Transcription of Bilevel Positive Airway Pressure Ventilation
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Bilevel Positive Airway Pressure Ventilation
Vol. 6, No. 9 JCOMO ctober 1999 41 OUTCOMES IN PRACTICEB ilevel Positive Airway Pressure VentilationSharon E. Mace, MD, FACEP, FAAPOver the past few decades, invasive Positive pressureventilation, usually applied via an endotrachealtube, has been the standard treatment for acute res-piratory failure [1 3]. However, intubation and mechanicalventilation is associated with significant morbidity, includ-ing upper Airway trauma and infections [4 7]; indeed, it isthe single most important predisposing factor for nosocomi-al pneumonia [7]. In response to the problems associatedwith intubation, noninvasive Positive Pressure Ventilation (NPPV) has become more common in the treatment of pa-tients with respiratory failure [7,8]. NPPV has the advan-tages of avoiding endotracheal tube related morbidity aswell as increasing patient comfort and autonomy; it also maybe more cost-effective [9 12].
Vol. 6, No. 9 JCOM October 1999 41 OUTCOMES IN PRACTICE Bilevel Positive Airway Pressure Ventilation Sharon E. Mace, MD, FACEP, FAAP O ver the past few decades, invasive positive pressure
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