ABSTRACT
Noninvasive positive pressure ventilation (NIPPV) has been used in outpatients with sleep apnea, sleep disorders associated with heart failure, restrictive pulmonary diseases (subsuming neuromuscular diseases and thoracic cage deformities), severe stable chronic obstructive pulmonary disease, and the obesity-hypoventilation syndrome. NIPPV in these settings has resulted in significant physiologic benefits, improved quality of life, and in some cases longer survival. We discuss the modes of NIPPV, current indications, and potential benefits.
- © 2010 The Cleveland Clinic Foundation. All Rights Reserved.
- Theerakorn Theerakittikul, MD,
- Basma Ricaurte, MD and
- Loutfi S. Aboussouan, MD⇑
- Sleep Disorders Center, Neurological Institute, Cleveland Clinic
- Pulmonary and Critical Care, Fairview Hospital, a Cleveland Clinic Hospital
- Sleep Disorders Center, Neurological Institute, and Respiratory Institute, Cleveland Clinic
- ADDRESS:
Loutfi S. Aboussouan, MD, Respiratory Institute, Cleveland Clinic Beachwood, 26900 Cedar Road, Suite 325-S, Beachwood, OH 44122; e-mail aboussl{at}ccf.org.
ABSTRACT
Noninvasive positive pressure ventilation (NIPPV) has been used in outpatients with sleep apnea, sleep disorders associated with heart failure, restrictive pulmonary diseases (subsuming neuromuscular diseases and thoracic cage deformities), severe stable chronic obstructive pulmonary disease, and the obesity-hypoventilation syndrome. NIPPV in these settings has resulted in significant physiologic benefits, improved quality of life, and in some cases longer survival. We discuss the modes of NIPPV, current indications, and potential benefits.
- © 2010 The Cleveland Clinic Foundation. All Rights Reserved.