scholarly journals Successful Extubation Using Heliox BiPAP in Two Patients with Postextubation Stridor

2017 ◽  
Vol 2017 ◽  
pp. 1-2
Author(s):  
Pragya Punj ◽  
Premkumar Nattanmai ◽  
Pravin George ◽  
Christopher R. Newey
Keyword(s):  
Airway Pressure ◽  
Positive Airway Pressure ◽  
Extubation Failure ◽  
Standard Medical Therapy ◽  
Bilevel Positive Airway Pressure ◽  
Postextubation Stridor ◽  
Nebulized Epinephrine ◽  
Intravenous Steroids ◽  
Successful Extubation

Postextubation stridor is associated with significant morbidity. It commonly results in extubation failure after established medical treatment fails, such as nebulized epinephrine and/or intravenous steroids. The role of heliox (i.e., combination of helium and oxygen) in managing patients with postextubation stridor has not been fully established. We report two cases of postextubation stridor successfully treated with heliox delivered with bilevel positive airway pressure (BiPAP) after failure of standard medical therapy.

scholarly journals Bilevel Positive Airway Pressure Versus Nasal Continuous Positive Airway Pressure for Prevention of Extubation Failure in Infants After Cardiac Surgery: A Randomized Controlled Trial

2021 ◽  
Author(s):  
yirong zheng ◽  
wenpeng xie ◽  
jianfeng liu ◽  
ning xu ◽  
hua cao ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Continuous Positive Airway Pressure ◽  
Airway Pressure ◽  
Septal Defect ◽  
Positive Airway Pressure ◽  
Extubation Failure ◽  
Hospital Length Of Stay ◽  
Respiratory Support ◽  
Failure Rates ◽  
Bilevel Positive Airway Pressure

Abstract Objective: To evaluate the effect of bilevel positive airway pressure (BiPAP) and nasal continuous positive airway pressure (NCPAP) in respiratory support after extubation in infants undergoing cardiac surgery. Methods: A total of 83 infants who underwent repair of atrial septal defect (ASD) or ventricular septal defect (VSD) after extubation were randomized to the BiPAP group (n= 42) or the NCPAP group (n= 41) between January 2020 and December 2020. The primary outcomes were the extubation failure rate and the level of PCO2 within 24 h after extubation. Results: The baseline characteristics between the two groups were similar. The introduction of BiPAP for post-extubation respiratory support did not reduce extubation failure rates compared to NCPAP (P>0.05). The PaCO2 level within 48 h was significantly lower in the BiPAP group (P<0.05). Additionally, the PaO2/FiO2 in the BiPAP group was significantly higher than that in the NCPAP group at 6h, 12h and 24h after treatment (P<0.05).There were no statistically significant differences in duaration on NIV, hospital length of stay, total hospital costs in $ and complications between the two groups (P>0.05). Conclusion: The introduction of BiPAP for post-extubation respiratory support did not reduce extubation failure rates versus NCPAP. However, BiPAP was shown to be superior to NCPAP in improving oxygenation and carbon dioxide clearance.

Role of bilevel positive airway pressure in the management of preterm newborns who have received surfactant

2010 ◽  
Vol 99 (12) ◽  
pp. 1807-1811 ◽  
Author(s):  
Gina Ancora ◽  
Eugenia Maranella ◽  
Sara Grandi ◽  
Luca Pierantoni ◽  
Mariangela Guglielmi ◽  
...  
Keyword(s):  
Airway Pressure ◽  
Positive Airway Pressure ◽  
Bilevel Positive Airway Pressure ◽  
Preterm Newborns

Bilevel positive airway pressure for obstructive sleep apnea

2014 ◽  
Vol 11 (3) ◽  
pp. 283-294 ◽  
Author(s):  
Meghna P Mansukhani ◽  
Bhanu Prakash Kolla ◽  
Eric J Olson ◽  
Kannan Ramar ◽  
Timothy I Morgenthaler
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Airway Pressure ◽  
Positive Airway Pressure ◽  
Bilevel Positive Airway Pressure ◽  
Obstructive Sleep

scholarly journals Bilevel positive airway pressure in two moments after bariatric surgery

2019 ◽  
Vol 65 (9) ◽  
pp. 1161-1167
Author(s):  
Eli Maria Pazzianotto-Forti ◽  
Letícia Baltieri ◽  
Patrícia Brigatto ◽  
Carolina Moraes da Costa ◽  
Maura Rigoldi Simões da Rocha ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Airway Pressure ◽  
Vital Capacity ◽  
Positive Airway Pressure ◽  
Morbidly Obese ◽  
Bilevel Positive Airway Pressure ◽  
Significant Difference ◽  
Function Test ◽  
Chest X Ray ◽  
Clinical Trial Methods

SUMMARY OBJECTIVE To investigate the use of Bilevel Positive Airway Pressure (BiPAP) in morbidly obese individuals in two moments following bariatric surgery (Roux-en-Y gastric bypass): post-anesthetic recovery (PAR) and first postoperative day (1PO). DESIGN Randomized and blinded clinical trial. METHODS We studied 40 morbidly obese individuals aged between 25 and 55 years who underwent pulmonary function test and chest X-ray preoperatively, and on the day of discharge (2nd day after surgery). They were randomly allocated into two groups: PAR-G (BiPAP in PAR for one hour), and 1PO-G (BIPAP for one hour on the 1PO). RESULTS In the PAR-G and 1PO-G, respectively there were significant reductions in slow vital capacity (SVC) (p=0.0007 vs. p<0.0001), inspiratory reserve volume (IRV) (p=0.0016 vs. p=0.0026), and forced vital capacity (FVC) (p=0.0013 vs. p<0.0001) and expiratory reserve volume (ERV) was maintained only for the PAR-G (p=0.4446 vs. p=0.0191). Comparing the groups, the SVC (p=0.0027) and FVC (p=0.0028) showed a significant difference between the treatments, while the PAR-G showed smaller declines in these capacities. The prevalence of atelectasis was 10% for the PAR-G and 30% for the 1PO-G (p=0.0027). CONCLUSION Thus, the use of BiPAP in PAR can promote restoration of ERV and contribute to the reduction of atelectasis.

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