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Titrating and Discontinuing Noninvasive Respiratory Support in the Emergency Department
Danial Gebreili1, Jarrod M Mosier1
1Department of Emergency Medicine, University of Arizona College of Medicine-Tucson, Tucson, AZ, USA; Department of Medicine, Division of Pulmonary, Allergy, Critical Care and Sleep, University of Arizona College of Medicine-Tucson, Tucson, AZ, USA.
Abstract:
Acute respiratory failure is common in the emergency department (ED), often requiring noninvasive respiratory support (NIRS). NIRS has become a cornerstone in the initial management of acute respiratory failure. Despite its growing use, significant variability in practice remains, and evidence-based guidance specific to the ED setting is limited. This article aims to provide emergency physicians with a practical, evidence-informed framework for initiating and managing NIRS in adults with acute respiratory failure, with a focus on initial settings, titration, monitoring for failure, and guidance on weaning and liberation.
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