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[Noninvasive ventilation in intensive care]
P Jolliet1, J Sommer-Buhler, B Abajo
1Division des soins intensifs de médecine, Hôpitaux Universitaires de Genève, Hôpital Cantonal.
Schweizerische Medizinische Wochenschrift
|January 25, 1997
Summary
Non-invasive ventilation (NIV) offers an alternative to endotracheal intubation for acute respiratory failure, potentially reducing mortality and hospital stays. This review covers NIV techniques, equipment, and clinical applications for optimal patient care.
Area of Science:
- Critical Care Medicine
- Pulmonology
- Respiratory Therapy
Background:
- Non-invasive ventilation (NIV) is established for chronic respiratory failure management.
- NIV is increasingly used in intensive care to prevent endotracheal intubation for acute respiratory failure.
Purpose of the Study:
- To review available NIV techniques.
- To guide the selection of respirators and ventilatory modes for diverse clinical scenarios.
- To discuss logistical considerations for effective NIV implementation.
Main Methods:
- Literature review of studies on NIV in acute respiratory failure.
- Analysis of comparative outcomes between NIV and invasive mechanical ventilation.
- Synthesis of clinical guidelines and expert recommendations.
Main Results:
- Evidence suggests NIV can decrease mortality rates.
- NIV use is associated with a shorter duration of hospital stay compared to intubation.
- Successful NIV application requires careful patient selection and management.
Conclusions:
- NIV is a valuable strategy for managing acute respiratory failure, potentially improving patient outcomes.
- Optimal use of NIV necessitates understanding various techniques, equipment, and clinical contexts.
- Further research may refine NIV protocols and expand its therapeutic applications.