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Consensus Conference |

Clinical Indications for Noninvasive Positive Pressure Ventilation in Chronic Respiratory Failure Due to Restrictive Lung Disease, COPD, and Nocturnal Hypoventilation—A Consensus Conference Report*

Author and Funding Information

Correspondence to: Phillip Porte, National Association for Medical Direction of Respiratory Care, 5454 Wisconsin Avenue, Suite 1270, Chevy Chase, MD 20815-6901; e-mail: namdrc@erols.com

From the conference facilitator was Allen Goldberg, MD, FCCP. Formal presenters included Patrick Leger, MD; Nicholas Hill, MD, FCCP; and Gerard Criner, MD, FCCP.



Chest. 1999;116(2):521-534. doi:10.1378/chest.116.2.521
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Abbreviations: ALS = amyotrophic lateral sclerosis; CPAP = continuous positive airway pressure; DME = durable medical equipment; HCFA = Health Care Financing Administration; HIMA = Health Industry Manufacturer’s Association; NAMDRC = National Association for Medical Direction of Respiratory Care; NPPV = nasal positive pressure ventilation; OSA = obstructive sleep apnea; PSG = polysomno-gram; RCT = randomized controlled trial; REM = rapid eye movement

1Mesa, J, Celli, B, Riesco, J, et al (1997) Noninvasive positive pressure ventilation and not oxygen may prevent overt ventilatory failure in patients with chest wall diseases.Chest112,207-2132Gay, P, Edmonds, L Severe hypercapnia after low-flow oxygen therapy in patients with neuromuscular disease and diaphragmatic dysfunction.Mayo Clin Proc1995;70,327-3303Kramer, N, Hill, N, Millman, R Assessment and treatment of sleep-disordered breathing in neuromuscular and chest wall diseases.Top Pulm Med1996;3,336-3424Piper, A, Sullivan, C Effects of long-term nocturnal nasal ventilation on spontaneous breathing during sleep in neuromuscular and chest wall disorders.Eur Respir J1996;9,1515-15225Gay, P, Patel, A, Viggiano, R, et al Nocturnal nasal ventilation for treatment of patients with hypercapnic respiratory failure.Mayo Clin Proc1991;66,695-7036Ellis, E, McCauley, V, Mellis, C, et al Treatment of alveolar hypoventilation in a 6 year-old girl with intermittent positive pressure ventilation through a nose mask.Am Rev Respir Dis1987;136,188-1917Goldstein, R Hypoventilation: neuromuscular and chest wall disorders.Clin Chest Med1992;13,507-5218Cazolli, P, Oppenheimer, E Home mechanical ventilation for amyotrophic lateral sclerosis: nasal compared to trache-ostomy-intermittent positive pressure ventilation.J Neurol Sci1996;139(suppl),123-1289Raphael, J, Chevret, S, Chastang, C, et al French multicenter trial of prophylactic nasal ventilation in Duchenne muscular dystrophy.Lancet1994;343,1600-160410Robert, D, Willig, TN, Paulus, J, et al Long-term nasal ventilation in neuromuscular disorders: report of a consensus conference.Eur Respir J1993;6,599-60611Fallat, RJ, Jewitt, B, Bass, M, et al Spirometry in amyotrophic lateral sclerosis.Arch Neurol1979;36,74-8012Gay, P, Westbrook, P, Daube, J, et al Effects of alterations in pulmonary function and sleep variables on survival in patients with amyotrophic lateral sclerosis.Mayo Clin Proc1991;66,686-69413Bach, JR Conventional approaches to managing neuromuscular ventilatory failure. Bach, JR eds.Pulmonary rehabilitation: the obstructive and paralytic conditions1995,285-301 Hanley & Belfus. Philadelphia, PA: 14Leger, P, Jennequin, J, Gerard, M, et al Home positive pressure ventilation via nasal mask for patients with neuromuscular weakness or restrictive lung or chest wall disease.Respir Care1989;34,73-7915Hillberg, RE, Johnson, DC Noninvasive ventilation.N Engl J Med1997;337,1746-175216Simonds, AK, Elliot, MW Outcome of domiciliary nasal intermittent positive pressure ventilation in restrictive and obstructive disorders.Thorax1995;50,604-60917Claman, DM, Piper, A, Sanders, MH, et al Nocturnal noninvasive positive pressure ventilatory assistance.Chest1996;110,1581-158818Nocturnal Oxygen Therapy Trial Group. Continuous or nocturnal oxygen therapy in hypoxemic chronic obstructive lung disease: a clinical trial. Ann Intern Med 1980; 93:391–39819Medical Research Council Working Party. Long-term domiciliary oxygen therapy in chronic hypoxia and cor pulmonale complicating chronic bronchitis and emphysema. Lancet 1981; 1:681–68620Rennard, SI, Serby, CW, Ghafouri, M, et al Extended therapy with ipratropium is associated with improved lung function in patients with COPD.Chest1996;110,62-7021Reis, AL, Kaplan, RM, Limberg, TM, et al Effects of pulmonary rehabilitation on physiologic and psychosocial outcomes in patients with chronic obstructive pulmonary disease.Ann Intern Med1995;122,823-83222Rochester, DF, Braun, NMT, Arora, NS Respiratory muscle strength in chronic obstructive pulmonary disease.Am Rev Respir Dis1979;119,151-15423Braun, NM, Marino, WD Effect of daily intermittent rest of respiratory muscles in patients with severe chronic airflow limitation (CAL).Chest1984;85,59S-60S24Fleetham, J, West, P, Mezon, B, et al Sleep, arousals and oxygen desaturation in chronic obstructive pulmonary disease.Am Rev Respir Dis1982;126,429-43325Catterall, JR, Douglas, NJ, Calverley, PMA, et al Transient hypoxemia during sleep in chronic obstructive pulmonary disease is not a sleep apnea syndrome.Am Rev Respir Dis1983;128,24-2926Roussos, C Function and fatigue of respiratory muscles.Chest1985;88,124S-132S27Braun, NM, Marino, WE Effect of daily intermittent rest of respiratory muscles in patients with severe chronic airflow limitation (CAL).Chest1984;85,59S-60S28Gutierrez, M, Berolza, T, Contreras, G, et al Weekly cuirass ventilation improves blood gases and inspiratory muscle strength in patients with chronic air-flow limitation and hypercarbia.Am Rev Respir Dis1988;138,617-62329Cropp, A, Dimarco, AF Effects of intermittent negative pressure ventilation on respiratory muscle function in patients with severe chronic obstructive pulmonary disease.Am Rev Respir Dis1987;135,1056-106130Scano, G, Gigliotti, F, Duranti, R, et al Changes in ventilatory muscle function with negative pressure ventilation in patients with severe COPD.Chest1990;97,322-32731Ambrosino, N, Montagna, T, Nava, S, et al Short term effect of intermittent negative pressure ventilation in COPD patients with respiratory failure.Eur Respir J1990;3,502-50832Zibrak, JD, Hill, NS, Federman, ED, et al Evaluation of intermittent long-term negative pressure ventilation in patients with severe chronic obstructive pulmonary disease.Am Rev Respir Dis1988;138,1515-151833Celli, B, Lee, H, Criner, G, et al Controlled trial of external negative pressure ventilation in patients with severe airflow obstruction.Am Rev Respir Dis1989;140,1251-125634Shapiro, SH, Ernst, P, Gray-Donald, K, et al Effect of negative pressure ventilation in severe chronic obstructive pulmonary disease.Lancet1992;340,1425-142935Juan, G, Calverley, P, Talamo, C, et al Effect of carbon dioxide on diaphragmatic function in human beings.N Engl J Med1984;310,874-87936Similowski, T, Yan, S, Gauthier, AP, et al Contractile dioxide on diaphragmatic function in human beings.N Engl J Med1984;310,874-87937Elliott, MW, Steven, MH, Phillips, GD, et al Non-invasive mechanical ventilation for acute respiratory failure.BMJ1990;300,358-36038Elliott, MW, Mulvey, DA, Moxham, J, et al Domiciliary nocturnal nasal intermittent positive pressure ventilation in COPD: mechanisms underlying changes in arterial blood gas tensions.Eur Respir J1991;4,1044-105239Meecham-Jones, DJ, Paul, EA, Jones, PW Nasal pressure support ventilation plus oxygen compared with oxygen therapy along in hypercapnic COPD.Am J Respir Crit Care Med1995;152,538-54440Strumpf, DA, Millman, RP, Carlisle, CC, et al Nocturnal positive-pressure ventilation via nasal mask in patients with severe chronic obstructive pulmonary disease.Am Rev Respir Dis1991;144,1234-123941Gay, P, Hubmayr, RD, Stroetz, RW Efficacy of nocturnal nasal ventilation in stable, severe chronic obstructive pulmonary disease during a 3 month controlled trial.Mayo Clin Proc1996;71,533-54242Lin, CC Comparison between nocturnal nasal positive pressure ventilation combined with oxygen therapy and oxygen monotherapy in patients with severe COPD.Am J Respir Crit Care Med1996;154,353-35843Leger, P, Bedicam, JM, Cornette, A, et al Nasal intermittent positive pressure: long-term follow-up in patients with severe chronic respiratory insufficiency.Chest1994;105,100-10544Simonds, AK, Elliott, MW Outcome of domiciliary nasal intermittent positive pressure ventilation in restrictive and obstructive disorders.Thorax1995;50,604-60945Robert, D, Gerard, M, Leger, P, et al La ventilation mechanique a domicile definitive par tracheostomie de l’insuffisant respiratoir chronique.Rev Fr Mal Respir1983;11,923-93646Muir, JF, Cuvelier, A, Tengang, B, et al Long term nasal intermittent positive pressure ventilation (NPPV) + oxygen therapy (LTOT) versus LTOT alone in severe hypercapnic COPD: preliminary results of a European multicenter trial [abstract].Respir Crit Care Med1997;155,A40847Benhamou, D, Muir, JF, Raspaud, C, et al Long term efficiency of home nasal mask ventilation in patients with diffuse bronchiectasis and severe chronic respiratory failure: a case control study.Chest1997;112,1259-126648Piper, AJ, Parker, S, Torzillo, PJ, et al Nocturnal nasal IPPV stabilizes patients with cystic fibrosis and hypercapnic respiratory failure.Chest1992;102,846-85049Hodson, ME, Madden, PB, Steven, HM, et al Noninvasive mechanical ventilation for cystic fibrosis patients—a potential bridge to transplantation.Eur Respir J1991;4,524-52750Berthon-Jones, M, Sullivan, CE Ventilatory arousal responses to hypoxia in sleeping humans.Am Rev Respir Dis1982;125,632-63951Berthon-Jones, M, Sullivan, CE Ventilation and arousal responses to hypercapnia in normal sleeping humans.J Appl Physiol1984;57,59-6752Douglas, NJ, White, DP, Pickett, CK, et al Respiration during sleep in normal man.Thorax1982;37,840-84453Douglas, NJ Sleep in patients with COPD.Clin Chest Med1998;19,115-12554Sanders, MH, Stiller, RA Positive airway pressure in the treatment of sleep related breathing disorders. Chokoverty, S eds.Sleep disorder medicine1995,455-472 Butterworth-Heinemann. Newton, MA: 55Brown, LK Sleep-related disorders and chronic obstructive pulmonary disease.Respir Care Clin North Am1998;4,493-51256Loube, DI, Gay, PC, Strohl, KP, et al ACCP consensus statement: indications for positive airway pressure treatment of adult obstructive sleep apnea patients.Chest1999;115,863-86657Heckmatt, JZ, Loh, I, Dubowitz, V Night time nasal ventilation in neuromuscular disease.Lancet1990;335,579-58258The American Association for Respiratory Care. Consensus statement on non-invasive positive pressure ventilation. Respir Care 1997; 42:362–36959Resta, O, Guido, P, Picca, V, et al Prescription of nCPAP and nBIPAP in obstructive sleep apnea syndrome.Respir Med1998;92,820-82760Chaout, A, Weitzenblum, E, Krieger, J, et al Association of chronic obstructive pulmonary disease and sleep apnea syndrome.Am J Respir Crit Care Med1995;151,82-8661Naughton, MT, Liu, PP, Benard, DC Treatment of congestive heart failure and Cheyne-Stokes respiration during sleep by continuous positive airway pressure.Am J Respir Crit Care Med1995;151,92-9762American Sleep Disorders Association. Practice parameters for the indications for polysomnography and related procedures. Sleep 1997; 20:406–42263Sanders, MH, Kern, N Obstructive sleep apnea treated by independently adjusted inspiratory and expiratory positive airway pressures via a nasal mask.Chest1990;98,317-321

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