Bach J R, Alba A, Mosher R, Delaubier A
Chest. 1987 Jul;92(1):168-70. doi: 10.1378/chest.92.1.168.
These are preliminary observations of the introduction of a new technique of noninvasive positive pressure respiratory support for patients with subacute or chronic respiratory failure. Clinical situations where intubation or tracheostomy may have been performed were managed by intermittent positive pressure ventilation via nasal access (NIPPV) with a CPAP mask, or a custom constructed Vel-Foam nose piece. Four patients were managed at home with the use of portable volume ventilators. One patient employed the technique while hospitalized with subacute respiratory failure. Two patients, otherwise dependent on mouth intermittent positive pressure ventilation (MIPPV) 24 hours a day, received necessary dental care with NIPPV support. In a large population with a decade or more follow-up, MIPPV was shown to be an effective noninvasive technique to support respiration in patients with the most severe paralytic respiratory failure. Preliminary observations suggest that NIPPV may compare favorably with MIPPV and deserves more widespread study and application.
这些是对一种用于亚急性或慢性呼吸衰竭患者的无创正压呼吸支持新技术引入的初步观察。对于可能已进行插管或气管切开术的临床情况，通过使用持续气道正压通气（CPAP）面罩经鼻进行间歇性正压通气（NIPPV），或使用定制的 Vel-Foam 鼻罩进行处理。4 例患者在家中使用便携式容量通气机进行治疗。1 例亚急性呼吸衰竭患者在住院期间采用了该技术。2 例原本每天 24 小时依赖口对口间歇性正压通气（MIPPV）的患者，在 NIPPV 支持下接受了必要的牙科护理。在对大量人群进行十年或更长时间随访的研究中，MIPPV 被证明是一种有效的无创技术，可用于支持最严重麻痹性呼吸衰竭患者的呼吸。初步观察表明，NIPPV 可能与 MIPPV 效果相当，值得更广泛的研究和应用。
