Challenges to and opportunities for the implementation of non-invasive positive pressure ventilation in the Asia-Pacific region

Lili Guan; Luqian Zhou; Liqiang Song; Lingwei Wang; Dandan Chen; Rongchang Chen

doi:10.1111/resp.13586

Challenges to and opportunities for the implementation of non-invasive positive pressure ventilation in the Asia-Pacific region

Respirology. 2019 Dec;24(12):1152-1155. doi: 10.1111/resp.13586. Epub 2019 Jun 3.

Authors

Lili Guan¹, Luqian Zhou¹, Liqiang Song², Lingwei Wang³, Dandan Chen³, Rongchang Chen^{1

3}

Affiliations

¹ State Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
² Department of Pulmonary and Critical Care Medicine, Xijing Hospital, Air Force Medical University, Xi'an, China.
³ Shenzhen Institute of Respiratory Diseases, Shenzhen People's Hospital, Shenzhen, China.

PMID: 31157493
DOI: 10.1111/resp.13586

Abstract

Non-invasive positive pressure ventilation (NPPV) is undoubtedly one of the most significant advancements in mechanical ventilation technology in the past 30 years. With accumulating evidence from clinical studies and support from clinical guidelines, NPPV is now widely used in hospitals and increasingly prescribed for home therapy in the Asia-Pacific region. However, in comparison with the developed Western countries, overall use of NPPV in the region is lagging behind. This study reviews this imbalance of NPPV use both in the acute and domiciliary settings in the Asia-Pacific region. Important issues related to NPPV use are also discussed along with speculation around potential strategies that could promote wider implementation of NPPV in the region. We hope this review will stimulate interest in the clinical application and potential research avenues for NPPV in the Asia-Pacific region, and promote education and staff training in the technique.

Keywords: Asia-Pacific region; current status; non-invasive positive pressure ventilation.

Publication types

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

MeSH terms

Asia
Health Services Needs and Demand
Humans
Noninvasive Ventilation / methods*
Pacific Islands
Positive-Pressure Respiration / methods*
Procedures and Techniques Utilization* / standards
Procedures and Techniques Utilization* / statistics & numerical data
Respiratory Insufficiency* / epidemiology
Respiratory Insufficiency* / therapy