Non-invasive ventilation (NIV) is the first line of therapy in respiratory insufficiency or failure, commonly seen with COPD, CHF1,2, Asthma3, pneumonia4, or ARDS.5 In addition, NIV is utilized to wean patients off mechanical ventilation. However, many patients struggle to tolerate NIV therapy because the mask causes dry-mouth, phlegm build-up, and difficulty communicating.6-8 Mask intolerance is a major cause of NIV failure.9 NIV failure can result in increased length of stay and poor outcomes.
Patient discomfort often results in the removal of the mask by clinicians or patients in order to provide relief. However, this may lead to alveolar collapse10 and worsening respiratory status. Frequent removal and replacement of the mask can lead to improper fitting that can cause pressure injuries.
ReddyPort® products promote NIV success by helping improve tolerance, empower clinicians and patients
with simplified oral access while maintaining therapeutic pressure without mask removal.
Being able to clean the mouth is such a blessing. She cannot be removed from the mask because of shortness of breath. We are very happy."
– Patient’s family
Adult Female with Respiratory Failure fromPneumonia/Pulmonary Edema, DNI status
For the last few days, my father has been very uncomfortable and distressed from a dry mouth and thirst. ReddyPort™ was placed on him today and I can already see that he is much happier. I have been providing him with a wet sponge through the adapter and he is very comfortable. I don't have to call the nurse or respiratory therapist frequently. I feel like I can participate in the care of my father."
– Karen, daughter of the patient
Adult male with end stage COPD on NPPV for 5 days, on 80% oxygen, using it for 20-22 hrs/day.
I have been on BiPAP for 10 days and can only come off for few minutes at a time. My mouth is crusty all the time and nurses take a while to come to my bedside to remove mask and give me a sip of water. I had ReddyPort™ fixed on my mask yesterday and this made a tremendous difference to me. My wife can give me a sponge with soda and I get an immense relief from thirst, without having to remove the mask. This is great.”
– Richard, patient
Adult male with Idiopathic Pulmonary Fibrosis on NPPV.
References:
1 Rochwerg B, Brochard L, Elliott MW, Hess D, et al. Official ERS/ATS Clinical Practice Guidelines: Noninvasive Ventilation for Acute Respiratory Failure. Eur Respir J. 2017: 31;50(2):1602426 2 Huang CC, Muo CH, Wu TF, et al. The application of non-invasive and invasive mechanical ventilation in the first episode of acute respiratory
failure [published online ahead of print, 2020 Mar 30]. Intern Emerg Med. 2020;1-9. 3 Stefan MS, Nathanson BH, Lagu T, et al. Outcomes of Noninvasive and Invasive
Ventilation in Patients Hospitalized with Asthma Exacerbation. Ann Am Thorac Soc. 2016;13(7):1096-1104. 4 Hilbert G, Gruson D, Vargas F, et al. Noninvasive ventilation in immunosuppressed patients with pulmonary infiltrates, fever, and acute respiratory failure. N Engl J Med. 2001;344(7):481-487. 5 Ferrer M, Esquinas A, Leon M, Gonzalez G, Alarcon A, Torres A. Noninvasive ventilation in severe hypoxemic respiratory failure: a randomized clinical trial. Am J Respir Crit Care Med. 2003;168(12):1438-1444. 6 Smith TA, Davidson PM, Jenkins CR, Ingham JM. Life behind the mask: the patient experience of NIV. Lancet Respir Med. 2015;3(1):8-10. 7 Torheim H, Gjengedal E. How to cope with the mask? Experiences of mask treatment in patients with acute chronic obstructive pulmonary disease exacerbations. Scand J Caring Sci. 2010;24(3):499-506. 8 Sørensen D, Frederiksen K, Groefte T, Lomborg K. Striving for habitual well-being in noninvasive ventilation: a grounded theory study of chronic obstructive pulmonary disease patients with acute respiratory failure. J Clin Nurs. 2014;23(11-12):1726-1735. 9 Ozyilmaz E, Ugurlu AO, Nava S. Timing of noninvasive ventilation failure: causes, risk factors, and potential remedies. BMC pulmonary medicine. 2014;14(1):19. 10 Futier E, Constantin JM, Pelosi P, et al. Noninvasive ventilation and alveolar recruitment maneuver improve respiratory function during and after intubation of morbidly obese patients: a randomized controlled study. Anesthesiology. 2011;114(6):1354-1363.