Non-Invasive Ventilation as an Adjunct to Exercise Training in Chronic Ventilatory Failure: A Narrative Review.
Assisted ventilation
Dyspnoea
Exercise capacity
Health-related quality of life
Pulmonary rehabilitation
Respiratory failure
Respiratory muscles
Journal
Respiration; international review of thoracic diseases
ISSN: 1423-0356
Titre abrégé: Respiration
Pays: Switzerland
ID NLM: 0137356
Informations de publication
Date de publication:
Historique:
received:
12
07
2018
accepted:
12
09
2018
pubmed:
1
11
2018
medline:
28
4
2020
entrez:
1
11
2018
Statut:
ppublish
Résumé
Chronic ventilatory failure (CVF) may be associated with reduced exercise capacity. Long-term non-invasive ventilation (NIV) may reduce patients' symptoms, improve health-related quality of life and reduce mortality and hospitalisations. There is an increasing use of NIV during exercise training with the purpose to train patients at intensity levels higher than allowed by their pathophysiological conditions. This narrative review describes the possibility to train patients with CVF and NIV use as a tool to increase the benefits of exercise training. We searched papers published between 1985 and 2018 in (or with the summary in) English language in PubMed and Scopus databases using the keywords "chronic respiratory failure AND exercise," "non invasive ventilation AND exercise," "pulmonary rehabilitation" and "exercise training." Exercise training is feasible and effective also in patients with CVF. Assisted ventilation can improve exercise tolerance in different clinical conditions. In patients under long-term home ventilatory support, NIV administered also during walking results in improved oxygenation, decreased dyspnoea and increased walking distance. Continuous positive airway pressure and different modalities of assisted ventilation have been delivered through different interfaces during exercise training programmes. Patients with CVF on long-term NIV may benefit from exercising with the same ventilators, interfaces and settings as used at home. We need more randomised clinical trials to investigate the effects of NIV on exercise training in patients with CVF and define organisation and setting.
Sections du résumé
BACKGROUND
BACKGROUND
Chronic ventilatory failure (CVF) may be associated with reduced exercise capacity. Long-term non-invasive ventilation (NIV) may reduce patients' symptoms, improve health-related quality of life and reduce mortality and hospitalisations. There is an increasing use of NIV during exercise training with the purpose to train patients at intensity levels higher than allowed by their pathophysiological conditions.
OBJECTIVE
OBJECTIVE
This narrative review describes the possibility to train patients with CVF and NIV use as a tool to increase the benefits of exercise training.
METHODS
METHODS
We searched papers published between 1985 and 2018 in (or with the summary in) English language in PubMed and Scopus databases using the keywords "chronic respiratory failure AND exercise," "non invasive ventilation AND exercise," "pulmonary rehabilitation" and "exercise training."
RESULTS
RESULTS
Exercise training is feasible and effective also in patients with CVF. Assisted ventilation can improve exercise tolerance in different clinical conditions. In patients under long-term home ventilatory support, NIV administered also during walking results in improved oxygenation, decreased dyspnoea and increased walking distance. Continuous positive airway pressure and different modalities of assisted ventilation have been delivered through different interfaces during exercise training programmes. Patients with CVF on long-term NIV may benefit from exercising with the same ventilators, interfaces and settings as used at home.
CONCLUSION
CONCLUSIONS
We need more randomised clinical trials to investigate the effects of NIV on exercise training in patients with CVF and define organisation and setting.
Identifiants
pubmed: 30380534
pii: 000493691
doi: 10.1159/000493691
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
3-11Informations de copyright
© 2018 S. Karger AG, Basel.