Non-Invasive Ventilation Preoperative Lung Resection Surgery

Inclusion criteria

• Patient over 18 years, to benefit from surgery scheduled for lung resection (lobectomy or segmentectomy) for primary lung cancer and having signed an informed consent.

AND

• Trouble obstructive (FEV / FVC <70% and FEV <80% predicted)

Or restrictive (FVC <80% or TLC <80%)

Or decrease in the ratio TLCO / VA <60%

Or history of respiratory failure with hypercapnic Pa CO2> 45 mmHg in the year preceding surgery

Or long-term oxygen

Or heart failure (clinical signs of heart failure and LVEF <55% or disorder of relaxation on echocardiography or atrial fibrillation)

Or history of acute cardiogenic pulmonary edema.

Or obesity (BMI> 30 kg/m2)

Exclusion criteria

• Inability to consent
• Patient declared inoperable given the comorbidities or refusing surgery or with unresectable tumors.
• Patient operable but with no comorbidities described in the inclusion criteria
• Contraindications to the non-invasive ventilation:

• Lack of understanding of the technical
• facial malformation
• Tight stenosis of the upper airway
• uncontrollable vomiting
• Unable to remove the mask
• Cognitive impairment or severe psychiatric jeopardizing the observance of the NAV
• Patient non-insured
• Patient already on invasive ventilation or non-invasive
• During Pregnancy