loading in patients with hypercapnic stable COPD. Methods: 7 patients (age 66 ± 9 years; FEV1 43 ± 13% predicted; PaO2 52 ± 19 mmHg; PaCO2 58 ± 12 mmHg) were included. The physiologic variables were evaluated during spontaneous breathing and at the end of a 60 minutes period with NPSV. Inspiratory positive airway pressure (IPAP) and expiratory positive airway pressure (EPAP) were adjusted to 12-14 cm H2O and 3 cm H2O, respectively. Respiratory muscle activity was measured as esophageal and transdiaphrgmatic pressure time product (PTPes and PTPdi). Results: Non-triggering was observed only occasionaly. Compared to unsupported spontaneous breathing NPSV improved ventilation: PaCO2 was reduced from 58 ± 11 mmHg to 50 ± 14 mmHg (p ± 0,05). Respiratory muscles were unloaded by 30% (p ± 0,05). Breathing frenquency and breathing pattern did not change. Conclusions: In patients with hypercapnic stable COPD NPSV effectively recognizes and supports breathing efforts. As a result ventilation is improved and respiratory muscles are unloaded.

Translated title of the contributionPatient-ventilator interaction with noninvasive pressure support ventilation in patients with hypercapnic COPD
Original languageGerman
Pages (from-to)7-12
Number of pages6
JournalPneumologie
Volume55
Issue number1
DOIs
StatePublished - 2001

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

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