Noninvasive ventilation in acute severe asthma: Current evidence and future perspectives

Kristin Carson-Chahhoud, Zafar A. Usmani, Brian J. Smith

Research output: Contribution to journalReview article

8 Citations (Scopus)

Abstract

PURPOSE OF REVIEW: The use of noninvasive positive pressure ventilation (NPPV) is often employed for the management of acute respiratory failure as an alternative to endotracheal intubation and mechanical ventilation. However, evidence to support the application of NPPV use in patients with acute severe asthma is less known. RECENT FINDINGS: A paucity of evidence is available to support the use of NPPV as part of clinical care in patients with acute severe asthma. A number of small studies in adult and paediatric populations suggest that NPPV may have a beneficial role through improving respiratory rate and reducing the need for more invasive alternatives. Overall NPPV use appeared to be well tolerated with few reports of adverse events. SUMMARY: Available evidence is limited by a small number of published trials and lack of methodological rigour in existing study design. There is a need for well conducted clinical studies to establish accurate treatment efficacy, safety and cost-effectiveness, in both the adult and paediatric setting.

LanguageEnglish
Pages118-123
Number of pages6
JournalCurrent Opinion in Pulmonary Medicine
Volume20
Issue number1
DOIs
Publication statusPublished - 1 Jan 2014
Externally publishedYes

Keywords

  • asthma
  • NIV
  • noninvasive ventilation
  • NPPV
  • status asthmaticus

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

Cite this

@article{8d5960af09a04229a6f4c5e54ab72c70,
title = "Noninvasive ventilation in acute severe asthma: Current evidence and future perspectives",
abstract = "PURPOSE OF REVIEW: The use of noninvasive positive pressure ventilation (NPPV) is often employed for the management of acute respiratory failure as an alternative to endotracheal intubation and mechanical ventilation. However, evidence to support the application of NPPV use in patients with acute severe asthma is less known. RECENT FINDINGS: A paucity of evidence is available to support the use of NPPV as part of clinical care in patients with acute severe asthma. A number of small studies in adult and paediatric populations suggest that NPPV may have a beneficial role through improving respiratory rate and reducing the need for more invasive alternatives. Overall NPPV use appeared to be well tolerated with few reports of adverse events. SUMMARY: Available evidence is limited by a small number of published trials and lack of methodological rigour in existing study design. There is a need for well conducted clinical studies to establish accurate treatment efficacy, safety and cost-effectiveness, in both the adult and paediatric setting.",
keywords = "asthma, NIV, noninvasive ventilation, NPPV, status asthmaticus",
author = "Kristin Carson-Chahhoud and Usmani, {Zafar A.} and Smith, {Brian J.}",
year = "2014",
month = "1",
day = "1",
doi = "10.1097/MCP.0000000000000015",
language = "English",
volume = "20",
pages = "118--123",
journal = "Current Opinion in Pulmonary Medicine",
issn = "1070-5287",
number = "1",

}

Noninvasive ventilation in acute severe asthma : Current evidence and future perspectives. / Carson-Chahhoud, Kristin; Usmani, Zafar A.; Smith, Brian J.

In: Current Opinion in Pulmonary Medicine, Vol. 20, No. 1, 01.01.2014, p. 118-123.

Research output: Contribution to journalReview article

TY - JOUR

T1 - Noninvasive ventilation in acute severe asthma

T2 - Current Opinion in Pulmonary Medicine

AU - Carson-Chahhoud, Kristin

AU - Usmani, Zafar A.

AU - Smith, Brian J.

PY - 2014/1/1

Y1 - 2014/1/1

N2 - PURPOSE OF REVIEW: The use of noninvasive positive pressure ventilation (NPPV) is often employed for the management of acute respiratory failure as an alternative to endotracheal intubation and mechanical ventilation. However, evidence to support the application of NPPV use in patients with acute severe asthma is less known. RECENT FINDINGS: A paucity of evidence is available to support the use of NPPV as part of clinical care in patients with acute severe asthma. A number of small studies in adult and paediatric populations suggest that NPPV may have a beneficial role through improving respiratory rate and reducing the need for more invasive alternatives. Overall NPPV use appeared to be well tolerated with few reports of adverse events. SUMMARY: Available evidence is limited by a small number of published trials and lack of methodological rigour in existing study design. There is a need for well conducted clinical studies to establish accurate treatment efficacy, safety and cost-effectiveness, in both the adult and paediatric setting.

AB - PURPOSE OF REVIEW: The use of noninvasive positive pressure ventilation (NPPV) is often employed for the management of acute respiratory failure as an alternative to endotracheal intubation and mechanical ventilation. However, evidence to support the application of NPPV use in patients with acute severe asthma is less known. RECENT FINDINGS: A paucity of evidence is available to support the use of NPPV as part of clinical care in patients with acute severe asthma. A number of small studies in adult and paediatric populations suggest that NPPV may have a beneficial role through improving respiratory rate and reducing the need for more invasive alternatives. Overall NPPV use appeared to be well tolerated with few reports of adverse events. SUMMARY: Available evidence is limited by a small number of published trials and lack of methodological rigour in existing study design. There is a need for well conducted clinical studies to establish accurate treatment efficacy, safety and cost-effectiveness, in both the adult and paediatric setting.

KW - asthma

KW - NIV

KW - noninvasive ventilation

KW - NPPV

KW - status asthmaticus

UR - http://www.scopus.com/inward/record.url?scp=84890103955&partnerID=8YFLogxK

U2 - 10.1097/MCP.0000000000000015

DO - 10.1097/MCP.0000000000000015

M3 - Review article

VL - 20

SP - 118

EP - 123

JO - Current Opinion in Pulmonary Medicine

JF - Current Opinion in Pulmonary Medicine

SN - 1070-5287

IS - 1

ER -