Where is noninvasive ventilation (NIV) utilized for inpatient care?

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

It can be used in the ICU, especially if there is the possibility of intubation.

It can be used in a step-down unit (lower severity of illness), as follows:

  • Moderately severe COPD (pH >7.30)
  • Do-not-intubate status
  • Intermittent or nocturnal ventilatory support

It can be used in the ward setting (not recommended if intubation is a consideration), as follows:

  • Suitable in specialized units
  • Same considerations as step-down unit
  • Emergency department - Local considerations, expertise may mirror ICU or step-down unit

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