How is gastric distension 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 gastric distension, note the following:

  • Rarely a problem

  • Avoid by limiting peak inspiratory pressures to less than 25 cm water

  • Nasogastric tubes can be placed but can worsen leaks from the mask

  • Nasogastric tube also bypasses the lower esophageal sphincter and permits reflux


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