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- Title
Noninvasive respiratory support in intensive care medicine.
- Authors
Rittayamai, Nuttapol; Grieco, Domenico L.; Brochard, Laurent
- Abstract
1, in the acute care setting, NIV should be considered as the first-line approach to treat patients with hypercapnic respiratory failure and CPAP or NIV for respiratory failure due to acute cardiogenic pulmonary edema. Several factors determine the success of NIV application such as good patient selection, patient-ventilator interface, personnel expertise, and patient monitoring. In critically ill patients weaned from invasive mechanical ventilation, HFNC has been shown to prevent post-extubation respiratory failure compared to conventional oxygen therapy in low-risk patients and to perform as well as prophylactic NIV in patients at high-risk of post-extubation respiratory failure [[20]]. NIV is therefore strongly recommended in hypercapnic respiratory failure due to COPD exacerbation and cardiogenic pulmonary edema and has been conditionally recommended as a prophylaxis for extubation failure in high-risk patients, and to facilitate weaning in hypercapnic patients [[8]].
- Subjects
NONINVASIVE ventilation; CRITICAL care medicine; ADULT respiratory distress syndrome; OBSTRUCTIVE lung diseases
- Publication
Intensive Care Medicine, 2022, Vol 48, Issue 9, p1211
- ISSN
0342-4642
- Publication type
Article
- DOI
10.1007/s00134-022-06762-6