PG8 The challenges of chronic noninvasive ventilation

Postgraduate Course
Chairs: M. Duiverman (Groningen, Netherlands), J. Gonzalez Bermejo (Montlignon, France)
Aims: to discuss titration of chronic noninvasive ventilation (NIV) in patients with bulbar complaints, including how to adjust patients, additional therapies and techniques, when to decide that NIV goals have not been achieved, when to switch to invasive mechanical ventilation and when to decide to stop; to discuss titration of chronic NIV in patients with chronic obstructive pulmonary disease (COPD), including whether to aim for high-intensity NIV, how to adjust patients to high-intensity NIV, the back-up respiratory rate, inspiration and expiration times and new modes; to discuss the detection and clinical consequences of patient-ventilator asynchrony, including whether this should be treated in chronic care and how to reliably detect it; to discuss the value of alternative (autotitrating) modes, including whether AVAPS and EFL titration modes or other alternatives should be used.

Chronic NIV in patients with bulbar disease: challenges and goals P. Wijkstra (Groningen, Netherlands)
Chronic NIV in patients with COPD: what is the best way to go? C. Cantero (Paris, France)
Is patient-ventilator asynchrony also important in chronic care? M. Ramsay (Esher, United Kingdom)
New NIV modes: what is available, and when should they be used? M. Patout (Paris, France)
Group discussion and challenging cases P. Wijkstra (Groningen, Netherlands), M. Ramsay (Esher, United Kingdom), M. Patout (Paris, France), C. Cantero (Paris, France)