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Noninvasive positive pressure ventilation as treatment for acute respiratory failure in critically ill patients

Our current state of knowledge on noninvasive positive pressure ventilation (NPPV) and technical aspects are discussed in the present review. In patients with chronic obstructive pulmonary disease, NPPV can be considered a valid therapeutic option to prevent endotracheal intubation. Evidence suggest...

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Detalles Bibliográficos
Autores principales: Antonelli, Massimo, Conti, Giorgio
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2000
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC137248/
https://www.ncbi.nlm.nih.gov/pubmed/11094492
http://dx.doi.org/10.1186/cc645
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author Antonelli, Massimo
Conti, Giorgio
author_facet Antonelli, Massimo
Conti, Giorgio
author_sort Antonelli, Massimo
collection PubMed
description Our current state of knowledge on noninvasive positive pressure ventilation (NPPV) and technical aspects are discussed in the present review. In patients with chronic obstructive pulmonary disease, NPPV can be considered a valid therapeutic option to prevent endotracheal intubation. Evidence suggests that, before eventual endotracheal intubation, NPPV should be considered as first-line intervention in the early phases of acute exacerbation of chronic obstructive pulmonary disease. Small randomized and non-randomized studies on the application of NPPV in patients with acute hypoxaemic respiratory failure showed promising results, with reduction in complications such as sinusitis and ventilator-associated pneumonia, and in the duration of intensive care unit stay. The conventional use of NPPV in hypoxaemic acute respiratory failure still remains controversial, however. Large randomized studies are still needed before extensive clinical application in this condition.
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spelling pubmed-1372482003-02-27 Noninvasive positive pressure ventilation as treatment for acute respiratory failure in critically ill patients Antonelli, Massimo Conti, Giorgio Crit Care Review Our current state of knowledge on noninvasive positive pressure ventilation (NPPV) and technical aspects are discussed in the present review. In patients with chronic obstructive pulmonary disease, NPPV can be considered a valid therapeutic option to prevent endotracheal intubation. Evidence suggests that, before eventual endotracheal intubation, NPPV should be considered as first-line intervention in the early phases of acute exacerbation of chronic obstructive pulmonary disease. Small randomized and non-randomized studies on the application of NPPV in patients with acute hypoxaemic respiratory failure showed promising results, with reduction in complications such as sinusitis and ventilator-associated pneumonia, and in the duration of intensive care unit stay. The conventional use of NPPV in hypoxaemic acute respiratory failure still remains controversial, however. Large randomized studies are still needed before extensive clinical application in this condition. BioMed Central 2000 2000-01-24 /pmc/articles/PMC137248/ /pubmed/11094492 http://dx.doi.org/10.1186/cc645 Text en Copyright © 2000 Current Science Ltd
spellingShingle Review
Antonelli, Massimo
Conti, Giorgio
Noninvasive positive pressure ventilation as treatment for acute respiratory failure in critically ill patients
title Noninvasive positive pressure ventilation as treatment for acute respiratory failure in critically ill patients
title_full Noninvasive positive pressure ventilation as treatment for acute respiratory failure in critically ill patients
title_fullStr Noninvasive positive pressure ventilation as treatment for acute respiratory failure in critically ill patients
title_full_unstemmed Noninvasive positive pressure ventilation as treatment for acute respiratory failure in critically ill patients
title_short Noninvasive positive pressure ventilation as treatment for acute respiratory failure in critically ill patients
title_sort noninvasive positive pressure ventilation as treatment for acute respiratory failure in critically ill patients
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC137248/
https://www.ncbi.nlm.nih.gov/pubmed/11094492
http://dx.doi.org/10.1186/cc645
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