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Erschienen in: Notfall +  Rettungsmedizin 8/2017

02.10.2017 | Nichtinvasive Beatmung | Leitthema

Nichtinvasive Beatmung in der Notaufnahme

verfasst von: Prof. Dr. H. Dormann, M. Sc. S. Lödel

Erschienen in: Notfall + Rettungsmedizin | Ausgabe 8/2017

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Zusammenfassung

Patienten mit dem Leitsymptom Luftnot oder der Diagnose einer akuten respiratorischen Insuffizienz (ARI) sind Hochrisikopatienten, die häufig in Notaufnahmen vorgestellt werden. Die Möglichkeit zur und die Kompetenz in der Durchführung einer nichtinvasiven Beatmung (NIV) in der Notaufnahme sind für diese Patienten ein positiver Prädiktor für den Krankheitsverlauf. Neben den Indikationen zur NIV bei zunächst häufig noch unklaren Krankheitsentitäten werden in diesem Artikel auch strukturelle und technische Aspekte fokussiert, um die Vorteile, aber auch Grenzen der NIV im Notaufnahmesetting darzustellen.
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Literatur
1.
Zurück zum Zitat Agarwal R, Reddy C, Aggarwal AN, Gupta D (2006) Is there a role for noninvasive ventilation in acute respiratory distress syndrome? A meta-analysis. Respir Med 100(12):2235–2238 CrossRefPubMed Agarwal R, Reddy C, Aggarwal AN, Gupta D (2006) Is there a role for noninvasive ventilation in acute respiratory distress syndrome? A meta-analysis. Respir Med 100(12):2235–2238 CrossRefPubMed
2.
Zurück zum Zitat Antonelli M, Conti G, Esquinas A et al (2007) A multiple-center survey on the use in clinical practice of noninvasive ventilation as a first-line intervention for acute respiratory distress syndrome. Crit Care Med 35(1):18–25 CrossRefPubMed Antonelli M, Conti G, Esquinas A et al (2007) A multiple-center survey on the use in clinical practice of noninvasive ventilation as a first-line intervention for acute respiratory distress syndrome. Crit Care Med 35(1):18–25 CrossRefPubMed
3.
Zurück zum Zitat Andreu-Ballester JC, Almela-Quilis A, Cano-Cano MJ et al (2010) Use of non-invasive positive pressure ventilation in emergency departments of hospitals in Spain. Emerg Med J 27(8):619–620 CrossRefPubMed Andreu-Ballester JC, Almela-Quilis A, Cano-Cano MJ et al (2010) Use of non-invasive positive pressure ventilation in emergency departments of hospitals in Spain. Emerg Med J 27(8):619–620 CrossRefPubMed
4.
Zurück zum Zitat Antro C, Merico F, Urbino R, Gai V (2005) Non-invasive ventilation as a first-line treatment for acute respiratory failure: “real life” experience in the emergency department. Emerg Med J 22(11):772–777 CrossRefPubMedPubMedCentral Antro C, Merico F, Urbino R, Gai V (2005) Non-invasive ventilation as a first-line treatment for acute respiratory failure: “real life” experience in the emergency department. Emerg Med J 22(11):772–777 CrossRefPubMedPubMedCentral
5.
Zurück zum Zitat Azoulay É, Demoule A, Jaber S et al (2011) Palliative noninvasive ventilation in patients with acute respiratory failure. Intensive Care Med 37(8):1250–1257 CrossRefPubMed Azoulay É, Demoule A, Jaber S et al (2011) Palliative noninvasive ventilation in patients with acute respiratory failure. Intensive Care Med 37(8):1250–1257 CrossRefPubMed
6.
Zurück zum Zitat Baillard C, Fosse JP, Sebbane M et al (2006) Noninvasive ventilation improves preoxygenation before intubation of hypoxic patients. Am J Respir Crit Care Med 174(2):171–177 CrossRefPubMed Baillard C, Fosse JP, Sebbane M et al (2006) Noninvasive ventilation improves preoxygenation before intubation of hypoxic patients. Am J Respir Crit Care Med 174(2):171–177 CrossRefPubMed
8.
Zurück zum Zitat Bräunlich J, Seyfarth HJ, Wirth H (2015) Nasal High-flow versus non-invasive ventilation in stable hypercapnic COPD: a preliminary report. Multidiscip Respir Med 10(1):27 CrossRefPubMedPubMedCentral Bräunlich J, Seyfarth HJ, Wirth H (2015) Nasal High-flow versus non-invasive ventilation in stable hypercapnic COPD: a preliminary report. Multidiscip Respir Med 10(1):27 CrossRefPubMedPubMedCentral
10.
Zurück zum Zitat Cabrini L, Landoni G, Oriani A et al (2015) Noninvasive ventilation and survival in acute care settings: a comprehensive systematic review and metaanalysis of randomized controlled trials. Crit Care Med 43(4):880–888 CrossRefPubMed Cabrini L, Landoni G, Oriani A et al (2015) Noninvasive ventilation and survival in acute care settings: a comprehensive systematic review and metaanalysis of randomized controlled trials. Crit Care Med 43(4):880–888 CrossRefPubMed
11.
Zurück zum Zitat Carson KV, Usmani ZA, Smith BJ (2014) Noninvasive ventilation in acute severe asthma: current evidence and future perspectives. Curr Opin Pulm Med 20(1):118–123 CrossRefPubMed Carson KV, Usmani ZA, Smith BJ (2014) Noninvasive ventilation in acute severe asthma: current evidence and future perspectives. Curr Opin Pulm Med 20(1):118–123 CrossRefPubMed
12.
Zurück zum Zitat Chevrolet JC, Jolliet P, Abajo B et al (1991) Nasal positive pressure ventilation in patients with acute respiratory failure. Difficult and time-consuming procedure for nurses. Chest 100(3):775–782 CrossRefPubMed Chevrolet JC, Jolliet P, Abajo B et al (1991) Nasal positive pressure ventilation in patients with acute respiratory failure. Difficult and time-consuming procedure for nurses. Chest 100(3):775–782 CrossRefPubMed
13.
Zurück zum Zitat Chiumello D, Coppola S, Froio S et al (2013) Noninvasive ventilation in chest trauma: systematic review and meta-analysis. Intensive Care Med 39(7):1171–1180 CrossRefPubMed Chiumello D, Coppola S, Froio S et al (2013) Noninvasive ventilation in chest trauma: systematic review and meta-analysis. Intensive Care Med 39(7):1171–1180 CrossRefPubMed
14.
Zurück zum Zitat Chung LP, Winship P, Phung S et al (2010) Five-year outcome in COPD patients after their first episode of acute exacerbation treated with non-invasive ventilation. Respirology 15(7):1084–1091 CrossRefPubMed Chung LP, Winship P, Phung S et al (2010) Five-year outcome in COPD patients after their first episode of acute exacerbation treated with non-invasive ventilation. Respirology 15(7):1084–1091 CrossRefPubMed
15.
Zurück zum Zitat Curtis JR, Cook DJ, Sinuff T et al (2007) Noninvasive positive pressure ventilation in critical and palliative care settings: understanding the goals of therapy. Crit Care Med 35(3):932–939 CrossRefPubMed Curtis JR, Cook DJ, Sinuff T et al (2007) Noninvasive positive pressure ventilation in critical and palliative care settings: understanding the goals of therapy. Crit Care Med 35(3):932–939 CrossRefPubMed
16.
Zurück zum Zitat Delay JM, Sebbane M, Jung B et al (2008) The effectiveness of noninvasive positive pressure ventilation to enhance preoxygenation in morbidly obese patients: a randomized controlled study. Anesth Analg 107(5):1707–1713 CrossRefPubMed Delay JM, Sebbane M, Jung B et al (2008) The effectiveness of noninvasive positive pressure ventilation to enhance preoxygenation in morbidly obese patients: a randomized controlled study. Anesth Analg 107(5):1707–1713 CrossRefPubMed
17.
Zurück zum Zitat Dormann H, Wolf M (2015) Nicht invasive Beatmung (NIV) im Notarzteinsatz und in der Notaufnahme. Notarzt 31(05):256–267 CrossRef Dormann H, Wolf M (2015) Nicht invasive Beatmung (NIV) im Notarzteinsatz und in der Notaufnahme. Notarzt 31(05):256–267 CrossRef
18.
Zurück zum Zitat El-Khatib MF, Esquinas AM, Zeinelddine SM et al (2017) Noninvasive ventilation in the emergency department: insights on implementation bias and evidence. Intern Emerg Med 12(3):417–418 CrossRefPubMed El-Khatib MF, Esquinas AM, Zeinelddine SM et al (2017) Noninvasive ventilation in the emergency department: insights on implementation bias and evidence. Intern Emerg Med 12(3):417–418 CrossRefPubMed
19.
Zurück zum Zitat El-Khatib MF, Kazzi AN, Zeinelddine SM et al (2014) Use of noninvasive positive pressure ventilation in emergency departments of public and private hospitals in Lebanon. Eur J Emerg Med 21(3):230–232 CrossRefPubMed El-Khatib MF, Kazzi AN, Zeinelddine SM et al (2014) Use of noninvasive positive pressure ventilation in emergency departments of public and private hospitals in Lebanon. Eur J Emerg Med 21(3):230–232 CrossRefPubMed
20.
Zurück zum Zitat Frat JP, Thille AW, Mercat A et al (2015) High-flow oxygen through nasal cannula in acute hypoxemic respiratory failure. N Engl J Med 372(23):2185–2196 CrossRefPubMed Frat JP, Thille AW, Mercat A et al (2015) High-flow oxygen through nasal cannula in acute hypoxemic respiratory failure. N Engl J Med 372(23):2185–2196 CrossRefPubMed
21.
Zurück zum Zitat Futier E, Concstantin JM, Pelosi P et al (2011) Noninvasive ventilation and alveolar recruitment maneuver improve respiratory function during and after intubation of morbidly obese patients: a randomized controlled study. Anesthesiology 114(6):1354–1363 CrossRefPubMed Futier E, Concstantin JM, Pelosi P et al (2011) Noninvasive ventilation and alveolar recruitment maneuver improve respiratory function during and after intubation of morbidly obese patients: a randomized controlled study. Anesthesiology 114(6):1354–1363 CrossRefPubMed
22.
Zurück zum Zitat Galindo-Filho VC, Brandão DC, de Cássia RSF et al (2013) Noninvasive ventilation coupled with nebulization during asthma crises: a randomized controlled trial. Respir Care 58(2):241–249 CrossRefPubMed Galindo-Filho VC, Brandão DC, de Cássia RSF et al (2013) Noninvasive ventilation coupled with nebulization during asthma crises: a randomized controlled trial. Respir Care 58(2):241–249 CrossRefPubMed
23.
Zurück zum Zitat Ganesh A, Shenoy S, Doshi V et al (2015) Use of Noninvasive ventilation in adult patients with acute asthma exacerbation. Am J Ther 22(6):431–434 CrossRefPubMed Ganesh A, Shenoy S, Doshi V et al (2015) Use of Noninvasive ventilation in adult patients with acute asthma exacerbation. Am J Ther 22(6):431–434 CrossRefPubMed
24.
Zurück zum Zitat Goodacre S, Stevens JW, Pandor A et al (2014) Prehospital noninvasive ventilation for acute respiratory failure: systematic review, network meta-analysis, and individual patient data meta-analysis. Acad Emerg Med 21(9):960–970 CrossRefPubMed Goodacre S, Stevens JW, Pandor A et al (2014) Prehospital noninvasive ventilation for acute respiratory failure: systematic review, network meta-analysis, and individual patient data meta-analysis. Acad Emerg Med 21(9):960–970 CrossRefPubMed
25.
Zurück zum Zitat Gray A, Goodacre S, Newby DE et al (2008) Noninvasive ventilation in acute cardiogenic pulmonary edema. N Engl J Med 359(2):142–151 CrossRefPubMed Gray A, Goodacre S, Newby DE et al (2008) Noninvasive ventilation in acute cardiogenic pulmonary edema. N Engl J Med 359(2):142–151 CrossRefPubMed
26.
Zurück zum Zitat Gupta D, Nath A, Agarwal R, Behera D (2010) A prospective randomized controlled trial on the efficacy of noninvasive ventilation in severe acute asthma. Respir Care 55(5):536–543 PubMed Gupta D, Nath A, Agarwal R, Behera D (2010) A prospective randomized controlled trial on the efficacy of noninvasive ventilation in severe acute asthma. Respir Care 55(5):536–543 PubMed
27.
29.
Zurück zum Zitat Huang HB, Xu B, Liu GY et al (2017) Use of noninvasive ventilation in immunocompromised patients with acute respiratory failure: a systematic review and meta-analysis. Crit Care 21(1):4 CrossRefPubMedPubMedCentral Huang HB, Xu B, Liu GY et al (2017) Use of noninvasive ventilation in immunocompromised patients with acute respiratory failure: a systematic review and meta-analysis. Crit Care 21(1):4 CrossRefPubMedPubMedCentral
30.
Zurück zum Zitat Johnson CS, Frei CR, Metersky ML et al (2014) Non-invasive mechanical ventilation and mortality in elderly immunocompromised patients hospitalized with pneumonia: a retrospective cohort study. BMC Pulm Med 14(1):7 CrossRefPubMedPubMedCentral Johnson CS, Frei CR, Metersky ML et al (2014) Non-invasive mechanical ventilation and mortality in elderly immunocompromised patients hospitalized with pneumonia: a retrospective cohort study. BMC Pulm Med 14(1):7 CrossRefPubMedPubMedCentral
31.
Zurück zum Zitat Kumle B, Merz S, Hauschel M et al (2015) Umgang mit Notfallrespiratoren. Notfallmed Up2date 10(03):213–221 CrossRef Kumle B, Merz S, Hauschel M et al (2015) Umgang mit Notfallrespiratoren. Notfallmed Up2date 10(03):213–221 CrossRef
32.
Zurück zum Zitat Meduri GU, Conoscenti CC, Menashe P, Nair S (1989) Noninvasive face mask ventilation in patients with acute respiratory failure. Chest 95(4):865–870 CrossRefPubMed Meduri GU, Conoscenti CC, Menashe P, Nair S (1989) Noninvasive face mask ventilation in patients with acute respiratory failure. Chest 95(4):865–870 CrossRefPubMed
33.
Zurück zum Zitat Meduri GU, Abou-Shala N, Fox RC et al (1991) Noninvasive face mask mechanical ventilation in patients with acute hypercapnic respiratory failure. Chest 100(2):445–454 CrossRefPubMed Meduri GU, Abou-Shala N, Fox RC et al (1991) Noninvasive face mask mechanical ventilation in patients with acute hypercapnic respiratory failure. Chest 100(2):445–454 CrossRefPubMed
34.
Zurück zum Zitat Monro-Somerville T, Sim M, Ruddy J et al (2017) The effect of high-flow nasal cannula oxygen therapy on mortality and intubation rate in acute respiratory failure: a systematic review and meta-analysis. Crit Care Med 45(4):e449–e456 CrossRefPubMed Monro-Somerville T, Sim M, Ruddy J et al (2017) The effect of high-flow nasal cannula oxygen therapy on mortality and intubation rate in acute respiratory failure: a systematic review and meta-analysis. Crit Care Med 45(4):e449–e456 CrossRefPubMed
35.
Zurück zum Zitat Nava S, Ferrer M, Esquinas A et al (2013) Palliative use of non-invasive ventilation in end-of-life patients with solid tumours: a randomised feasibility trial. Lancet Oncol 14(3):219–227 CrossRefPubMed Nava S, Ferrer M, Esquinas A et al (2013) Palliative use of non-invasive ventilation in end-of-life patients with solid tumours: a randomised feasibility trial. Lancet Oncol 14(3):219–227 CrossRefPubMed
36.
Zurück zum Zitat Nouira S, Boukef R, Bouida W et al (2011) Non-invasive pressure support ventilation and CPAP in cardiogenic pulmonary edema: a multicenter randomized study in the emergency department. Intensive Care Med 37(2):249–256 CrossRefPubMed Nouira S, Boukef R, Bouida W et al (2011) Non-invasive pressure support ventilation and CPAP in cardiogenic pulmonary edema: a multicenter randomized study in the emergency department. Intensive Care Med 37(2):249–256 CrossRefPubMed
37.
Zurück zum Zitat Pollack CV, Fleisch KB, Dowsey K (1995) Treatment of acute bronchospasm with β‑adrenergic agonist aerosols delivered by a nasal bilevel positive airway pressure circuit. Ann Emerg Med 26(5):552–557 CrossRefPubMed Pollack CV, Fleisch KB, Dowsey K (1995) Treatment of acute bronchospasm with β‑adrenergic agonist aerosols delivered by a nasal bilevel positive airway pressure circuit. Ann Emerg Med 26(5):552–557 CrossRefPubMed
38.
Zurück zum Zitat Roberts S, Skinner D, Biccard B, Rodseth RN (2014) The role of non-invasive ventilation in blunt chest trauma: systematic review and meta-analysis. Eur J Trauma Emerg Surg 40(5):553–559 CrossRefPubMed Roberts S, Skinner D, Biccard B, Rodseth RN (2014) The role of non-invasive ventilation in blunt chest trauma: systematic review and meta-analysis. Eur J Trauma Emerg Surg 40(5):553–559 CrossRefPubMed
39.
Zurück zum Zitat Schwabbauer N et al (2014) Nasal high-flow oxygen therapy in patients with hypoxic respiratory failure: effect on functional and subjective respiratory parameters compared to conventional oxygen therapy and non-invasive ventilation (NIV). BMC Anesthesiol 14(1):66 CrossRefPubMedPubMedCentral Schwabbauer N et al (2014) Nasal high-flow oxygen therapy in patients with hypoxic respiratory failure: effect on functional and subjective respiratory parameters compared to conventional oxygen therapy and non-invasive ventilation (NIV). BMC Anesthesiol 14(1):66 CrossRefPubMedPubMedCentral
40.
Zurück zum Zitat Shameem M, Bhargava R, Ahmad Z (2005) Identification of preadmission predictors of outcome of noninvasive ventilation in acute exacerbation of chronic obstructive pulmonary disease. Indian J Crit Care Med 9(4):200 CrossRef Shameem M, Bhargava R, Ahmad Z (2005) Identification of preadmission predictors of outcome of noninvasive ventilation in acute exacerbation of chronic obstructive pulmonary disease. Indian J Crit Care Med 9(4):200 CrossRef
41.
Zurück zum Zitat Soma T, Hino M, Kida K, Kudoh S (2008) A prospective and randomized study for improvement of acute asthma by non-invasive positive pressure ventilation (NPPV). J Intern Med 47(6):493–501 CrossRef Soma T, Hino M, Kida K, Kudoh S (2008) A prospective and randomized study for improvement of acute asthma by non-invasive positive pressure ventilation (NPPV). J Intern Med 47(6):493–501 CrossRef
42.
Zurück zum Zitat Spoletini G, Hill NS (2016) High-flow nasal oxygen versus noninvasive ventilation for hypoxemic respiratory failure: do we know enough? Ann Thorac Med 11(3):163 CrossRefPubMedPubMedCentral Spoletini G, Hill NS (2016) High-flow nasal oxygen versus noninvasive ventilation for hypoxemic respiratory failure: do we know enough? Ann Thorac Med 11(3):163 CrossRefPubMedPubMedCentral
43.
Zurück zum Zitat Sweet DD, Naismith A, Keenan SP et al (2008) Missed opportunities for noninvasive positive pressure ventilation: a utilization review. J Crit Care 23(1):111–117 CrossRefPubMed Sweet DD, Naismith A, Keenan SP et al (2008) Missed opportunities for noninvasive positive pressure ventilation: a utilization review. J Crit Care 23(1):111–117 CrossRefPubMed
44.
Zurück zum Zitat Timmermann A, Byhahn C, Wenzel V et al (2012) Handlungsempfehlung für das präklinische Atemwegsmanagement. Notfallmed Up2date 7(02):105–120 CrossRef Timmermann A, Byhahn C, Wenzel V et al (2012) Handlungsempfehlung für das präklinische Atemwegsmanagement. Notfallmed Up2date 7(02):105–120 CrossRef
45.
Zurück zum Zitat Titlestad IL, Lassen AT, Vestbo J (2013) Long-term survival for COPD patients receiving noninvasive ventilation for acute respiratory failure. Int J Chron Obstruct Pulmon Dis 8:215 CrossRefPubMedPubMedCentral Titlestad IL, Lassen AT, Vestbo J (2013) Long-term survival for COPD patients receiving noninvasive ventilation for acute respiratory failure. Int J Chron Obstruct Pulmon Dis 8:215 CrossRefPubMedPubMedCentral
46.
Zurück zum Zitat Tomii K, Seo R, Tachikawa R et al (2009) Impact of noninvasive ventilation (NIV) trial for various types of acute respiratory failure in the emergency department; decreased mortality and use of the ICU. Respir Med 103(1):67–73 CrossRefPubMed Tomii K, Seo R, Tachikawa R et al (2009) Impact of noninvasive ventilation (NIV) trial for various types of acute respiratory failure in the emergency department; decreased mortality and use of the ICU. Respir Med 103(1):67–73 CrossRefPubMed
47.
Zurück zum Zitat Vanpee D (2003) The use of non-invasive ventilation in the emergency department. Eur J Emerg Med 10:77–78 CrossRefPubMed Vanpee D (2003) The use of non-invasive ventilation in the emergency department. Eur J Emerg Med 10:77–78 CrossRefPubMed
49.
Zurück zum Zitat Vogelsinger H, Halank M, Wilkens H et al (2013) Highflow-Sauerstoffttherapie bei hyperkapnischen COPD-Patienten: optimiertes Sauerstoffangebot-Daten aus der STIT-2-Studie. Pneumologie 67(05):40 CrossRef Vogelsinger H, Halank M, Wilkens H et al (2013) Highflow-Sauerstoffttherapie bei hyperkapnischen COPD-Patienten: optimiertes Sauerstoffangebot-Daten aus der STIT-2-Studie. Pneumologie 67(05):40 CrossRef
50.
Zurück zum Zitat Weng CL, Zhao YT, Liu QH et al (2010) Meta-analysis: noninvasive ventilation in acute cardiogenic pulmonary edema. Ann Intern Med 152(9):590–600 CrossRefPubMed Weng CL, Zhao YT, Liu QH et al (2010) Meta-analysis: noninvasive ventilation in acute cardiogenic pulmonary edema. Ann Intern Med 152(9):590–600 CrossRefPubMed
51.
Zurück zum Zitat Westhoff M, Schönhofer B, Neumann P et al (2015) Nicht-invasive Beatmung als Therapie der akuten respiratorischen Insuffizienz. Pneumologie 69(12):719–756 CrossRefPubMed Westhoff M, Schönhofer B, Neumann P et al (2015) Nicht-invasive Beatmung als Therapie der akuten respiratorischen Insuffizienz. Pneumologie 69(12):719–756 CrossRefPubMed
Metadaten
Titel
Nichtinvasive Beatmung in der Notaufnahme
verfasst von
Prof. Dr. H. Dormann
M. Sc. S. Lödel
Publikationsdatum
02.10.2017
Verlag
Springer Medizin
Erschienen in
Notfall + Rettungsmedizin / Ausgabe 8/2017
Print ISSN: 1434-6222
Elektronische ISSN: 1436-0578
DOI
https://doi.org/10.1007/s10049-017-0367-6

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