What are suitable clinical conditions for use of noninvasive ventilation (NIV)?

Updated: Jun 18, 2020
  • Author: Guy W Soo Hoo, MD, MPH; Chief Editor: Zab Mosenifar, MD, FACP, FCCP  more...
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Answer

Answer

Suitable clinical conditions for noninvasive ventilation (most patients) are as follows:

  • Chronic obstructive pulmonary disease

  • Cardiogenic pulmonary edema

Suitable clinical conditions for noninvasive ventilation (selected patients) are as follows:

  • After discontinuation of mechanical ventilation (COPD)

  • Immunocompromised state (known cause of infiltrates)

  • Postoperative respiratory distress and respiratory failure

  • Do-not-intubate status

  • Neuromuscular respiratory failure (better in chronic than acute; avoid if upper airway issues)

  • Decompensated obstructive sleep apnea/cor pulmonale

  • Cystic fibrosis

  • Mild Pneumocystic carinii pneumonia

  • Rib fractures


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