Back to Search
Start Over
Non-invasive ventilation in acute respiratory failure.
- Source :
-
Lancet (London, England) [Lancet] 2009 Jul 18; Vol. 374 (9685), pp. 250-9. - Publication Year :
- 2009
-
Abstract
- Non-invasive mechanical ventilation has been increasingly used to avoid or serve as an alternative to intubation. Compared with medical therapy, and in some instances with invasive mechanical ventilation, it improves survival and reduces complications in selected patients with acute respiratory failure. The main indications are exacerbation of chronic obstructive pulmonary disease, cardiogenic pulmonary oedema, pulmonary infiltrates in immunocompromised patients, and weaning of previously intubated stable patients with chronic obstructive pulmonary disease. Furthermore, this technique can be used in postoperative patients or those with neurological diseases, to palliate symptoms in terminally ill patients, or to help with bronchoscopy; however further studies are needed in these situations before it can be regarded as first-line treatment. Non-invasive ventilation implemented as an alternative to intubation should be provided in an intensive care or high-dependency unit. When used to prevent intubation in otherwise stable patients it can be safely administered in an adequately staffed and monitored ward.
- Subjects :
- Acute Disease
Adult
Contraindications
Critical Care methods
Equipment Design
Evidence-Based Medicine
Humans
Immunocompromised Host
Intubation, Intratracheal adverse effects
Personnel Staffing and Scheduling
Positive-Pressure Respiration economics
Pulmonary Disease, Chronic Obstructive complications
Pulmonary Edema complications
Respiratory Insufficiency etiology
Masks
Patient Selection
Positive-Pressure Respiration instrumentation
Positive-Pressure Respiration methods
Respiratory Insufficiency therapy
Subjects
Details
- Language :
- English
- ISSN :
- 1474-547X
- Volume :
- 374
- Issue :
- 9685
- Database :
- MEDLINE
- Journal :
- Lancet (London, England)
- Publication Type :
- Academic Journal
- Accession number :
- 19616722
- Full Text :
- https://doi.org/10.1016/S0140-6736(09)60496-7