Noninvasive Positive Pressure Ventilatory Support Begins During Sleep

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The goal of sleep doctors has been to titrate away apneas and hypopneas using noninvasive ventilation, a term that has become synonymous with continuous positive airway pressure and bilevel positive airway pressure at the lowest effective bilevel settings. It is now time to appreciate noninvasive ventilatory support as an alternative to invasive mechanical ventilation. This article discusses mechanisms of action, two paradigms, and ancillary techniques for noninvasive ventilatory support.

Original languageEnglish (US)
Pages (from-to)607-615
Number of pages9
JournalSleep Medicine Clinics
Issue number4
StatePublished - Dec 2017

All Science Journal Classification (ASJC) codes

  • Neuropsychology and Physiological Psychology
  • Clinical Psychology
  • Clinical Neurology
  • Psychiatry and Mental health


  • Continuous noninvasive intermittent positive pressure ventilatory support
  • Continuous positive airway pressure
  • Mechanical insufflation-exsufflation
  • Neuromuscular disease
  • Noninvasive ventilation
  • Noninvasive ventilatory support
  • Ventilatory pump failure


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