Hot Topics in Noninvasive Ventilation: Report of a Working Group at the International Symposium on Sleep-Disordered Breathing in Leuven, Belgium

Bart Vrijsen; Michelle Chatwin; Oliver Contal; Eric Derom; Jean-Paul Janssens; Mike J Kampelmacher; Jean-Francois Muir; Susana Pinto; Claudio Rabec; Michelle Ramsay; Winfried J Randerath; Jan H Storre; Peter J Wijkstra; Wolfram Windisch; Dries Testelmans

doi:10.4187/respcare.03796

Hot Topics in Noninvasive Ventilation: Report of a Working Group at the International Symposium on Sleep-Disordered Breathing in Leuven, Belgium

Respir Care. 2015 Sep;60(9):1337-62. doi: 10.4187/respcare.03796. Epub 2015 Jun 30.

Authors

Affiliations

¹ Department of Respiratory Diseases, University Hospitals Leuven, Katholieke Universiteit Leuven/University of Leuven, Leuven, Belgium.
² Sleep and Ventilation Unit, Royal Brompton Hospital, London, United Kingdom.
³ Division of Pulmonary Diseases, Geneva University Hospitals, Geneva, Switzerland.
⁴ Respiratory Medicine, Ghent University Hospital, Ghent, Belgium.
⁵ Home Ventilation Service, University Medical Center Utrecht, Utrecht, The Netherlands.
⁶ Service de Pneumologie et Unité de Soins Intensifs Respiratoires, Centre Hospitalier Universitaire de Rouen, Rouen, France.
⁷ Faculty of Medicine, Institute of Molecular Medicine, and Translational Clinical Physiology Unit, University of Lisbon, Lisbon, Portugal.
⁸ Pneumologie et Réanimation Respiratoire, Centre Hospitalier Universitaire de Dijon, Dijon, France.
⁹ Division of Asthma, Allergy and Lung Biology, King's College London, London, United Kingdom.
¹⁰ Institut für Pneumologie an der Universität Witten/Herdecke, Klinik für Pneumologie und Allergologie, and Zentrum für Schlaf- und Beatmungsmedizin, Krankenhaus Bethanien, Solingen, Germany.
¹¹ Kliniken der Stadt Köln gGmbH, Witten/Herdecke University Hospital, and Department of Pneumology, Cologne-Merheim Hospital, Cologne, Germany.
¹² Center for Home Mechanical Ventilation, University of Groningen, and Department of Pulmonology, Groningen University Medical Center Groningen, Groningen, The Netherlands.
¹³ Department of Respiratory Diseases, University Hospitals Leuven, Katholieke Universiteit Leuven/University of Leuven, Leuven, Belgium. dries.testelmans@uzleuven.be.

PMID: 26130816
DOI: 10.4187/respcare.03796

Abstract

During the last few decades, attention has increasingly focused on noninvasive ventilation (NIV) in the treatment of chronic respiratory failure. The University of Leuven and the University Hospitals Leuven therefore chose this topic for a 2-day working group session during their International Symposium on Sleep-Disordered Breathing. Numerous European experts took part in this session and discussed (1) NIV in amyotrophic lateral sclerosis (when to start NIV, NIV and sleep, secretion management, and what to do when NIV fails), (2) recent insights in NIV and COPD (high-intensity NIV, NIV in addition to exercise training, and NIV during exercise training), (3) monitoring of NIV (monitoring devices, built-in ventilator software, leaks, and asynchronies) and identifying events during NIV; and (4) recent and future developments in NIV (target-volume NIV, electromyography-triggered NIV, and autoregulating algorithms).

Keywords: amyotrophic lateral sclerosis; chronic obstructive pulmonary disease; exercise training; noninvasive ventilation; sleep; sleep monitoring.

Publication types

Congress
Research Support, Non-U.S. Gov't

MeSH terms

Amyotrophic Lateral Sclerosis / therapy*
Belgium
Europe
Humans
Noninvasive Ventilation / methods
Noninvasive Ventilation / trends*
Pulmonary Disease, Chronic Obstructive / therapy*
Respiratory Insufficiency / therapy*
Sleep Apnea Syndromes / therapy*