Noninvasive ventilation for acute respiratory failure due to community-acquired pneumonia: A concise review and update

NIV and CAP

Authors

  • Antonello Nicolini Respiratory Diseases Unit, Hospital of Sestri Levante, Italy
  • Catia Cilloniz Department of Pneumology, Institute Clinic del Tórax, Hospital Clinic, University of Barcelona, Barcelona, Spain
  • Ines Maria Grazia Piroddi Respiratory Diseases Unit, Hospital of Sestri Levante, Italy
  • Paola Faverio Department of Health Science, University of Milan Bicocca, Clinica Pneumologica, AO San Gerardo, Monza, Italy

Keywords:

Community-acquired pneumonia, noninvasive ventilation, severe respiratory failure

Abstract

Strong evidence supports the use of noninvasive ventilation (NIV) in acute respiratory failure (ARF) to prevent endotracheal intubation (ETI) in patients with acute exacerbations of chronic obstructive pulmonary disease (COPD), cardiogenic pulmonary edema, and immunocompromised patients. However, weaker evidence supports NIV used in acute respiratory distress syndrome (ARDS) and ARF due to community-acquired pneumonia (CAP) in immunocompetent patients owing to high rates of treatment failure. In all patients, NIV should be applied under close monitoring for signs of treatment failure and, in such case, ETI should be promptly available. A trained team, at an appropriate location, with careful patient selection and optimal choice of devices can optimize NIV outcome. In this short review we examine past and more recent literature regarding the use of NIV in ARF due to CAP, discussing the application of both continuous positive airway pressure (CPAP) and pressure support ventilation (PSV).

References

Simonds A, Hare A. New modalities for non-invasive ventilation. Clin Med 2013;13:s41-5.

Ferrer M, Cosentini R, Nava S. The use of non-invasive ventilation during acute respiratory failure due to pneumonia. Eur J Inter Med 2012;23:420-8.

Nava S. Behind a mask: Tricks, pitfalls and prejudices for noninvasive ventilation. Respir Care 2013;58:1367-76.

Restrepo MI, Anzueto A. Severe community acquired pneumonia. Infect Dis Clin North Am 2009;23:503-20.

Risom MB, Kjaer BN, Risom E, Guldager H. Non invasive ventilation is less efficient in pneumonia than in chronic obstructive pulmonary disease exacerbation. Dan Med J 2014;61:A4799.

Domenighetti G, Gayer R, Gentilini R. Noninvasive pressure support ventilation in non-COPD patients with acute cardiogenic pulmonary edema and severe community-acquired pneumonia: Acute effects and outcome. Intensive Care Med 2002;28:1226-32.

Confalonieri M, Potena A, Carbone G, Porta RD, Tolley EA, Umberto Meduri G. Acute respiratory failure in patients with severe community-acquired pneumonia. A prospective randomized evaluation of noninvasive ventilation. Am J Respir Crit Care 1999;160:1585-91.

AlYami MA, AlAhmari MD, Alotaibi H, AlRabeeah S, AlBalawi I, Mubsaher M. Evaluation of efficacy of non-invasive ventilation in Non-COPD and non-trauma patients with acute hypoxemic respiratory failure: A systematic review and meta-analysis. Ann Thorac Med 2015;10:16-24.

Conti G, Costa R. Noninvasive ventilation in patients with hypoxemic nonhypercapnic acute respiratory failure. Clin Pulm Med 2011;18:83-7.

Jolliet P, Abajo B, Pasquina P, Chevrolet JC. Non-invasive pressure support ventilation in severe community-acquired pneumonia. Intensive Care Med 2001;27:812-21.

Ferrer M, Esquinas A, Leon M, Gonzales M, Alarcon A, Torres A. Noninvasive ventilation in severe hypoxemic respiratory failure: A randomized clinical trial. Am J Respir Crit Care Med 2003;168: 1438-44.

Rana S, Jenad H, Gay PC. Failure of noninvasive ventilation in patients with acute lung injury: Observational cohort study. Crit Care 2006;10:R79.

Honrubia T, Garcia-Lopez FJ, Franco N. Noninvasive vs conventional mechanical ventilation in acute respiratory failure: A multicenter, randomized controlled trial. Chest 2005;128:3916-24.

Antro C, Merico F, Urbino R, Gai V. Noninvasive ventilation as a first-line treatment for acute respiratory failure: "Real life" experience in the emergency department. Emerg Med J 2005;22:772-7.

Schettino G, Altobelli N, Kacmarek RM. Noninvasive positive pressure ventilation in acute respiratory failure outside clinical trials: Experience at the Massachussetts General Hospital. Crit Care Med 2008;36:441-7.

Ferrer M, Torres A. Noninvasive ventilation for acute respiratory failure. Curr Opin Crit Care 2015;21:1-6.

Hilbert G, Gruson D, Vargas F, Valentino R, Gbikpi-Benissan G, Dupon M, et al. Noninvasive ventilation in immunosuppressed patients with pulmonary infiltrates, fever and acute respiratory failure. N Engl J Med 2001;344:481-7.

Confalonieri M, Calderini E, Terraciano S, Chidini G, Celeste E, Puccio G, et al. Noninvasive ventilation for treating acute respiratory failure in AIDS patients with Pneumocystis carinii pneumonia. Intensive Care Med 2002;28;1233-8.

Simonds AK, Hanak A, Chatwin M, Morrell M, Hall A, Parker KH, et al. Evaluation of droplet dispersion during non-invasive ventilation, oxygen therapy, nebulizer treatment and chest physiotherapy in clinical practice: Implications for management of pandemic influenza and other airborne infections. Health Technol Assess 2010;14:131-72.

Santo M, Bonfiglio M, Ferrera L, Nicolini A, Senarega R, Ferraioli G, Barlascini C. High success and low mortality rates with early use of noninvasive ventilation in Influenza A H1N1 pneumonia. Infect Dis Clin Pract 2013;21:247-52.

Winck JC, Goncalves M. H1N1 infection and acute respiratory failure: Can we give non invasive ventilation a chance? Rev Port Pneumol 2010;16:907-11.

Estenssoro E, Rios FG, Apezteguia C, Reina R,Neira J,Ceraso DH, et al; Registry of the Argentinian Society of Intensive Care SATI. Pandemic 2009 influenza A in Argentina: A study of 337 patients on mechanical ventilation. Am J Respir Crit Care Med 2010;182:41-8.

Masclans JR, Perez M, Almiral J, Lorente L, Marques A, Socias L, et al; H1N1 GTEI/SEMICYUC Investigators. Early non invasive ventilation treatment for severe influenza pneumonia. Clin Microbiol Infect 2013;19:249-56.

Rello J, Rodriguez A, Ibanez P, Socias L, Cebrian J, Marquez A, et al; H1N1 SEMICYUC Working Group. Intensive care Adult patients with severe respiratory failure caused by Influenza A (H1N1) in Spain. Crit Care 2009;13:R148.

Kumar A, Zarychanski R, Pinto R, Cook DJ, Marshall J, Lacroix J, et al; Canadian Critical Care Trials Group H1N1 Collaborative. Critically ill patients with 2009 influenza A (H1N1) infection in Canada. JAMA 2009;302:1872-9.

Ugarte S, Arancibia F, Soto R. Influenza A pandemics: Clinical and organizational aspects: The experience in Chile. Crit Care Med 2010;38:e133-7.

Dominguez-Cherit G, Lapinsky SE, Macias AE, Pinto R, Espinosa-Perez L, de La Torre A, et al. Critically ill patients with 2009 influenza A(H1N1) in Mexico. JAMA 2009;302:1880-7.

Chacko J, Gagan B, Ashok E, Radha M, Hemanth HV. Critically ill patients with 2009 H1N1 infection in an Indian ICU. Indian J Crit Care Med 2010;14:77-82.

Grasselli G, Bombino M, Patroniti N, Foti G, Benini A, Babbruzzese C, et al. Management of acute respiratory complications from influenza A (H1N1) infection: Experience of a tertiary-level Intensive Care Unit. Minerva Anestesiol 2011;77:1-8.

Kirakli C, Tatar D, Cimen P, Edipoglu O, Coksun M, Celikten E, et al. Survival from severe pandemic H1N1 in urban and rural Turkey: A case series. Respir Care 2011:56:790-5.

Timenetsky KT, Aquino SH, Saghabi C, Taniguchi C, Silvia CV, Correa L. High success and low mortality rates with non-invasive ventilation in influenza A H1N1 patients in a tertiary hospital. BMC Res Note 2011;28:375.

Xi X, Xu Y, Jiang L, Li A, Duan J, Du B; Chinese Critical Care Clinical Trial Group. Hospitalized adult patients with 2009 influenza A (H1N1) in Beijing, China: Risk factors for hospital mortality. BMC Infect Dis 2010;10:256.

Li H, Ma RC. Clinical analysis of 75 patients with severe influenza A H1N1 in Qinghai Province. Zhon W Zhon Bing J J Yi Xue 2010;22:164-5.

Paredes G, Cevallos C. Acute respiratory distress syndrome during the 2009 H1N1 influenza A pandemic in Ecuador. Med Intensiva 2010;34:310-7.

Liu L, Zhang RF, Lu HZ, Lu SH, Huang Q, Xiong YY, et al. Sixty-two severe and critical patients with 2009 influenza A (H1N1) in Shanghai. China Chin Med J 2011;124:1662-6.

Nicolini A, Tonveronachi E, Navalesi P, Antonelli M, Valentini I, Melotti RM, et al. Effectiveness and predictors of success of noninvasive ventilation during H1N1 pandemics: A multicenter study. Minerva Anestesiol 2012;78:1333-40.

Nicolini A, Cilloniz C, Cuenca C, Torres A. Influenza A (H1N1) Pneumonia: A review and update. Clin Pulm Med 2012;19:246-53.

Carron M, Freo U, Zorzi M, Ori C. Predictors of failure of noninvasive ventilation in patients with severe community-acquired pneumonia. J Crit Care 2010;25:540e9-14.

Carrillo A, Gonzales-Diaz, Ferrer M, Martinez-Quintana ME, Lopez-Martinez A, Llamas N. Non-invasive ventilation in community-acquired pneumonia and severe acute respiratory failure. Intensive Care Med 2012;38:458-66.

Nicolini A, Ferraioli G, Ferrari-Bravo M, Barlascini C, Santo M, Ferrera L. Early non invasive ventilation treatment for respiratory failure due to severe community-acquired pneumonia. Clin Resp J 2014.

Murad A, Li PZ, Dial S, Shahin MS. The role of noninvasive positive pressure ventilation in community-acquired pneumonia. J Crit Care 2015;30:49-54.

Ibrahim BJ, Jaber DK. The effectiveness of non-invasive ventilation in management of respiratory failure in Palestine. A prospective observational study. Egypt J Crit Care 2014;2:29-36.

Johnson CS, Frei CR, Metersky M, Anzueto AR, Mortensen EM. Non invasive mechanical ventilation and mortality in elderly immunocompromised patients hospitalized with pneumonia: A retrospective cohort study. BMC Pulm Med 2014;14:7.

Cosentini R, Brambilla AM, Aliberti S, Bignamini A, Nava S, Maffei A, et al. Helmet continuous positive airway pressure vs oxygen therapy to improve oxygenation in community-acquired pneumonia. A randomized controlled trial. Chest 2010;138:114-20.

Brambilla AM, Aliberti S, Prina E, Nicoli F, Del Forno M, Nava S, et al. Helmet CPAP vs oxygen therapy in severe hypoxemic respiratory failure due to pneumonia. Intensive Care Med 2014;40:942-9.

De Pascale G, Bello G, Tumbarello M, Antonelli M. Severe pneumonia in intensive care: Cause, diagnosis, treatment and management: A review of the literature. Curr Opin Pulm Med 2012;18:213-21.

Mas A, Masip J. Noninvasive ventilation in acute respiratory failure. Int J Chron Obstruct Pulmon Dis 2014;9:837-52.

Antonelli M, Conti G, Esquinas A, Montini L, Maggiore SM, Bello G, et al. A multiple-center survey on the use in clinical practice of noninvasive ventilation as a first-line intervention for acute respiratory distress syndrome. Crit Care Med 2007;35:18-25.

ARDS definition Task Force. Ranieri VM, Rubenfeld GD, Thompson BT, Ferguson ND, Caldwell E, Fan E, et al. Acute respiratory distress syndrome: The berlin Definition. JAMA 2012;307:2526-33.

Thille AW, Contou D, Fragnoli C, Cordoba-Izquierdo A, Boissier F, Brun-Buisson C. Non-invasive ventilation for acute hypoxemic respiratory failure: Intubation rate and risk factors. Crit Care 2013;17:269.

Pelosi P, Rocco PR, de Abreu MG. Use of computed tomography scanning to guide lung recruitment and adjust positive-end expiratory pressure. Curr Opin Crit Care 2011;17:268-74.

Esquinas Rodriguez AM, Papadakos PJ, Carron M, Cosentini R, Chiumello D. Clinical review: Helmet and non-invasive mechanical ventilation in critically ill patients. Crit Care 2013;17:223.

Nava S, Navalesi P, Gregoretti C. Interfaces and humidification noninvasive mechanical ventilation. Respir Care 2009;54:71-84.

Sferrazza-Papa GF, DiMarco F, Akoumianaki E, Brochard L. Recent advances in interfaces for non invasive ventilation: From bench studies to practical issues. Minerva Anestesiol 2012;78: 1146-53.

Brochard L, Lefebvre JC, Cordioli RL, Akoumianaki E, Richard JC. Noninvasive ventilation for patients with hypoxemic acute respiratory failure. Semin Respir Crit Care Med 2014;35:492-500.

Ozyilmaz E, Ozsanack A, Nava S. Timing of noninvasive ventilation failure: Causes, risk factors, and potential remedies. BMC Pulm Med 2014;14:9.

Scala R, Corrado A, Confalonieri M, Marchese S, Ambrosino N; Scientific Group on Respiratory Intensive Care of the Italian Association of Hospital Pneumologists. Increased number and expertise of Italian Respiratory High-dependency care units: The second national survey. Respir Care 2011;56:1100-7.

Girou E, Brun-Buisson C, Taille S, Lemaire F, Brochard L. Secular trends in nosocomial infections and mortality associated with noninvasive ventilation in patients with exacerbations of COPD and pulmonary edema. JAMA 2003;290:2985-91.

Carlucci A, Del Mastro M, Rubini F, Fracchia C, Nava S. Changes in practice of non-invasive ventilation in treating COPD patients over 8 years. Intensive Care Med 2003;29:419-25.

Contou D, Fragnoli C, Córdoba-Izquierdo A, Boissier F, Brun-Buisson C, Thille AW. Noninvasive ventilation for acute hypercapnic respiratory failure: Intubation rate in an experienced unit. Respir Care 2013;58:2045-52.

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Published

2015-06-25

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1.
Nicolini A, Cilloniz C, Piroddi IMG, Faverio P. Noninvasive ventilation for acute respiratory failure due to community-acquired pneumonia: A concise review and update: NIV and CAP. Community Acquir Infect. 2015;2. Accessed May 3, 2025. https://www.hksmp.com/journals/cai/article/view/235

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