How are facial and nasal pressure injury and sores caused by noninvasive ventilation (NIV) managed?

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

For facial and nasal pressure injury and sores, note the following:

  • Result of tight mask seals used to attain adequate inspiratory volumes

  • Minimize pressure by intermittent application of noninvasive ventilation

  • Schedule breaks (30-90 min) to minimize effects of mask pressure

  • Balance strap tension to minimize mask leaks without excessive mask pressures

  • Cover vulnerable areas (erythematous points of contact) with protective dressings


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