What is the role of noninvasive ventilation (NIV) in the treatment of asthma?

Updated: Jun 18, 2020
  • Author: Guy W Soo Hoo, MD, MPH; Chief Editor: Zab Mosenifar, MD, FACP, FCCP  more...
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In asthma [59]  patients, note the following:

  • Similar pathophysiology to COPD; limited reported experience with noninvasive ventilation

  • Mostly case series with reported benefit

  • Prospective, randomized studies based on emergency department settings

  • Improvement in spirometry main outcome measure

  • Fewer admissions with noninvasive ventilation; intubation not an outcome measure

  • Hypercapnic asthma patients not represented in randomized trials

  • Noninvasive ventilation probably beneficial, but experience limited

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