Publication

Noninvasive mechanical ventilation in early acute respiratory distress syndrome

Grassi, Alice
; 
Foti, Giuseppe
; 
Laffey, John G.
; 
Bellani, Giacomo
Identifiers
http://hdl.handle.net/10379/11714
https://doi.org/10.13025/27466
Repository DOI
10.20452/pamw.4088
Publication Date
2017-08-17
Keywords
acute hypoxemic respiratory failure, acute respiratory distress syndrome, helmet, noninvasive ventilation, positive pressure ventilation, positive-pressure ventilation, randomized clinical-trial, acute lung injury, obstructive pulmonary-disease, intensive-care units, airway pressure, immunocompromised patients, nasal cannula, face mask, failure
Type
Article
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Citation
Grassi, Alice; Foti, Giuseppe; Laffey, John G. Bellani, Giacomo (2017). Noninvasive mechanical ventilation in early acute respiratory distress syndrome. Polish Archives of Internal Medicine 127 (9), 614-620
Abstract
Noninvasive ventilation (NIV) has a well-established role in the treatment of acute-on-chronic respiratory failure and cardiogenic pulmonary edema. Its role in acute hypoxemic respiratory failure has been increasingly investigated, but its impact on the management and outcome of the subset of patients with acute respiratory distress syndrome (ARDS) is still to be determined. ARDS could be a risk factor for NIV failure, and in these patients, delayed endotracheal intubation can lead to an increased mortality. On the other hand, in a subset of patients with ARDS, endotracheal intubation can be avoided when NIV is applied. This review summarizes the current practice of NIV use in patients with ARDS and underlines the importance of proper patient selection before an NIV trial as well as criteria that should be used to predict failure early enough. A brief overview of high-flow nasal cannula is also provided. The use of NIV in ARDS is still debated, and it is important to be aware of the potential limitations and pitfalls of this treatment, which, when properly applied, could reduce the incidence of endotracheal intubation.
Funder
Publisher
Towarzystwo Internistow Polskich/Polish Society of Internal Medicine
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Attribution-NonCommercial-NoDerivs 3.0 Ireland
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Externally hosted open access publications with University of Galway authors (2)