Therapy for acute exacerbation of bronchial asthma using noninvasive positive pressure ventilation by critical care ventilator
Chikara Nakasone1)2) Masato Touyama1) Shun Namisato1)2) Shoko Okudaira1) Jiro Fujita2)
1)Department of Internal Medicine, Yonabaru Chuo Hospital 2)Department of Medicine and Therapeutics, Control and Prevention of Infections Diseases (First Department of Internal Medicine), Faculty of Medicine, University of the Ryukyus
Noninvasive positive pressure ventilation (NPPV) is respiratory therapy designed to assist ventilation without endotracheal intubation. It has been reported that NPPV is useful for respiratory failures due to various conditions. Recently, the critical care ventilator has been developed to cover either invasive or noninvasive mechanical ventilation. In the present report, we describe 3 successfully treated cases of acute exacerbation of bronchial asthma using NPPV by critical care ventilator. In all cases, the ventilator was immediately synchronized with spontaneous breathing, patients were able to avoid endotracheal intubation, and weaned from the ventilator soon. In conclusion, NPPV using a critical care ventilator was considered to be a useful treatment.
Noninvasive positive pressure ventilation Mechanical ventilator Bronchial asthma
Received 平成21年6月19日
JJRS, 48(5): 370-374, 2010