0
Editorials |

Noninvasive Positive Pressure Ventilation : Testing the Bridge

Ashok M. Karnik, MD, FCCP
Author and Funding Information

Affiliations: East Meadow, NY 
 ,  Dr. Karnik is Director of Pulmonary Care Unit and Pulmonary Physiology Laboratories at Nassau County Medical Center, and Associate Professor of Medicine at State Universitiy of New York at Stony Bridge.

Correspondence to: Ashok M. Karnik, MD, FCCP, Pulmonary Division, Nassau County Medical Center, 2201 Hempstead Turnpike, East Meadow, NY 11554



Chest. 2000;117(3):625-627. doi:10.1378/chest.117.3.625
Text Size: A A A
Published online

Extract

Patients with preexisting problems like COPD and neuromuscular problems, or newly developed conditions like overwhelming pneumonia and acute pulmonary edema may decompensate and develop acute respiratory failure. Such patients may need assistance with their ventilation while their underlying acute or exacerbating problems are managed by other medical means. Mechanical ventilation in these cases acts as a bridge to recovery and a return to their baseline status. Traditionally, an endotracheal tube is inserted into the trachea to deliver oxygen under positive pressure to the patient’s lungs. On the other hand, the alveolar ventilation can be augmented noninvasively by external negative pressure, chest wall oscillations, or positive pressure ventilation administered through a tight-fitting facial or nasal mask (noninvasive positive pressure ventilation[ NIPPV]).1

First Page Preview

View Large
First page PDF preview

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Figures

Tables

References

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Find Similar Articles
CHEST Journal Articles
PubMed Articles
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543