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Non-invasive and Invasive Ventilation in Hebbal, Bangalore

Non-invasive and Invasive Ventilation

Non-invasive and Invasive Ventilation in Hebbal, Bangalore

Non-invasive Ventilation (NIV) refers to delivering oxygen with the help of a face mask. This does not require an endotracheal airway. 

It functions by making a positive airway pressure, implying that the pressure inside the lungs is less than that outside the lungs.  It results in air being pushed into the lungs, lowering the effort of respiration and lowering the work of breathing. It keeps the lungs and chest expanded by raising the functional residual capacity post normal expiration. 

NIVs are of two types

  • Non-invasive Positive-Pressure (NIPPV)

  • Negative-pressure Ventilation (NPV).

Non-Invasive Positive-Pressure

CPAP

CPAP (Continuous Positive Airway Pressure) provides basic support and is based on constant fixed positive pressure all the time, during both expiration and inspiration, keeping the airways open and reducing work of breathing. It causes a higher degree of inspired oxygen as opposed to other oxygen masks. 

BiPAP

Often NIV is referred to as BiPAP, but BiPAP is a trade name. In this ventilator, airway pressure differs on the basis of inspiration and expiration. Inspiratory Positive Airways Pressure (iPAP) is greater than Expiratory Positive Airways Pressure (ePAP). So, ventilation is mainly provided by iPAP, and ePAP recruits underventilated / collapsed alveoli for gas exchange and enables exhaled gas removal. In acute settings, an NIV is used for type 2 respiratory failure, with respiratory acidosis.

Negative-Pressure Ventilation (NPV)

With Negative-Pressure Ventilators, ventilatory support is given with the help of a device in which the thoracic cage is encased, for example, an iron lung. They lower the pressure around the thorax, making subatmospheric pressure that expands the chest wall passively so that lungs are inflated during non-invasive and invasive ventilation treatment in Hebbal, Bangalore. Passive recoil of the wall of the chest causes exhalation.  This device is still used in chronic respiratory failure. 

Complications Caused by NIV

Some of the complications caused by NIV are,

  • Facial pressure ulcer

  • Irritation in the eyes

  • Retention of secretions

Invasive Ventilation

In invasive mechanical ventilation, a mechanical ventilator and an EendoTracheal Tube (ETT) are used. ETT is the conduit for providing mechanical breaths, it provides protection to the airway, enables secretions’ suctioning, and helps with certain procedures, such as bronchoscopy. It helps to stabilise patients who have hypercapnic respiratory failure or hypoxemic, reduces inspiratory breathing work, redistributes blood flow from exercising respiratory muscles to other tissues (for patients with shock), and enables implementation of lung-protective (low tidal volume) ventilation for patients suffering from acute respiratory distress syndrome ARDS (Acute Respiratory Distress Syndrome). Book an appointment at Manipal Hospitals to know more about treatments with the help of doctors in Bangalore. 

Experience world-class healthcare at Manipal Hospitals. Our expert team of doctors and state-of-the-art facilities ensure personalized and advanced treatments. Take the first step towards wellness. Book an appointment today.

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