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How to ventilate obstructive and asthmatic patients.

  • Demoule A Service de Pneumologie, Médecine Intensive-Réanimation (Département "R3S"), Hôpital Pitié-Salpêtrière, AP-HP, Sorbonne Université, 75013, Paris, France. alexandre.demoule@aphp.fr.
  • Brochard L Interdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, Canada.
  • Dres M Service de Pneumologie, Médecine Intensive-Réanimation (Département "R3S"), Hôpital Pitié-Salpêtrière, AP-HP, Sorbonne Université, 75013, Paris, France.
  • Heunks L Department of Intensive Care, Amsterdam UMC, Location VUmc, Amsterdam, The Netherlands.
  • Jubran A Division of Pulmonary and Critical Care Medicine, Hines Veterans Affairs Hospital, Loyola University of Chicago Stritch School of Medicine, Hines, IL, 60141, USA.
  • Laghi F Division of Pulmonary and Critical Care Medicine, Hines Veterans Affairs Hospital, Loyola University of Chicago Stritch School of Medicine, Hines, IL, 60141, USA.
  • Mekontso-Dessap A Service de Médecine Intensive Réanimation, AP-HP, Hôpitaux Universitaires Henri Mondor, DHU A-TVB, 94010, Créteil, France.
  • Nava S Department of Clinical, Integrated, and Experimental Medicine (DIMES), Respiratory and Critical Care, Sant'Orsola Malpighi Hospital, Bologna, Italy.
  • Ouanes-Besbes L Intensive Care Unit, Fattouma Bourguiba University Hospital, Rue 1er Juin, 5000, Monastir, Tunisia.
  • Peñuelas O Intensive Care Unit, Hospital Universitario de Getafe, Madrid, Spain.
  • Piquilloud L Adult Intensive Care and Burn Unit, University Hospital and University of Lausanne, Rue du Bugnon 46, 1011, Lausanne, Switzerland.
  • Vassilakopoulos T "Marianthi Simou" Applied Biomedical Research and Training Center, Medical School, Evangelismos Hospital, University of Athens, Athens, Greece.
  • Mancebo J Intensive Care Department, Hospital Universitari de la Santa Creu i Sant Pau, Barcelona, Spain.
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  • 2020-11-10
Published in:
  • Intensive care medicine. - 2020
Asthma
Chronic obstructive pulmonary disease
Intrisic positive end-expiratory pressure (PEEP)
Mechanical ventilation
Non-invasive ventilation
Weaning
English Exacerbations are part of the natural history of chronic obstructive pulmonary disease and asthma. Severe exacerbations can cause acute respiratory failure, which may ultimately require mechanical ventilation. This review summarizes practical ventilator strategies for the management of patients with obstructive airway disease. Such strategies include non-invasive mechanical ventilation to prevent intubation, invasive mechanical ventilation, from the time of intubation to weaning, and strategies intended to prevent post-extubation acute respiratory failure. The role of tracheostomy, the long-term prognosis, and potential future adjunctive strategies are also discussed. Finally, the physiological background that underlies these strategies is detailed.
Language
  • English
Open access status
bronze
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Persistent URL
https://sonar.ch/global/documents/278355
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