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Positive airway pressure (PAP) is a mode of respiratory ventilation used in the treatment of sleep apnea.PAP ventilation is also commonly used for those who are critically ill in hospital with respiratory failure, in newborn infants (), and for the prevention and treatment of atelectasis in patients with difficulty taking deep breaths.
Non-invasive ventilation (NIV) is the use of breathing support administered through a face mask, nasal mask, or a helmet.Air, usually with added oxygen, is given through the mask under positive pressure; generally the amount of pressure is alternated depending on whether someone is breathing in or out.
Nasal prongs are placed directly in the person's nostrils. A nasal mask is a small mask that covers the nose. There are also nasal pillow masks which have a cushion at the base of the nostrils, and are considered the least invasive option. [18] Frequently, nasal CPAP is used for infants, although this use is controversial.
The term APRV has also been used in American journals where, from the ventilation characteristics, BIPAP would have been perfectly good terminology. [10] But BiPAP(tm) is a trademark for a noninvasive ventilation mode in a specific ventilator (Respironics Inc.). Other manufacturers have followed with their own brand names (BILEVEL, DUOPAP, BIVENT).
Airway pressure release ventilation (APRV) is a pressure control mode of mechanical ventilation that utilizes an inverse ratio ventilation strategy. APRV is an applied continuous positive airway pressure (CPAP) that at a set timed interval releases the applied pressure. Depending on the ventilator manufacturer, it may be referred to as BiVent.
Patients can speak during use of high-flow therapy. As this is a non-invasive therapy, it avoids the risk of ventilator-associated pneumonia. Use of nasal high flow in acute hypoxemic respiratory failure does not affect mortality or length of stay either in hospital or in the intensive care unit.
Determined by the type of ventilation needed, the patient-end of the circuit may be either noninvasive or invasive. Noninvasive methods, such as continuous positive airway pressure (CPAP) and non-invasive ventilation , which are adequate for patients who require a ventilator only while sleeping and resting, mainly employ a nasal mask.
A resuscitator is a device using positive pressure to inflate the lungs of an unconscious person who is not breathing, in order to keep them oxygenated and alive. [citation needed] There are three basic types: a manual version (also known as a bag valve mask) consisting of a mask and a large hand-squeezed plastic bulb using ambient air, or with supplemental oxygen from a high-pressure tank.