Efficacy and Compliance With Noninvasive Positive Pressure Ventilation in Patients With Chronic Respiratory Failure: Choice of Mask for NPPV

In: Respiratory Failure

8 Sep 2014

Efficacy and Compliance With Noninvasive Positive Pressure Ventilation in Patients With Chronic Respiratory Failure: Choice of Mask for NPPVChoice of Mask for NPPV
NPPV was applied in patients via nasal continuous positive airway pressure masks (Respironics, Inc), an Adam’s Circuit nasal mask (Puritan Bennett; Carlsbad, CA), an oronasal mask (Respi-ronics, Inc), and a prototypical total face mask (Respironics, Inc.).
Compliance with NPPV Therapy
Compliance with NPPV therapy for inpatients and outpatients was recorded as hours per day of use. Patient compliance with NPPV in the hospital was monitored via direct observation by a respiratory therapist and recorded in a daily log. After discharge, patient compliance with NPPV was evaluated both by patients’ verbal report and by review of logged hours of use recorded from the ventilator meter by the durable home equipment vendor. inhalers for asthma

Ventilator Rehabilitation Unit
All aspects of inpatient NPPV care were conducted within the confines of the VRU, a special noninvasive respiratory care unit geared toward maximizing patients’ compliance with noninvasive ventilation. The VRU is one of four US Health Care Financing Administration Chronic Ventilator Demonstration sites. This program consists of a multidisciplinary inpatient and outpatient ventilator-dependent rehabilitation program that includes pulmonologists, respiratory therapists, physical therapists, speech therapists, nutritionists, psychologists, and nursing staff trained in advanced respiratory treatment of patients with chronic respiratory failure. All patients had a multidisciplinary approach to their inpatient treatment and attended a weekly outpatient clinic after discharge. Team meetings were held each week to assess each patient’s progress and plan further care.
To be enrolled into this program, patients must have demonstrated a willingness to actively participate in self-care and have an interested support person. Approximately 65% of the patients referred for enrollment into the program came from within the primary practice of Temple Hospital, and 35% were referred from outside hospitals.


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