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Noninvasive mechanical ventilation in high-risk pulmonary infections: a clinical review

Antonio M. Esquinas, S. Egbert Pravinkumar, Raffaele Scala, Peter Gay, Arie Soroksky, Christophe Girault, Fang Han, David S. Hui, Peter J. Papadakos, Nicolino Ambrosino on behalf of the International NIV Network
European Respiratory Review 2014 23: 427-438; DOI: 10.1183/09059180.00009413
Antonio M. Esquinas
1Intensive Care Unit, Hospital Morales Meseguer, Murcia, Spain. 2Dept of Critical Care, The University of Texas M.D. Anderson Cancer Center, Houston, TX, USA. 3Pulmonary and Respiratory Intensive Care Unit, S. Donato Hospital, Arezzo, Italy. 4Dept of Pulmonary, Critical Care and Sleep Medicine, Mayo Clinic, Rochester, MN, USA. 5General Intensive Care Unit, Assaf Harofeh Medical Center, Ramat Aviv, Israel. 6Dept of Medical Intensive Care, Charles Nicolle Rouen University Hospital, UPRES EA 3830-IRIB, Institute for Biomedical Research, Rouen University, Rouen, France. 7Dept of Pulmonary Medicine, The People’s Hospital, Beijing University, Beijing, China. 8Dept of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong, SAR, China. 9Critical Care, University of Rochester, Rochester NY, USA. 10Pulmonary and Respiratory Intensive Care Unit, Cardio-Thoracic Dept, University Hospital Pisa, Pisa, Italy. 11For a full list of the International NIV Network collaborators see the Acknowledgements
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  • For correspondence: antmesquinas@gmail.com
S. Egbert Pravinkumar
1Intensive Care Unit, Hospital Morales Meseguer, Murcia, Spain. 2Dept of Critical Care, The University of Texas M.D. Anderson Cancer Center, Houston, TX, USA. 3Pulmonary and Respiratory Intensive Care Unit, S. Donato Hospital, Arezzo, Italy. 4Dept of Pulmonary, Critical Care and Sleep Medicine, Mayo Clinic, Rochester, MN, USA. 5General Intensive Care Unit, Assaf Harofeh Medical Center, Ramat Aviv, Israel. 6Dept of Medical Intensive Care, Charles Nicolle Rouen University Hospital, UPRES EA 3830-IRIB, Institute for Biomedical Research, Rouen University, Rouen, France. 7Dept of Pulmonary Medicine, The People’s Hospital, Beijing University, Beijing, China. 8Dept of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong, SAR, China. 9Critical Care, University of Rochester, Rochester NY, USA. 10Pulmonary and Respiratory Intensive Care Unit, Cardio-Thoracic Dept, University Hospital Pisa, Pisa, Italy. 11For a full list of the International NIV Network collaborators see the Acknowledgements
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Raffaele Scala
1Intensive Care Unit, Hospital Morales Meseguer, Murcia, Spain. 2Dept of Critical Care, The University of Texas M.D. Anderson Cancer Center, Houston, TX, USA. 3Pulmonary and Respiratory Intensive Care Unit, S. Donato Hospital, Arezzo, Italy. 4Dept of Pulmonary, Critical Care and Sleep Medicine, Mayo Clinic, Rochester, MN, USA. 5General Intensive Care Unit, Assaf Harofeh Medical Center, Ramat Aviv, Israel. 6Dept of Medical Intensive Care, Charles Nicolle Rouen University Hospital, UPRES EA 3830-IRIB, Institute for Biomedical Research, Rouen University, Rouen, France. 7Dept of Pulmonary Medicine, The People’s Hospital, Beijing University, Beijing, China. 8Dept of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong, SAR, China. 9Critical Care, University of Rochester, Rochester NY, USA. 10Pulmonary and Respiratory Intensive Care Unit, Cardio-Thoracic Dept, University Hospital Pisa, Pisa, Italy. 11For a full list of the International NIV Network collaborators see the Acknowledgements
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Peter Gay
1Intensive Care Unit, Hospital Morales Meseguer, Murcia, Spain. 2Dept of Critical Care, The University of Texas M.D. Anderson Cancer Center, Houston, TX, USA. 3Pulmonary and Respiratory Intensive Care Unit, S. Donato Hospital, Arezzo, Italy. 4Dept of Pulmonary, Critical Care and Sleep Medicine, Mayo Clinic, Rochester, MN, USA. 5General Intensive Care Unit, Assaf Harofeh Medical Center, Ramat Aviv, Israel. 6Dept of Medical Intensive Care, Charles Nicolle Rouen University Hospital, UPRES EA 3830-IRIB, Institute for Biomedical Research, Rouen University, Rouen, France. 7Dept of Pulmonary Medicine, The People’s Hospital, Beijing University, Beijing, China. 8Dept of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong, SAR, China. 9Critical Care, University of Rochester, Rochester NY, USA. 10Pulmonary and Respiratory Intensive Care Unit, Cardio-Thoracic Dept, University Hospital Pisa, Pisa, Italy. 11For a full list of the International NIV Network collaborators see the Acknowledgements
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Arie Soroksky
1Intensive Care Unit, Hospital Morales Meseguer, Murcia, Spain. 2Dept of Critical Care, The University of Texas M.D. Anderson Cancer Center, Houston, TX, USA. 3Pulmonary and Respiratory Intensive Care Unit, S. Donato Hospital, Arezzo, Italy. 4Dept of Pulmonary, Critical Care and Sleep Medicine, Mayo Clinic, Rochester, MN, USA. 5General Intensive Care Unit, Assaf Harofeh Medical Center, Ramat Aviv, Israel. 6Dept of Medical Intensive Care, Charles Nicolle Rouen University Hospital, UPRES EA 3830-IRIB, Institute for Biomedical Research, Rouen University, Rouen, France. 7Dept of Pulmonary Medicine, The People’s Hospital, Beijing University, Beijing, China. 8Dept of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong, SAR, China. 9Critical Care, University of Rochester, Rochester NY, USA. 10Pulmonary and Respiratory Intensive Care Unit, Cardio-Thoracic Dept, University Hospital Pisa, Pisa, Italy. 11For a full list of the International NIV Network collaborators see the Acknowledgements
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Christophe Girault
1Intensive Care Unit, Hospital Morales Meseguer, Murcia, Spain. 2Dept of Critical Care, The University of Texas M.D. Anderson Cancer Center, Houston, TX, USA. 3Pulmonary and Respiratory Intensive Care Unit, S. Donato Hospital, Arezzo, Italy. 4Dept of Pulmonary, Critical Care and Sleep Medicine, Mayo Clinic, Rochester, MN, USA. 5General Intensive Care Unit, Assaf Harofeh Medical Center, Ramat Aviv, Israel. 6Dept of Medical Intensive Care, Charles Nicolle Rouen University Hospital, UPRES EA 3830-IRIB, Institute for Biomedical Research, Rouen University, Rouen, France. 7Dept of Pulmonary Medicine, The People’s Hospital, Beijing University, Beijing, China. 8Dept of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong, SAR, China. 9Critical Care, University of Rochester, Rochester NY, USA. 10Pulmonary and Respiratory Intensive Care Unit, Cardio-Thoracic Dept, University Hospital Pisa, Pisa, Italy. 11For a full list of the International NIV Network collaborators see the Acknowledgements
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Fang Han
1Intensive Care Unit, Hospital Morales Meseguer, Murcia, Spain. 2Dept of Critical Care, The University of Texas M.D. Anderson Cancer Center, Houston, TX, USA. 3Pulmonary and Respiratory Intensive Care Unit, S. Donato Hospital, Arezzo, Italy. 4Dept of Pulmonary, Critical Care and Sleep Medicine, Mayo Clinic, Rochester, MN, USA. 5General Intensive Care Unit, Assaf Harofeh Medical Center, Ramat Aviv, Israel. 6Dept of Medical Intensive Care, Charles Nicolle Rouen University Hospital, UPRES EA 3830-IRIB, Institute for Biomedical Research, Rouen University, Rouen, France. 7Dept of Pulmonary Medicine, The People’s Hospital, Beijing University, Beijing, China. 8Dept of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong, SAR, China. 9Critical Care, University of Rochester, Rochester NY, USA. 10Pulmonary and Respiratory Intensive Care Unit, Cardio-Thoracic Dept, University Hospital Pisa, Pisa, Italy. 11For a full list of the International NIV Network collaborators see the Acknowledgements
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David S. Hui
1Intensive Care Unit, Hospital Morales Meseguer, Murcia, Spain. 2Dept of Critical Care, The University of Texas M.D. Anderson Cancer Center, Houston, TX, USA. 3Pulmonary and Respiratory Intensive Care Unit, S. Donato Hospital, Arezzo, Italy. 4Dept of Pulmonary, Critical Care and Sleep Medicine, Mayo Clinic, Rochester, MN, USA. 5General Intensive Care Unit, Assaf Harofeh Medical Center, Ramat Aviv, Israel. 6Dept of Medical Intensive Care, Charles Nicolle Rouen University Hospital, UPRES EA 3830-IRIB, Institute for Biomedical Research, Rouen University, Rouen, France. 7Dept of Pulmonary Medicine, The People’s Hospital, Beijing University, Beijing, China. 8Dept of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong, SAR, China. 9Critical Care, University of Rochester, Rochester NY, USA. 10Pulmonary and Respiratory Intensive Care Unit, Cardio-Thoracic Dept, University Hospital Pisa, Pisa, Italy. 11For a full list of the International NIV Network collaborators see the Acknowledgements
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Peter J. Papadakos
1Intensive Care Unit, Hospital Morales Meseguer, Murcia, Spain. 2Dept of Critical Care, The University of Texas M.D. Anderson Cancer Center, Houston, TX, USA. 3Pulmonary and Respiratory Intensive Care Unit, S. Donato Hospital, Arezzo, Italy. 4Dept of Pulmonary, Critical Care and Sleep Medicine, Mayo Clinic, Rochester, MN, USA. 5General Intensive Care Unit, Assaf Harofeh Medical Center, Ramat Aviv, Israel. 6Dept of Medical Intensive Care, Charles Nicolle Rouen University Hospital, UPRES EA 3830-IRIB, Institute for Biomedical Research, Rouen University, Rouen, France. 7Dept of Pulmonary Medicine, The People’s Hospital, Beijing University, Beijing, China. 8Dept of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong, SAR, China. 9Critical Care, University of Rochester, Rochester NY, USA. 10Pulmonary and Respiratory Intensive Care Unit, Cardio-Thoracic Dept, University Hospital Pisa, Pisa, Italy. 11For a full list of the International NIV Network collaborators see the Acknowledgements
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Nicolino Ambrosino
1Intensive Care Unit, Hospital Morales Meseguer, Murcia, Spain. 2Dept of Critical Care, The University of Texas M.D. Anderson Cancer Center, Houston, TX, USA. 3Pulmonary and Respiratory Intensive Care Unit, S. Donato Hospital, Arezzo, Italy. 4Dept of Pulmonary, Critical Care and Sleep Medicine, Mayo Clinic, Rochester, MN, USA. 5General Intensive Care Unit, Assaf Harofeh Medical Center, Ramat Aviv, Israel. 6Dept of Medical Intensive Care, Charles Nicolle Rouen University Hospital, UPRES EA 3830-IRIB, Institute for Biomedical Research, Rouen University, Rouen, France. 7Dept of Pulmonary Medicine, The People’s Hospital, Beijing University, Beijing, China. 8Dept of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong, SAR, China. 9Critical Care, University of Rochester, Rochester NY, USA. 10Pulmonary and Respiratory Intensive Care Unit, Cardio-Thoracic Dept, University Hospital Pisa, Pisa, Italy. 11For a full list of the International NIV Network collaborators see the Acknowledgements
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Abstract

The aim of this article was to review the role of noninvasive ventilation (NIV) in acute pulmonary infectious diseases, such as severe acute respiratory syndrome (SARS), H1N1 and tuberculosis, and to assess the risk of disease transmission with the use of NIV from patients to healthcare workers.

We performed a clinical review by searching Medline and EMBASE. These databases were searched for articles on “clinical trials” and “randomised controlled trials”. The keywords selected were non-invasive ventilation pulmonary infections, influenza-A (H1N1), SARS and tuberculosis. These terms were cross-referenced with the following keywords: health care workers, airborne infections, complications, intensive care unit and pandemic. The members of the International NIV Network examined the major results regarding NIV applications and SARS, H1N1 and tuberculosis. Cross-referencing mechanical ventilation with SARS yielded 76 studies, of which 10 studies involved the use of NIV and five were ultimately selected for inclusion in this review. Cross-referencing with H1N1 yielded 275 studies, of which 27 involved NIV. Of these, 22 were selected for review. Cross-referencing with tuberculosis yielded 285 studies, of which 15 involved NIV and from these seven were selected. In total 34 studies were selected for this review.

NIV, when applied early in selected patients with SARS, H1N1 and acute pulmonary tuberculosis infections, can reverse respiratory failure. There are only a few reports of infectious disease transmission among healthcare workers.

Footnotes

  • Conflict of interest: None declared.

  • Provenance: Submitted article, peer reviewed.

  • The present work was previously presented as a poster presentation at the American Thoracic Society 2010 Interational Conference (New Orleans, LA, USA).

  • Received December 21, 2013.
  • Accepted May 11, 2014.
  • ©ERS 2014

ERR articles are open access and distributed under the terms of the Creative Commons Attribution Non-Commercial Licence 4.0.

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Noninvasive mechanical ventilation in high-risk pulmonary infections: a clinical review
Antonio M. Esquinas, S. Egbert Pravinkumar, Raffaele Scala, Peter Gay, Arie Soroksky, Christophe Girault, Fang Han, David S. Hui, Peter J. Papadakos, Nicolino Ambrosino
European Respiratory Review Dec 2014, 23 (134) 427-438; DOI: 10.1183/09059180.00009413

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Noninvasive mechanical ventilation in high-risk pulmonary infections: a clinical review
Antonio M. Esquinas, S. Egbert Pravinkumar, Raffaele Scala, Peter Gay, Arie Soroksky, Christophe Girault, Fang Han, David S. Hui, Peter J. Papadakos, Nicolino Ambrosino
European Respiratory Review Dec 2014, 23 (134) 427-438; DOI: 10.1183/09059180.00009413
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  • Article
    • Abstract
    • Introduction
    • Effectiveness of NIV in pulmonary infections and pandemics
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    • References
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  • Respiratory infections and tuberculosis
  • Pulmonary pharmacology and therapeutics
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