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Noninvasive ventilation: an emerging supportive technique for the emergency department
1Department of Pulmonary and Critical Care Medicine, Regions Hospital, St. Paul, MN, USA.
Annals of Emergency Medicine
|October 17, 1998
Summary
Noninvasive ventilation (NIV) offers breathing support without intubation, addressing concerns and detailing its use in emergency medicine for conditions like COPD, asthma, pneumonia, and pulmonary edema.
Area of Science:
- Medicine
- Pulmonology
- Emergency Medicine
Background:
- Endotracheal intubation carries risks.
- Noninvasive ventilation (NIV) provides ventilatory support without intubation.
- NIV is increasingly relevant in emergency care.
Purpose of the Study:
- To review the concerns associated with endotracheal intubation.
- To summarize the physiological effects and clinical applications of NIV.
- To discuss the application of NIV in specific emergency medicine scenarios.
Main Methods:
- Literature review focusing on NIV.
- Analysis of physiological effects of NIV.
- Clinical application review in emergency medicine.
Main Results:
- NIV avoids complications of endotracheal intubation.
- NIV has established physiological effects and clinical applications.
- NIV is beneficial in exacerbated COPD, severe asthma, pneumonia, and pulmonary edema.
- NIV is a viable option for patients unsuitable for intubation.
Conclusions:
- NIV is a valuable tool in emergency medicine.
- Understanding NIV's application improves patient outcomes.
- NIV should be considered for specific respiratory emergencies.