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Nasal versus full face mask for noninvasive ventilation in chronic respiratory failure

G.N. Willson, A.J. Piper, M. Norman, W.G. Chaseling, M.A. Milross, E.R. Collins, R.R. Grunstein
European Respiratory Journal 2004 23: 605-609; DOI: 10.1183/09031936.04.00051604
G.N. Willson
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A.J. Piper
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M. Norman
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W.G. Chaseling
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M.A. Milross
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E.R. Collins
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R.R. Grunstein
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Tables

  • Table 1

    Settings used for nocturnal ventilation

    PatientDeviceModeEPAP cmH2OIPAP cmH2ORate bpmMaximum IPAP sOxygen flow rate L·min−1Nasal mask
    1VPAP IIS615NA1.52Bubble
    2VPAP IIS1420NA1.42Goldseal
    3REM+DuoST515151.4NilBubble
    4VPAP IIS717NA1.451Bubble
    5VPAP IIS716NA1.5NilBubble
    6VPAP IIS616NA1.22Bubble
    7BIPAPS514NANANilStandard
    8VPAP IIS1317NA3.02Mirage
    9BIPAPST41618NA1Bubble
    10VPAP IIST520201.25NilBubble
    11VPAP IIS1319NA2.11.5Bubble
    12HorizonS1016NANA2Standard
    13REM+DuoST615221.23NilBubble
    14BIPAPS1018NANA1Standard
    15VPAP IIST414191.3NilBubble
    16VPAP IIS613NA1.351Mirage
    Mean7.616.318.81.61.6
    • Devices and nasal masks include: VPAP II (ResMed, Sydney, Australia), REM+Duo (Nelcor Puritan-Bennett, Villers-Les-Nancy, France), BIPAP (Respironics, Murrysville, PA, USA), Horizon (DeVilbuss, Somerset, NJ, USA), Bubble, Standard, Mirage (ResMed, Sydney, Australia), Goldseal (Respironics, Murrysville, PA USA)

    • S: Spontaneous mode

    • ST: spontaneous timed mode

    • EPAP: expiratory positive airway pressure

    • IPAP: inspiratory positive airways pressure

    • bpm: breaths per min

    • NA: not applicable

  • Table 2

    Patient characteristics

    PatientAge yrsDiagnostic groupBMI kg·m−2Spirometry
    FEV1 L BTPSFVC L BTPS
    154CAL200.62.3
    268OHS42.71.352.09
    373Nm241.852.61
    465OHS39.61.792.38
    562Nm291.41.56
    664OHS/CAL35.70.570.99
    753CAH32.13.34.45
    870OHS52.21.672.02
    957CW22.60.470.52
    1039CW20.30.710.73
    1143CW/OSA28.91.42.23
    1251OHS53.21.452.05
    1355CW18.50.851.3
    1469OHS48.71.452.04
    1580Nm18.90.50.81
    1673CW250.40.49
    Mean±sd61±1132±121.2±0.71.8±1.0
    • BMI: body mass index

    • FEV1: forced expiratory volume in one second

    • FVC: forced vital capacity

    • L BTPS: litres body temperature and pressure saturated

    • CAL: chronic airflow limitation

    • OHS: obesity-hypoventilation syndrome

    • Nm: neuromuscular disease

    • OSA: obstructive sleep apnoea

    • CAH: central alveolar hypoventilation

    • CW: chest wall deformity

  • Table 3

    Sleep study data

    Nasal maskFull face maskp‐value
    Patients n1616
    TST min339±56300±79<0.05
    Sleep efficiency %78±970±14<0.05
    Sleep latency min20±2421±13NS
    Stage 1/2 % TST70±1267±12NS
    Slow wave sleep % TST12±1111±10NS
    REM %TST18±822±8<0.02
    AHI events·h−11.7±3.41.6±2.4NS
    Minimum average Sa,O2
     TST %93.4±2.192.8±2.50.09
     NREM %93.6±2.093.0±2.4<0.05
     REM %92.4±2.992.0±3.5NS
    Arousal index arousals·h−115.6±9.815.8±8.8NS
    • Results expressed as mean±SD unless otherwise stated

    • TST: total sleep time

    • REM: rapid eye movement sleep

    • AHI: apnoea-hypopnoea index

    • Sa,O2: arterial oxyhaemoglobin saturation

    • NREM: nonrapid eye movement sleep

    • NS: nonsignificant

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Nasal versus full face mask for noninvasive ventilation in chronic respiratory failure
G.N. Willson, A.J. Piper, M. Norman, W.G. Chaseling, M.A. Milross, E.R. Collins, R.R. Grunstein
European Respiratory Journal Apr 2004, 23 (4) 605-609; DOI: 10.1183/09031936.04.00051604

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Nasal versus full face mask for noninvasive ventilation in chronic respiratory failure
G.N. Willson, A.J. Piper, M. Norman, W.G. Chaseling, M.A. Milross, E.R. Collins, R.R. Grunstein
European Respiratory Journal Apr 2004, 23 (4) 605-609; DOI: 10.1183/09031936.04.00051604
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