Use of bronchodilators during non-invasive mechanical ventilation

P. Ceriana, P. Navalesi, C. Rampulla, G. Prinianakis, Stefano Nava

Research output: Contribution to journalArticle

Abstract

Bronchodilators represent one of the most important therapeutic weapons for the treatment of airway obstructive diseases and the inhaled route of administration is very often employed due to the greater drug availability and reduced magnitude of side effects. During acute exhacerbations, it is not unfrequent that the elastic and resistive loads imposed on the ventilatory pump overcome the force sustainable by the respiratory muscles and the patient requires ventilatory assistance, in order to relieve fatigue and to optimize alveolar gas exchange. During these episodes, inhaled bronchodilators, far from being discontinued, sometime must be administered during mechanical ventilation, that, in hypercapnic ventilatory failure can be frequently applied noninvasively with a good rate of success. While in the current literature there are a lot of data about inhaled drug administration during invasive mechanical ventilation, very few data are available on the topic of aerosol therapy during noninvasive mechanical ventilation. With the present paper we want to analyze the rationale, the feasibility and the current data dealing with the administration of inhaled drugs during noninvasive mechanical ventilation.

Original languageEnglish
Pages (from-to)123-127
Number of pages5
JournalMonaldi Archives for Chest Disease - Cardiac Series
Volume59
Issue number2
Publication statusPublished - Apr 2003

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ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

Ceriana, P., Navalesi, P., Rampulla, C., Prinianakis, G., & Nava, S. (2003). Use of bronchodilators during non-invasive mechanical ventilation. Monaldi Archives for Chest Disease - Cardiac Series, 59(2), 123-127.