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Invasive and non-invasive mechanical ventilation

Early recognition of patients who might potentially require ventilatory support is a key goal of critical care outreach programs and an important skill for all hospital medical staff. Decisions about the initiation and timing of invasive ventilation can be difficult and early discussion with critica...

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Detalles Bibliográficos
Autores principales: Popat, Bhavesh, Jones, Andrew T.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier Ltd. 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7108446/
https://www.ncbi.nlm.nih.gov/pubmed/32288571
http://dx.doi.org/10.1016/j.mpmed.2012.03.010
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author Popat, Bhavesh
Jones, Andrew T.
author_facet Popat, Bhavesh
Jones, Andrew T.
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description Early recognition of patients who might potentially require ventilatory support is a key goal of critical care outreach programs and an important skill for all hospital medical staff. Decisions about the initiation and timing of invasive ventilation can be difficult and early discussion with critical care colleagues is essential. Appropriateness of invasive ventilatory support may also be an issue requiring advanced discussion with patients and their families. In the past 10–15 years, the role of non-invasive ventilation (NIV) has expanded, not least in an attempt to minimize the complications inherent with invasive ventilation. As such, NIV is now considered first-line therapy in some conditions (chronic obstructive pulmonary disease, pulmonary oedema, mild-to-moderate hypoxaemic respiratory failure in immunocompromised patients), and a ‘trial of NIV’ is often considered in respiratory failure resulting from an increasingly wide range of causes. When using NIV, the importance of the environment (setting, monitoring and experience of staff) and forward planning cannot be overemphasized. When used for other than the standard indications, NIV should be employed in a high-dependency/intensive care setting only in patients for whom invasive ventilation would be considered.
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spelling pubmed-71084462020-03-31 Invasive and non-invasive mechanical ventilation Popat, Bhavesh Jones, Andrew T. Medicine (Abingdon) Article Early recognition of patients who might potentially require ventilatory support is a key goal of critical care outreach programs and an important skill for all hospital medical staff. Decisions about the initiation and timing of invasive ventilation can be difficult and early discussion with critical care colleagues is essential. Appropriateness of invasive ventilatory support may also be an issue requiring advanced discussion with patients and their families. In the past 10–15 years, the role of non-invasive ventilation (NIV) has expanded, not least in an attempt to minimize the complications inherent with invasive ventilation. As such, NIV is now considered first-line therapy in some conditions (chronic obstructive pulmonary disease, pulmonary oedema, mild-to-moderate hypoxaemic respiratory failure in immunocompromised patients), and a ‘trial of NIV’ is often considered in respiratory failure resulting from an increasingly wide range of causes. When using NIV, the importance of the environment (setting, monitoring and experience of staff) and forward planning cannot be overemphasized. When used for other than the standard indications, NIV should be employed in a high-dependency/intensive care setting only in patients for whom invasive ventilation would be considered. Elsevier Ltd. 2012-06 2012-05-18 /pmc/articles/PMC7108446/ /pubmed/32288571 http://dx.doi.org/10.1016/j.mpmed.2012.03.010 Text en Copyright © 2012 Elsevier Ltd. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Article
Popat, Bhavesh
Jones, Andrew T.
Invasive and non-invasive mechanical ventilation
title Invasive and non-invasive mechanical ventilation
title_full Invasive and non-invasive mechanical ventilation
title_fullStr Invasive and non-invasive mechanical ventilation
title_full_unstemmed Invasive and non-invasive mechanical ventilation
title_short Invasive and non-invasive mechanical ventilation
title_sort invasive and non-invasive mechanical ventilation
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7108446/
https://www.ncbi.nlm.nih.gov/pubmed/32288571
http://dx.doi.org/10.1016/j.mpmed.2012.03.010
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