RT Journal Article
SR Electronic
T1 Helmet Noninvasive Ventilation for Weaning From Mechanical Ventilation
JF Respiratory Care
FD American Association for Respiratory Care
SP 1035
OP 1037
VO 49
IS 9
A1 Moti Klein
A1 Natan Weksler
A1 Carmi Bartal
A1 Genadi Zilberstein
A1 Gabriel M Gurman
YR 2004
UL http://rc.rcjournal.com/content/49/9/1035.abstract
AB We saw a patient who presented with carbon dioxide narcosis and acute respiratory failure due to an exacerbation of chronic obstructive pulmonary disease. We intubated and 12 hours later he had recovered consciousness and could cooperate with noninvasive ventilation, at which point we extubated and used a helmet to provide noninvasive positive-pressure ventilation in assist/control mode, and then during the ventilator-weaning process, pressure support, and finally continuous positive airway pressure. The patient had no complications from the helmet, and he was discharged from intensive care 48 hours after helmet ventilation was initiated. Helmet noninvasive ventilation is a potentially valuable ventilator-weaning method for certain patients.